A PROSPECTIVE STUDY OF OSTEOMYELITIS IN FOOT OF DIABETIC PATIENTS USING AMIT JAIN’S CLASSIFICATION FOR DIABETIC FOOT OSTEOMYELITIS

Aim: To validate the new Amit Jain's classification for diabetic foot osteomyelitis and to predict the outcome associated with different types of diabetic foot osteomyelitis. Methods & Materials: A prospective descriptive study was done inDepartment of surgery of Rajarajeswari medical college, Bangalore.The study period was from August 2017 to July 2018.An IEC clearance was obtained for this study.Statistical analysis was done using SPSS 18.Results: 32 patients were included in this study with 81% being males.69% of them presented with ulcer.Type 1 diabetic foot osteomyelitis was the most common osteomyelitis affecting 87.5% of the patients and Subtype C was the most common subtype involving 59.4% of the cases.Majority of the patients were managed surgically with only 9.4% of them being managed medically with antibiotics alone.Around 6.8 % underwent major amputation and they were significantly associated with type 3 diabetic foot osteomyelitis.There was no mortality in this series. Conclusion:In this validation study, it is seen that the most common type of osteomyelitis in clinical practice is type 1 diabetic foot osteomyelitis with subtype C being most common subtype.Vast majority of patients in country like India require surgical management in view of delayed presentation.Subtype A osteomyelitis and a few cases of Subtype B can be