당뇨병성 족부 질환에 의한 하지 절단 후 임상적 분석과 결과Clinical Analysis and Results after the Amputations of Lower Extremities due to Diabetic Foot
- Other Titles
- Clinical Analysis and Results after the Amputations of Lower Extremities due to Diabetic Foot
- Authors
- 김택선; 강종우; 이상준; 허영재; 김학준
- Issue Date
- 2009
- Publisher
- 대한족부족관절학회
- Keywords
- Diabetic foot; Amputation; Mortality rate
- Citation
- 대한족부족관절학회지, v.13, no.1, pp.50 - 54
- Indexed
- KCI
OTHER
- Journal Title
- 대한족부족관절학회지
- Volume
- 13
- Number
- 1
- Start Page
- 50
- End Page
- 54
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/121325
- ISSN
- 1738-3757
- Abstract
- Purpose: The authors evaluated the clinical results and prognosis after amputating the lower extremity due to diabetic foot.
Materials and Methods: From 1991 to 2003, the patients who had suffered amputation of his lower extremity due to diabetic foot ulcer were evaluated retrospectively. 79 patients were male and 6 patients were female. The author evaluated the patient who had the ipsilateral additional surgery, contralateral amputation, level of blood sugar, combined disease and mortality rate within 5 years from medical record. Statistical analysis was done by Chi-square test and Kaplan-Meier survival test.
Results: Mean age of patients who had first experienced amputation was 63.4 years old. The mean duration of diabetes until amputation was 14.5±7.5 years. Major amputations were 50 cases and minor amputations 35 cases. 20 patients (23.5%) were suffered ipsilateral secondary surgery including revised stump. Overall 5-year mortality rate was 18.8% (16 cases). Death rate within 1 year was 8.2% (7 cases), mortality rate within 3 years was 14.1% (12 cases). 5-year mortality rate after major amputation was 20% (10 cases) and after minor amputation was 17.1% (6 cases). It was statistically significant (p<0.05). Patient who underwent more than 2 combined vascular related disease had higher mortality rate than diabetic amputee without combined disease (p<0.05).
Conclusion: Mortality rate after major amputation was significant higher than amputation after minor amputation in diabetic patients from our data.
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Collections - College of Medicine > Department of Medical Science > 1. Journal Articles
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