Assessment of peripheral arterial disease in diabetic adults with foot ulcers in an African population

Authors

  • Osita Ede Department of Orthopaedics, National Orthopaedic Hospital, Enugu
  • Ugochukwu N. Enweani City Clinics, Enugu
  • Iheuko S. Ogbonnaya Department of Plastic and Reconstructive Surgery, National Orthopaedic Hospital, Enugu
  • Kenechi A. Madu Department of Orthopaedics, National Orthopaedic Hospital, Enugu
  • Udo E. Anyaehie Department of Orthopaedics, National Orthopaedic Hospital, Enugu
  • Tochukwu Ikpegbu Department of Plastic and Reconstructive Surgery, National Orthopaedic Hospital, Enugu
  • Chinonso Basil-Nwachukwu Department of Orthopaedics, National Orthopaedic Hospital, Enugu

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20185326

Keywords:

Diabetics, Foot ulcers, Peripheral arterial disease, Nigeria

Abstract

Background: Peripheral arterial disease (PAD) is a recognized risk factor for diabetic foot ulceration. It was thought that PAD is not common in Sub-Saharan Africa. Studies show otherwise. It becomes necessary to assess the prevalence of PAD among diabetic adults with foot ulcers in Nigeria. The objective of the study was to assess the prevalence of PAD in diabetic subjects with foot ulcers in Nigeria.

Methods: Diagnosis of PAD was made with the ankle-brachial index (ABI). Edinburgh claudication questionnaire was administered to the patients. An ABI of <0.9 is diagnostic of PAD. Risk factors for PAD were assessed. A control group of non-diabetic adults was used.

Results: Sixty-seven per cent (67%) of the test group has PAD as compared to 18% of the control group. Smoking, duration of diabetes and systemic hypertension were strongly associated with PAD.

Conclusions: Diabetic adults with foot ulcers in Nigeria have a high prevalence of PAD.

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Author Biographies

Osita Ede, Department of Orthopaedics, National Orthopaedic Hospital, Enugu

Fellow, Medical College of Orthopaedics, Nigeria.

Ugochukwu N. Enweani, City Clinics, Enugu

Consultant Orthopaedic Surgeon.

Iheuko S. Ogbonnaya, Department of Plastic and Reconstructive Surgery, National Orthopaedic Hospital, Enugu

Consultant Plastic Surgeon.

Kenechi A. Madu, Department of Orthopaedics, National Orthopaedic Hospital, Enugu

Consultant Orthopaedic Surgeon.

Udo E. Anyaehie, Department of Orthopaedics, National Orthopaedic Hospital, Enugu

Consultant Orthopaedic Surgeon.

Tochukwu Ikpegbu, Department of Plastic and Reconstructive Surgery, National Orthopaedic Hospital, Enugu

Resident in Plastic Surgery.

Chinonso Basil-Nwachukwu, Department of Orthopaedics, National Orthopaedic Hospital, Enugu

Resident in Orthopaedics.

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Published

2018-12-25

How to Cite

Ede, O., Enweani, U. N., Ogbonnaya, I. S., Madu, K. A., Anyaehie, U. E., Ikpegbu, T., & Basil-Nwachukwu, C. (2018). Assessment of peripheral arterial disease in diabetic adults with foot ulcers in an African population. International Journal of Research in Orthopaedics, 5(1), 8–11. https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20185326

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Original Research Articles