FREQUENCY OF DIFFERENT LEVEL OF AMPUTATIONS IN TYPE-2 DIABETICS

Objective: To determine the frequency of different levels of amputations in type-2 diabetics. Study Design: Cross sectional study. Place and Duration of study: Department of Surgery Combined Military Hospital, Peshawar, from 27 Aug 2012 to 27 Feb 2013. Material and Methods: Non probability consecutive sampling technique was used to enroll 158 type-2 diabetics undergoing amputations satisfying inclusion/exclusion criteria. Data regarding level of amputation, glycosylated Hb% and duration of diabetes mellitus (DM) was recorded followed by analysis using SPSS version 17. Results: Total 158 patients were enrolled, 102 (64.5%) male and 56 (35.44%) female, with male female ratio of 1.8:1. Mean age of presentation was 54.99 ± 7.84 years in males and 55.14 ± 8.99 years in females respectively, the difference being statistically insignificant (p=0.912). Mean duration of DM was found 10.88 ± 3.16 years in males and 10.03 ± 2.50 years in females while mean level of glycosylated hemoglobin was 7.54 ± 0.68 and 7.35 ± 0.63 in males & females respectively, both values statistically insignificant. Below knee amputation (BKA) was done in 55 (34.8%) patients, above knee amputation (AKA) 34 (21.5%), Toe amputation (TA) 42 (26.6%) and foot amputation (FA) in 27(17.1%). Conclusion: Majority of the patients underwent major amputations and most frequent level of amputation was below knee amputation.