DOI: https://doi.org/10.22263/2312-4156.2025.2.49
Y.S. Ladzik, S.M. Yermashkevich
Clinical and social risk factors in surgical treatment of diabetic foot syndrome
Vitebsk State Order of Peoples’ Friendship Medical University, Vitebsk, Republic of Belarus
Vestnik VGMU. 2025;24(2):49-62.
Abstract.
Objectives. To determine anamnestic and clinical risk factors that influence the results of surgical treatment of diabetic foot syndrome (DFS).
Material and methods. A retrospective analysis of examination and treatment results in 452 patients with DFS was performed. The surgical activity was 60.0%. Local interventions on the foot were performed in 48.2% of patients, of which 14.7% required a series of additional local interventions, and 6.4% ultimately had to resort to «high» amputation of the lower limb. Primary «high» amputations of the lower limb were used in 11.7% of cases, 26% of which had complications on the part of the stump, for which the patients underwent surgery.
Results. Anamnestic and clinical risk factors for performing additional surgeries for local complications of local interventions on the foot in case of DFS are the following: female gender, age >59 years, unemployment, the degree of damage according to F.W. Wagner , concomitant arterial hypertension; for performing «high» lower limb amputation after local interventions on the foot in case of DFS they are: age >63 years, unemployment, history of operations for DFS, emergency hospitalization, the degree of damage according to F.W. Wagner, concomitant chronic lung diseases and ischemic heart disease; for performing «high» lower limb amputation in case of DFS are: age >61 years, unemployment, history of operations for DFS, emergency hospitalization, ischemic form of DFS, the degree of damage according to F.W. Wagner, concomitant arterial hypertension, ischemic heart disease and chronic lung diseases; for performing additional surgical interventions or reamputation after performing a «high» amputation of the lower limb in DFS they are: the degree of damage according to F.W. Wagner.
Conclusions. The obtained information can be used to predict the results and determine rational tactics for surgical treatment of patients with DFS.
Keywords: diabetic foot syndrome, surgery, local interventions on the foot, amputation, reamputation, risk factors, prognosis.
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Submitted 06.03.2025
Accepted 14.04.2025
Information about authors:
Yulia S. Ladzik – postgraduate, lecturer of the Chair of Hospital Surgery with the course of the Faculty for Advanced Training & Retraining, Vitebsk State Order of Peoples’ Friendship Medical University, https://orcid.org/0000-0002-5563-0275, e-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра.;
S.M. Yermashkevich – Candidate of Medical Sciences, associate professor of the Chair of Hospital Surgery with the course of the Faculty for Advanced Training & Retraining, Vitebsk State Order of Peoples’ Friendship Medical University, https://orcid.org/0000-0002-0866-9070
