Background: Diabetic foot is a well-known complication of diabetes. The aim of this study was to determine the foot evaluation done in surgical patients admitted with diabetic foot problems and to distribute the components of evaluation through Amit Jain’s triple assessment for foot in diabetes.Methods: A descriptive retrospective analysis was carried out in Department of Surgery of Rajarajeswari Medical College, Bangalore, India. The study was approved by Institutional ethics committee.Results: 50 inpatients files of surgery patients were reviewed. Majority of patients were males. The most common diagnosis was non-healing ulcer affecting 34% of patients. Around 26% of patients had diagnosis written as just Diabetic Foot without mentioning the pathological lesion. 38% of patients didn’t have duration of diabetes mellitus mentioned in records. Although 94% of patients had ipsilateral foot examined, the component distribution like feeling the peripheral pulses and testing sensation for neuropathy was only 42% and 2%. The contralateral foot was examined in only 2% of patients.Conclusions: Diabetic foot is often neglected by patients and health care professionals. This study that analyzes diabetic foot evaluation through Amit Jain’s triple assessment for foot shows that although the ipsilateral foot is inspected in 94% of the patients, only 42% patient’s pulses were assessed and only 2% patients’ sensation were tested. The contralateral foot wasn’t examined in 98% of patients. Amit Jain’s triple assessment should be considered a minimum and mandatory evaluation tool for all patients with diabetic foot.

To study the stump complications occurring in patients with major amputations in diabetic foot and analyze them through Amit Jain's classification for diabetic foot complication and Amit Jain's scoring system. Methods and Material: A prospective study was conducted in Department of surgery of Rajarajeswari medical college, Bengaluru, India. The study period was from June 2018 to may 2019. An IEC approval was obtained for this study. Results: A total of 15 patients who underwent major amputation were included in the study and majority of them were males. Around 86.7% of the patients were above 50 years of age. 60% of the major amputation were done in type 1 diabetic foot complication. 80% of patients underwent below knee amputation.73.4% of the patients with major amputation had score of 16 and above. 66.7% of the patients had some form of stump complication after major amputation and they occurred significantly in patients who had score of 16 and above. Around 66.7 % of patients had their stump closed after major amputations and 80 % of them were significantly done in type 1 diabetic foot complications. Conclusion:In this study that utilizes Amit Jain's universal classification and scoring system, type 1 diabetic foot complications were the commonest cause for major amputation. Below knee amputation was the most common type of major amputation. Majority of the patients developed some form of stump complication after major amputation. Most major amputations were done in patients who had a score of 16 and above and the stump complications was statistically significant in patients whose score was 16 and above.

Background: The present study was done to assess the foot evaluation done by the physician in diabetic patients and analyzing it through Amit Jain’s triple assessment for foot in diabetes.Methods: A descriptive retrospective study was done at Rajarajeswari Medical College, Bangalore, Karnataka, India. The study period was from July 2017 to December 2017. All the patients admitted in medical ward with diabetes were studied.Results: A total of 65 patients were included in this study. Majority of patients had diabetes of less than 10 year duration. Around 27.7% who were admitted had some history of foot complaints. However, foot examination was done by physicians only in 7.7% of the cases. It was seen that only 6.2% of the feet were inspected (look component), 1.5% of patients pulses were assessed (Feel component) and none of the patients had their sensation checked (Test component). Ophthalmologist was most commonly consulted specialist (35.4%) for eye evaluation in comparison to surgeon for foot evaluation.Conclusions: Diabetic foot is a common complication of diabetes mellitus and screening of foot is essential to prevent complications and amputation. This study done through Amit Jain’s triple assessment for foot in diabetes showed that foot evaluation was poorly done by physicians.

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