Evaluation and management of diabetic foot according to the Wagner’s classification

Abstract

ABSTRACT

INTRODUCTION

The most important complication in diabetic patient is diabetic foot which represents a major medical, social, and economic problem worldwide that significantly influence the quality of life. The most common method for management and evaluation of diabetic foot and ulcers has been assessed by Wagner’s classification.

METHODS

A prospective descriptive study designed for evaluation and management of diabetic foot according to Wagner’s classification. A total of 95 patient were included over a period of 18 month from 8^th December 2018 to 30^th June 2020 and were studied clinically and investigated as per the proforma. Routine hematology and biochemical investigation, ABPI was measured, color Doppler of limb and X-ray of foot was done. The patients were evaluated according to age, gender, occupation, neuropathy, ABPI, Wagner’s grade, HbA1C, treatment and were followed up to 3 months.

RESULT

Out of 95 patients, majority of the cases were in the cases in the age group of more than equal to 50 years and in gender, males are affected more (61.1%) than female (38.9%). Farmers with diabetes have high prevalence of diabetic foot. Nature of lesion showed that ulcers were higher in this study. Wagner’s classification showed grade 2 diabetic foot ulcer was more prevalent in this study.

CONCLUSION

Grading diabetic foot lesions according to Wagner’s classification helped in correlating appropriate treatment which showed better outcome. Early presentation, hospital admission, aggressive and appropriate medical and surgical treatment according to grade of disease improved the outcome and reduced the morbidity of the patient.