Evaluation and Management of Cellulitis and its Local Complications in Diabetic Lower Limb using the New Amit Jain’s Staging System for Cellulitis – A Retrospective study

Abstract

Introduction: Cellulitis affecting the lower limb is a common type 1 diabetic foot complication, yet there are very few studies done on it over last few decades. Aim: To study cellulitis in diabetic lower limb through Amit Jain’s staging system, the first specific focussed classification system for cellulitis and its local complications in diabetic lower limb. Methods: A retrospective analysis was carried out in a single surgical unit of department of surgery of St John’s medical college, Bangalore, India. Results: A total of 26 patients were included in this study. 76.92% were males. Stage 2 was the commonest stage of presentation. 23.07% of the patients had history of known preceding trauma. Debridement was the commonest procedure done in cellulitis. Conclusion: Cellulitis in lower limb in diabetes is a common condition that can lead to serious complication. Stage 2 is the commonest presentation to a hospital. This is the first study on cellulitis in diabetic lower limb through the new Amit Jain’s staging system from Indian subcontinent.