An Analysis of osteomyelitis in Diabetic Foot using Amit Jain’s Classification of Diabetic foot osteomyelitis

Abstract

Aim: Analyzing osteomyelitis in the foot of the diabetic patients using Amit Jain’s classification for diabetic foot osteomyelitis. Materials and Method: A retrospective analysis was carried from March 2011 to February 2014 in Department of Surgery of St Johns medical college, Bangalore, India. Results: 21 patients with diabetic foot osteomyelitis were included in this study. 95.23% patients had unilateral osteomyelitis. Most common type of diabetic foot osteomyelitis was type 1 osteomyelitis with 57.14% of the patients being affected with this type. 90.48% patients with osteomyelitis had underlying ulcers and they belonged to type 3 diabetic foot complications. 33.33% of the patient had Subtype C and it was the most common subtype seen. Type 3 osteomyelitis was the commonest cause for major amputation. Conclusion: Diabetic foot osteomyelitis is one of the most frequent complications of ulcers. In this study, most cases of the osteomyelitis belonged to type 3 diabetic foot complications. Type 1 diabetic foot osteomyelitis was the most common type of osteomyelitis seen in this study. This new Amit Jain’s classification for diabetic foot osteomyelitis helps in specifying the type of osteomyelitis occurring in clinical practice and also the type of osteomyelitis commonly responsible for the major amputations.