Studying major amputations in a developing country using Amit Jain's typing and scoring system for diabetic foot complications - time for standardization of diabetic foot practice

Background:Aim of current study was to analyse major amputation occurring in patients with diabetic foot complication through the new principle and practice of diabetic foot.Methods:A 5 year retrospective study was done in a single surgical unit in department of surgery of St John’s medical college, Bangalore, India.Results:26 patients were included in this study. 76.9% of the patients who underwent major amputation had type 1 diabetic foot complications. Infected ulcers were the most common cause for major amputation. Most patients who underwent major amputation had a score ranging from 16-20. 11.54% of the patients who underwent major amputation had osteomyelitis with type 3C diabetic foot osteomyelitis being most common.Conclusions:This unique study for the first time utilizes the new Amit Jain’s principle and practice of diabetic foot to study major amputation in diabetic foot. Majority of the patients who undergo major amputation in India has type 1 diabetic foot complication. Most of the patients undergoing major amputation belongs to the high risk category for major amputation.