Study of diabetic foot, its evaluation, non-surgical methods of assessment and surgical treatments

Recruiting

• Conditions: Type 2 diabetes mellitus with other specified complications,

• Registration Number: CTRI/2022/06/043593
• Lead Sponsor: D Y Patil Medical College Hospital and Research Center

Brief Summary

India has been called the diabetic capital of the world. Managing diabetic foot disease requires careful attention to properly diagnosing the condition and then determining what surgical interventions are required. Evaluation of diabetic foot disease includes risk factor identification, history and physical examination. Non-surgical assessment includes both subjective and objective measures of peripheral nerve functions like symptoms, signs, inspection, palpation, musculoskeletal examination, pain score by visual analogue scale, pin prick test, monofilament test, temperature perception test, vibration perception test, proprioception test, assessment of tone, power and deep tendon reflex, capillary refill time assessment, pedal pulses examination, vascular doppler study for ankle brachial index, toe brachial index, doppler waveform assessment and infrared thermometry. Surgical management includes various dressing methods, nerve decompression surgery, nerve transfer surgery, skin grafting and local flaps. Patients should be counselled regarding appropriate footwear and pressure garments.

Detailed Description

Not available

Study Timeline

• Study Start: 2022-06-30
• Last Update Posted: 2022-07-30

Recruitment & Eligibility

• Status: Open to Recruitment
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

1.Diabetic patients with evidence of foot ulcer 2.Diabetic patients having symptoms of peripheral neuropathy 3.Diabetic patients having symptoms of peripherial arterial disease 4.Diabetic patients with past history of foot ulcers or lower limb amputation.

Exclusion Criteria

1.Patients below age of 18 years 2.Patients with systemic inflammatory response syndrome.

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Study the clinical features of diabetic foot	on presentation, | during treatment, | after treatment.

Secondary Outcome Measures

Name	Time	Method
Evaluate peripheral neuropathy in diabetic foot	1. On presentation
Evaluate peripheral vascular disease in diabetic foot	1. On presentation
Provide surgical management for diabetic foot	On presentation

Trial Locations

Locations (1)

D Y Patil Medical College, Hospital and Research Centre; 🇮🇳 Thane, MAHARASHTRA, India

D Y Patil Medical College, Hospital and Research Centre

🇮🇳Thane, MAHARASHTRA, India

Dr Vedanti Rajesh Patil

Principal investigator

9930430788

vedanti.patil@gmail.com