Journal List > J Korean Orthop Assoc > v.27(2) > 1114499

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Cho, Kwak, Cho, Baek, and Son: A Clinical Study on the Diabetic Foot
Original Article

Journal of the Korean Orthopaedic Association 1992; 27(2): 480-487.

Published online: 7 November 2018

DOI: https://doi.org/10.4055/jkoa.1992.27.2.480

A Clinical Study on the Diabetic Foot

Hyoun Oh Cho, Kyung Duk Kwak, Sung Do Cho, Seong Chang Baek, Ang Hyoun Son

Copyright © by The Korean Orthopaedic Association

Abstract

The authors reviewed 56 cases with diabetic foot problems who have undergone at the Department of Orthopaedic Surgery, Dong Kang Hospital from 1984 to June, 1990. In addition, we analyzed the electrophysiologic changes obtained from one hundred of diabetic patients who were selected randomly from outpatient clinic at the Department of the Internal Medicine. The results are summerzed as follows:1. Nerve conduction study was helpful in early detection of diabetic neuropathic foot.
2. 87% of diabetic patients presented peripheral polyneuropathy. 3. Diabetic neuropathy involved median, sural and peroneal nerves more commonly than any others and sensory fibers than motor ones. 4. Primary healing was more common in patients with serum albumin level over 3.0gm/dl and hemoglobin level over 12.0mg/dl. 5. Shoe modification and total contact cast were effective in management of early diabetic foot lesions

Keywords: Diabetic foot, Shoe modification, Total contact cast, Nerve conduction test

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