Abstract
Thirty-eight patients presented with diabetic foot gangrene during past ten years. The ratio of males to females was about 2.8:1 and their mean age was 63.2 years. Many of them had long histories of poorly-controlled diabetes. The frequencies of diabetic complications were high, including retinopathy (74%), neuropathy (68%), nephropathy (58%), and arteriosclerosis obliterans (18%). Nine cases developed secondarily from tylosis and clavus, most of which had been ill-treated by themselves. The patients were treated conservatively (89%) or surgically (11%). Amputation distal to the tarsometatarsal joint was performed in all the surgical cases. Conservative treatment was effective in most of the cases when bones and joints were not involved.
