DOI: 10.36347/sasjs.2022.v08i03.017

Pages: 160-167

Introduction: Complications of the diabetic foot represent the first cause of non-traumatic amputations. In Senegal, the number of diabetics in 2010 was estimated at 460,000 (3.4%). Only 10% of them knew they had diabetes. According to the 2016 WHO report on diabetes, the number of deaths in Senegal in 2016 due to diabetes among people aged 30 to 69 was 1,400 deaths and among people aged 70 and over 1,410 deaths. The diabetic foot is an entity that largely contributes to morbidity and mortality due to diabetes. Our work proposes to return to the various complications of the diabetic foot within the Regional Hospital of Saint-Louis. Patients and methods: A retrospective and prospective study was conducted, including all diabetic patients who underwent amputations and disarticulations in connection with a diabetic foot during the years 2018 to 2021. A questionnaire was designed and used to collect the most relevant data. Results: A total of 859 surgical procedures from 544 patient records were included in the study. There were 484 interventions for men and 375 for women. The patients were aged from 21 to 89 years old. There were 643 hospitalizations whose duration varied from 1 to 58 days. Three hundred and eighty operations (44%) were performed on patients who had already undergone a surgery. One hundred and thirteen patients wore prosthetic devices within 6 months after their surgery. We found that 94.8% of non-traumatic amputations and 34.2% of surgical emergencies were directly linked to diabetes and its complications. Conclusion: Most of amputations and disarticulations performed in the Regional Hospital of Saint-Louis are related to a diabetic foot. These consequences are visible in underdeveloped countries because of the difficulty of monitoring and the lack of prosthetic rehabilitation teams for patients.