Table 7. Surgery and post-surgery outcome of patients with diabetic foot osteomyelitis.
Indication for surgery | n | % | |
Dry gangrene/ischaemia | 10 | 8 | |
Wet gangrene/sepsis | 50 | 40 | |
Gangrene/necrosis non-specified | 9 | 7 | |
Non-healing | 22 | 17 | |
No indication | 32 | 26 | |
Type of Surgerya | |||
Debridement | 5 | 4 | |
Amputationb Partial Transmetatarsal AKA/BKA |
61 14 10 |
49 11 8 |
|
No-surgery | 32 | 26 | |
Wound location | |||
Forefoot | 114 | 92 | |
Midfoot | 1 | 1 | |
Hindfoot | 10 | 8 | |
Ulcer healing status | |||
Healed | 76 | 61 | |
Not healed | 2 | 1 | |
Unknownc | 38 | 31 | |
Discharge destination | |||
Home | 104 | 84 | |
Rehabilitation centre | 8 | 6 | |
Other hospital | 6 | 5 | |
Nursing home | 2 | 2 | |
Died | 2 | 2 | |
Mobility post-discharge | |||
Bedboundd | 6 | 5 | |
Wheel-chair | 6 | 5 | |
Walking with prosthesise | 3 | 2 | |
Walking without prosthesis | 67 | 54 | |
Unknownc | 38 | 31 |
a: Type of surgery specified is the latest performed in a patient
b: Partial amputation refers to single or multiple toe or metatarsal amputation/excision.
c: Lost to follow up due to further management at patient’s local hospital
d: Four of the bedbound patients had hindfoot ulcer and had undergone AKA or BKA
e: Prosthesis was either for one leg or for both legs. Two of these patients had hindfoot ulcer