TO PREDICT THE NEED FOR AMPUTATION IN DIABETIC FOOT ULCER USING SVS - WIFI SCORING SYSTEM

Analysis of svs wifi scoring as a predictor for amputation in diabetic foot ulcer dr. Shibani chandiramani, dr lisha suraj department of general surgery mahatma gandhi medical college, navi mumbai introduction : Critical limb ishchemia in diabetic patients is defined as a clinical syndrome of ischemic pain at rest and/or ischemic tissue loss such as non healing ulcers or gangrene for more than 2 weeks with ankle pressure of < 40mmhg. It differs from acute limb ischemia which is sudden loss of perfusion typically due to embolus or in situ thrombus. The svs wifi scoring system stratifies cli on the basis of perfusion , extent of wound and superadded infection to provide a composite score wich guides further management and predicts final prognosis. Aim:- to predict the need for amputation in diabetic foot ulcer using svs wifi scoring. Objectives:- To study the predictive role of svs wifi scoring system in diabetic foot ulcers undergoing amputation material and methods :- the subjects were 30 patients with diabetic foot ulcers, gangrene, wound presenting to general surgery, diabetic clinic or vascular surgery at mgm medical college , navi mumbai. Wifi scring of diabetic foot ulcers were done at the time of presentation after obtaining consent from the patient/ relatives.the wifi categories according to risk of limb loss were identified with endpoint being major/ minor amputations. Result:- The composite wifi score (a summmation of wound , infection and ischemia sub-scores) was a good predictor of need for amputation in diabetic ulcer patients.