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Kim, Lee, Young, and Hwang: A Clinical Study on the Diabetic Foot Wound
Original Article
The Journal of Korean Diabetes Association

The Journal of Korean Diabetes Association 2007; 31(1): 89-95.

Published online: 31 January 2007

DOI: https://doi.org/10.4093/jkda.2007.31.1.89

A Clinical Study on the Diabetic Foot Wound

J-Young Kim, Kyung-Tai Lee, Ki-Won Young, Seung-Keun Hwang,

Department of Orthopedic Surgery, Eulji Medcal Center, Korea.

Received 20 July 2006       Accepted 8 January 2007

Copyright © 2007 Korean Diabetes Association

Abstract

Purpose

To make protocol on diabetic foot ulcer, with making use of this protocol, investigate hospitalized patients who have had diabetic foot wound and define pattern, characteristics and problems of diabetic foot in hospitalized patients.

Materials and Methods

From Oct. 2002 to Sep. 2003, Seventy-two patients who had been admitted to our hospital due to treatment of diabetic foot wound studied with use of the protocol designed by the authors.

Results

The mean age of patients was 64.3 years and male patients were twice as many as female. The most common cause of hospitalization was infection of diabetic foot (77.7%). As a basic pathology of diabetic foot, the main pathology of diabetic foot was the neuropathy that is four times more than vasculopathy. The causations of wound were infection with no specific cause (40.0%). No statistical difference was found between timing of hospitalization and the results of treatment in vasculopathic group but in neuropathic ulcer group, the major procedure such as amputation, and the times of debridement in operation room and are more common in patients who were hospitalized after 3rd days of beginning of symptoms than within 3rd day.

Conclusion

The education that the patient having a foot symptom have to visit the hospital as soon as possible on patients is important to prevent morbidity of diabetic foot wound, long hospitalization and amputation. The protocol that we are presenting can be modified for other study related to diabetic foot.

Keywords: Diabetic foot, Neuropathy, Vasculopathy

Figures and Tables

Fig. 1
Location of wound.
The location of diabetic foot wound is divided into 6 zone. zone 1, the toe area; zone 2, the metatarsal area; zone 3, the mid-tarsal area; zone 4, the heel; zone 5, the medial malleolar area; zone 6, the lat. malleoular area.
jkda-31-89-g001
Table 1
Evaluation Protocol of the Diabetic Foot Patients
jkda-31-89-i001
Table 2
The Depth-ischemia Classification of Diabetic Foot Wound
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Table 3
Comparison of Timing of Admission and Result of Treatment in Neuropathic DMF Patient
jkda-31-89-i003

(Fisher's exact test: P < 0.001)

Table 4
Comparison of Neuropathy and Vasculopathy in the Result of Treatment
jkda-31-89-i004

(Fisher's exact test: P < 0.001)

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