title: Evaluation of the surgical treatment of diabetic foot.
abstract: OBJECTIVE
  To examine two modalities of surgical treatment of diabetic foot based on two different approaches, classical and multidisciplinary.
  
  
  METHODS
  A retrospective-prospective study including 120 consecutive patients with diabetic foot treated in the Department of Surgery, General Hospital Tešanj in the period 1999-2006. Since 2003 a new multidisciplinary approach to the treatment of diabetic foot based on a more conservative approach has been introduced. Two groups of patients were analyzed according to two treatment approaches: the first group included patients treated with classical method (in the period 1999-2002), and the second group included patients treated with multidisciplinary approach (in period 2003- 2006). An age distribution, gender, local changes in the extremities, results of microbiological analysis of wound swabs, and modalities of surgical treatment of diabetic foot were analyzed.
  
  
  RESULTS
  Duration of the disease (p=0.24), the level of blood glucose (p=0.52) and glycosylated hemoglobin (p=0.10) had no statistically significant effect to the outcome of the treatment of diabetic foot, while the level of hematocrit (p less than 0.006), fibrinogen (p less than 0.003), cholesterol (p less than 0.000001), and the absence of a pulse in the peripheral arteries (p less than 0.000002), and the outcome of surgical treatment of diabetic foot had the influence to the outcome of the treatment of diabetic foot with statistical significance.
  
  
  CONCLUSIONS
  Aggressive and appropriate medical and surgical treatment according to a grade of disease could improve the outcome and reduce the morbidity and mortality of diabetic foot. The results of this study showed the importance of proper diabetes treatment, prevention of complications and a multidisciplinary approach to the treatment of diabetic foot.
authors.affiliation: 1Department of Surgery, General Hospital Tešanj, Tešanj, 2Department of Neurosurgery, 3Department of Oncology, Hematology and Radiotherapy; Cantonal Hospital Zenica, Zenica; Bosnia and Herzegovina.
authors.forename: Amir
authors.initials: A
authors.lastname: Denjalić
authors.forename: Hakija
authors.initials: H
authors.lastname: Bečulić
authors.forename: Aldin
authors.initials: A
authors.lastname: Jusić
authors.forename: Lejla
authors.initials: L
authors.lastname: Bečulić
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000671:Amputation, Surgical / Q000379:methods; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000150:complications*; D017719:Diabetic Foot / Q000097:blood / Q000473:pathology* / Q000517:prevention & control / Q000601:surgery*; D005260:Female; D005734:Gangrene / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012189:Retrospective Studies; D016896:Treatment Outcome