title: [Epidemiologic and therapeutic study of amputations consecutive of the complications of the diabetes].
abstract: BACKGROUND
  Diabetes complications constitute the 2nd cause of amputations after the sequels of traditional treatment for traumatism of the members with negative functional, aesthetic and psychological effect. The aims of this study were to determine the prevalence of the amputations consecutive to the complications of the diabetes, and describe the operating suites and the type of used equipment.
  
  
  METHODS
  20 cases of amputations consecutive to the complications of the diabetes (ACCD), from October 1st, 2006 to September 30th, 2007 in Nianankoro Fomba hospital of Segou.
  
  
  RESULTS
  The frequency was of all the amputations with mean age of 57 years and sex-Ratio 1, 87. A history of high blood pressure was found in 18 cases (90%), the notion of addiction to smoking in 4 cases (20%). 7 (35%) patients had a body mass index included between 25 and 30 kg/m2 and 15 (75%) were of typical diabetes II. The average duration of evolution was included between 5 and 9 years. The leg and the foot was the most frequent seats 15 cases (75%). The state 5 of Wagner was the most frequent 12 cases (60%), and a glycaemia included between 3 and 4.99 g/l in 12 cases (60 %). The staphylococcus was the most frequently found germ in our taking, 12 cases (60%). The leg was the level of amputation the most frequent 35% (7 cases). 15 (75%) patients had a favourable evolution. We recorded 5 cases (15%) of death. The crutch was the locomotion's apparatus the most used in 11 cases (55%)
  
  
  CONCLUSIONS
  An earlier management of diabetes will avoid these complications.
authors.forename: L
authors.initials: L
authors.lastname: Kanté
authors.forename: A
authors.initials: A
authors.lastname: Togo
authors.forename: I
authors.initials: I
authors.lastname: Diakité
authors.forename: A
authors.initials: A
authors.lastname: Traoré
authors.forename: M
authors.initials: M
authors.lastname: Keita
authors.forename: B T
authors.initials: BT
authors.lastname: Dembélé
authors.forename: Y
authors.initials: Y
authors.lastname: Coulibaly
authors.forename: L
authors.initials: L
authors.lastname: Touré
authors.forename: G
authors.initials: G
authors.lastname: Diallo
authors.forename: C
authors.initials: C
authors.lastname: Tiéman
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000671:Amputation, Surgical / Q000706:statistics & numerical data*; D048909:Diabetes Complications / Q000453:epidemiology* / Q000601:surgery*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000453:epidemiology; D008297:Male; D008302:Mali / Q000453:epidemiology; D008875:Middle Aged; D010019:Osteomyelitis / Q000453:epidemiology / Q000601:surgery; D011446:Prospective Studies; D012907:Smoking / Q000453:epidemiology