755 - Epidemiological Profile of Diabetic foot in physical medicine and rehabilitation department

Objectives: Diabetic foot is a public health problem. It can cause serious complications leading to amputation. Diabetic neuropathy (DN) is the main factor of ulcerations. plantar hyperpressure is an aggravating factor.

The aim of our study was to screen for various deformities of the diabetic foot through podoscopic evaluation.

Design: We conducted a bicentric cross sectional study over a three month period including diabetic patients. Detail history including socio demographic data, characteristics of diabetes and the follow-up story were collected. podiatric examination was performed using a tangential lighting podoscope.

Results: We included 150 patients. Their mean age was 56.91 ± 12.6 years with a range of 20 to 86 years. Half of patients were using oral medications, 28% were using insulin therapy and 21.3% were using both oral and insulin therapies. Diabetic neuropathy was found in 32.7% of the population. The podiatric examination revealed plantar hyperkeratosis in 84% of patients, dry skin in 46% and mycotic lesions in 27.3%. Plantar perforation was noted in 2 patients, and toe amputation in 4 patients. The main hyper pressure zone found was regarding the second metatarsal head (52%). Foot orthotics were prescribed in 18% of patients.

Conclusions: Podiatric examination is essential to detect areas with hyper pressure at risk of hyperkerathosis and plantar perforation. It allows preventive measures, including devices to reduce hyperpressure and prevent complications.