1Assistant Professor, Dept. of Orthopaedics, Adesh Medical College, Barnala Road, Bathinda
2Assistant Professor, Dept. of Medicine, Adesh Medical College, Barnala Road, Bathinda
*Corresponding Author: Dr. Amit Saraf MBBS MS (Ortho), Assistant Professor Dept. of Orthopaedics, Adesh medical college, Barnala road, Bathinda, Mob.: +919780029750
Online published on 5 January, 2015.
Ambulation forms an important part of rehabilitation program after lower limb amputations. Diabetes Mellitus and its complications are commonly associated with amputation. Inspite of this, there is an absence of studies on the effect of diabetes on the post operative ambulation of an amputee. This study analyses the role of diabetes as an independent factor affecting post operative ambulation and compares it with non diabetics.
The present study followed 105 patients; 48 diabetics and 57 non diabetic amputees. Their post operative ambulatory level was compared by using Pinzur et al ambulation scale. Both groups were age, sex and BMI matched.
There was a worsening of ambulatory level in 33.3% diabetics as compared to 10.7% in non diabetics postoperatively. Of the prosthetic users, 78.4% were in non diabetic group and 21.6% were in diabetic group. 17.6% of prosthetic users required additional support, of whom 66.7% were diabetics.
Diabetes Mellitus is an independent factor which has an adverse effect on the functional outcome of a patient after below knee amputation.
Diabetes Mellitus, Below knee amputation, Ambulation
