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- W2112112100 abstract "Amac: Diabetes Mellitus hastalarinda diabetik ayak gelisimi yasam kali- tesinin kotulesmesine, alt ekstremite amputasyonlarina ve mortalite arti- sina neden olabilen onemli bir komplikasyondur. Diabetik ayak gelismis olan hastalarda enfeksiyon (ozellikle derin doku enfeksiyonu) varligi, alt ekstremitenin amputasyon riskini arttirdigi icin ozel onem tasir. Calisma- mizda uygun antibiyotik ve yara bakimi uygulanan, Wagner siniflamasina gore evre 3 ve 4 olan diabetik hastalarda amputasyon sikliginin degerlen- dirilmesi amaclandi. Metod: GUTF Diabetik Ayak Poliklinigi’nde, 2002 Ocak – 2003 Haziran donemi icinde takip edilen, Wagner siniflamasina gore evre 3 ve 4 olan hastalar, retrospektif olarak degerlendirildi. Dermografik ozellikleri kay- dedildi. Hastalarda MR ve kemik sintigrafisi ile osteomyelit varligi arasti- rildi. Alt ekstremite amputasyonlari ayak bilegi seviyesine gore major ve minor amputasyon olarak siniflandirildi. Sonuc: 2002 Ocak – 2003 Haziran donemi icerisinde Diabetik Ayak Poliklinigi’ne basvuran toplam 78 hastanin 33’unde osteomyelit ve derin doku enfeksiyonu saptandi (%42,30). Wagner siniflamasina gore 30 hasta evre 3, 3 hasta evre 4 olarak degerlendirildi. 12 hasta kadin (%36,4), 21 hasta erkekdi (%63,6). Hastalarin yas ortalamalari 60,0±11,2, diabet sure- leri 15,8±9,8 yil olarak saptandi. Takiplerde amputasyonu kabul etmeyen 1 hasta exitus oldu (%3,03). 3 hastaya minor, 2 hastaya major amputasyon uygulandi. Toplam amputasyon orani %15,62 olarak bulundu. Y orum: Derin doku enfeksiyonu gelismis olan diabetik ayakli hastalarda multidisipliner yaklasim, uygun yara bakimi ve antibiyotik tedavisi ile amputasyon oranlarinin gecmis ulkemiz verilerine gore azaldigi gorul- mustur. Anahtar Kelimeler: Diabetik ayak, amputasyon orani. AMPUTATION RATE IN DIABETIC FOOT PATIENTS WITH WAGNER CLASSIFICATION 3 AND 4 Aim: Diabetic foot causes morbidity and mortality and reduces the quality of life. The presence and treatment of infections in diabetic foot is espe- cially important as they may increase the amputation risk. In our study we evaluated the amputation rate in diabetic foot patients with Wagner Classification 3 and 4. Method: Diabetic patients diagnosed with diabetic foot ulcers (Wagner Class 3 and 4) were evaluated retrospectively between January 2002 and June 2003. The presence of osteomyelitis was investigated by bone scin- tigraphy and MRI. Amputations were classified as major or minor accor- ding to the ankle. Results: Thirty-three of 78 (42.3%) patients with diabetic foot ulcers had osteomyelitis. Twelve patients (36.4%) were women and 21 were men (63.6%). Mean age was 60.0±11.2 years, and mean diabetes duration was 15.8±9.8 years. Thirty patients were classified as Wagner class 3 and 3 as class 4. In the follow-up period one patient who did not agreed to the amputation died. Three patients had minor and 2 patients had major am- putations. The total amputation rate was 15.6%. Conclusion: A multidisciplinary approach and appropriate therapy reduce the amputation rates in diabetic foot patients. Key Words: Diabetic foot, amputation rate." @default.
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- W2112112100 date "2006-01-01" @default.
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- W2112112100 title "WAGNER SINIFLAMASINA GÖRE EVRE 3 ve 4 OLAN DİABETİK AYAK OLGULARINDA ALT EKSTREMİTE AMPUTASYON SIKLIĞI" @default.
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