Asociación entre diabetes mellitus tipo 2 y el desarrollo de deformidades podálicas en pacientes de 45-70 años del Hospital Naval de Guayaquil desde 2017 al 2019.

Abstract

Diabetes mellitus (DM) is a very common chronic disease that over time leads to a variety of complications, among which are the podhalic problems, which are one of the major causes of morbidity and disability in patients with DM causing severe complications such as ulcers or amputations.. Objective: Establish the association between type 2 diabetes mellitus and the development of breech deformities in patients aged 45-70 years at the Hospital Naval de Guayaquil from 2017 to 2019. Materials and methods: A relational, observational, retrospective and analytical study is carried out , using electronic medical records, from the SIS system, from the Hospital Naval de Guayaquil (HOSNAG) that confirms the diagnosis of acquired foot deformities and personal pathological history of Type II Diabetes mellitus. Results and discussion: The study sample consisted of 199 patients, of which 53.3% of the cases (n = 106) were male, while the remaining 46.7% were female patients ( n = 93). The breech deformation developed with the highest prevalence was Hallux Valgus with 40.7% of the cases (n = 81), followed by Hallux Rigidus with 30.7% of the sample (n = 61), making these the most common malformations Conclusions: The risk factors highly related to the development of breech deformities in patients with Diabetes Mellitus are age between 45 to 55 years, male sex, and body mass index compatible with grade I obesity. The diagnosis of Hallux Rigidus and in minor percentage, Hallux Valgus, are directly associated with an increased need for future surgical intervention in patients with a baseline diagnosis of Diabetes Mellitus.