{"id":11733,"date":"2021-03-22T16:56:38","date_gmt":"2021-03-22T16:56:38","guid":{"rendered":"https:\/\/www.mmj.mw\/?p=11733"},"modified":"2021-03-22T16:56:39","modified_gmt":"2021-03-22T16:56:39","slug":"original-research-surgical-outcomes-of-diabetic-hand-infections-in-lagos-nigeria","status":"publish","type":"post","link":"https:\/\/www.mmj.mw\/?p=11733","title":{"rendered":"Original Research: Surgical outcomes of diabetic hand infections in Lagos, Nigeria."},"content":{"rendered":"\n<p><strong>Bolaji O Mofikoya<\/strong> &#8211; Burns, Plastic and Hand rehabilitation unit , Department of Surgery, College of Medicine,University of Lagos, Lagos Nigeria.<\/p>\n\n\n\n<p><strong>Keywords:\u00a0<\/strong>diabetes, infection, diagnosis, renal.<\/p>\n\n\n\n<h3>Abstract<\/h3>\n\n\n\n<p><strong>Background\u00a0<\/strong><br>Hand infections in diabetics can be a major cause of functional impairment .In patients with Tropical Diabetic hand syndrome prompt surgical intervention may salvage the hand, but return to premorbid function remain a challenge.<br><strong>Objectives<\/strong><br>A retrospective study of consecutive diabetic patients with hand infections was done in 2 tertiary institutions in Lagos,Nigeria to identify the epidemiology, modes of presentation, types of surgical intervention and outcomes of<br>treatment.<br><strong>Results<\/strong><br>Twenty one patients were studied over a 5 year period. ten males, eleven females .All were type 2 Diabetes. 52.4%(11) were diagnosed less than a year prior to presentation. 61.9%(13) had digit\/hand gangrene on presentation. All operated patients (20) had wound debridements. 52.5% (11) digit\/hand amputations and this was the commonest surgical procedures done. Other surgeries done include skin grafts and `flap reconstructions. There was a 19% mortality rate. Less than a fifth were able return to their premorbid occupation after 3 months. But all had reduced range of motion in the interphalangeal joints in the adjacent digits.<br><strong>Conclusions<\/strong><br>There is a high morbidity rate for hand infections in the diabetic, even though majority of the hands were salvaged, most patients were unable to return to their premorbid occupation at 3 months.<\/p>\n\n\n\n<h4>Journal Identifiers<\/h4>\n\n\n\n<p>eISSN: 1995-7262<br>print ISSN: 1995-7262<\/p>\n\n\n\n<div class=\"wp-block-buttons\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link\" href=\"https:\/\/www.mmj.mw\/wp-content\/uploads\/2021\/03\/191291-Article-Text-485314-1-10-20191119.pdf\">Download PDF<\/a><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Bolaji O Mofikoya &#8211; Burns, Plastic and Hand rehabilitation unit , Department of Surgery, College of Medicine,University of Lagos, Lagos Nigeria. Keywords:\u00a0diabetes, infection, diagnosis, renal. Abstract Background\u00a0Hand infections in diabetics can be a major cause of functional impairment .In patients with Tropical Diabetic hand syndrome prompt surgical intervention may salvage the hand, but return to [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[102],"tags":[66],"_links":{"self":[{"href":"https:\/\/www.mmj.mw\/index.php?rest_route=\/wp\/v2\/posts\/11733"}],"collection":[{"href":"https:\/\/www.mmj.mw\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.mmj.mw\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.mmj.mw\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mmj.mw\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=11733"}],"version-history":[{"count":1,"href":"https:\/\/www.mmj.mw\/index.php?rest_route=\/wp\/v2\/posts\/11733\/revisions"}],"predecessor-version":[{"id":11735,"href":"https:\/\/www.mmj.mw\/index.php?rest_route=\/wp\/v2\/posts\/11733\/revisions\/11735"}],"wp:attachment":[{"href":"https:\/\/www.mmj.mw\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=11733"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.mmj.mw\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=11733"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.mmj.mw\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=11733"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}