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IAR Journal of Medicine and Surgery Research

ISSN Print : 2709-1899 | ISSN Online : 2709-1902


Frequency : Bi-Monthly
Language : English
Origin : KENYA
Website : https://www.iarconsortium.org/journal-info/IARJMSR

ShortArticle
Amit Jain’s System of Practice: From Modern to
Super Modern Diabetic Foot Surgery
Article History
Abstract:One of the known diseases that have been neglected for decades is the
Received: 21.11.2020 diabetic foot. No wonder why it was called Cinderella of complications and often
Revision: 03.12.2020 it was rendered as an orphan disease. However, over last one decade, one can
Accepted:05.12.2020 notice development of various new concepts in this field. This article aims to
Published: 11.12.2020 highlight one such developments being the Amit Jain’s principle and practice for
Plagiarism check - Plagscan diabetic foot, which is the modern diabetic foot surgery system and with
Author Details introduction of various new concepts recently, it has taken a leap to super modern
diabetic foot surgery system, This system was aimed at standardizing and
Dr. Amit Kumar C Jain
improvising the practice of diabetic foot.
Authors Affiliations
Consultant and Head, Amit Jain’s Diabetic Keywords:Diabetic foot, Modern, Amit Jain, Super modern, Classification.
Foot & Wound Research Unit, Amit Jain’s
Institute of Diabetic Foot & Wound Care,
BrindhavvanAreion Hospital, Bengaluru,
INTRODUCTION
India. & Professor, Department of Surgery, Diabetes is a preponderant problem of the diabetic foot. [1]
Raja Rajeswari Medical College & Hospital, Patients with diabetic foot can have any of the problems that can affect
Bengaluru, India them currently and they include gangrene, ulcer, abscess, cellulitis, etc
Corresponding Author* and such patients can also have concurrent problems like hypertension,
Dr Amit Kumar C Jain ischemic heart disease, etc. [1] Diabetic foot is known to pose a major
How to Cite the Article: health problem and often can lead to amputation which will result in
Jain AKC.(2020). Amit Jain’s System of increase morbidity and mortality. [2]
Practice: From Modern to Super Modern
Diabetic Foot Surgery. IAR J Med &Surg Res, In spite of knowing the problems associated with diabetic foot, for
1(3),109-110. decades it was considered to be the Cinderella of complications [3] and it
Copyright @ 2020: This is an open-access article was neglected. In fact, it was often considered to be an orphan disease. [4]
distributed under the terms of the Creative
Commons Attribution license which permits
unrestricted use, distribution, and reproduction In order to improvise and standardize the practice of diabetic foot, a
in any medium for non commercial use new system of diabetic foot was developed. [5] This new principle and
(NonCommercial, or CC-BY-NC) provided the practice of diabetic foot is also known to be the modern diabetic foot
original author and source are credited. surgery that consisted of various different concepts. [6] The first
component of Amit Jain’s principle and practice of diabetic foot was the
modern classification of diabetic foot complication which is a universal classification that encompasses almost all lesions
seen worldwide. [7] [8]

Subsequently, a surgical scoring , debridement grading system, osteomyelitis classification, diabetic foot ulcer
classification, cellulitis staging, etc were developed in this system and distinct original research were done on them. [5] [6]

As time passed and this new system started gaining popularity, the author continued his urge to improvise this orphan
disease. This lead to development of further newer concepts in diabetic foot thereby taking a big leap from modern to
super modern diabetic foot surgery (Figure 1).

1
Jain AKC;IAR J Med &Surg Res; Vol-1, Iss- 3 (Nov-Dec, 2020): 109-110

Figure 1 showing the Amit Jain’s principle and practice of diabetic foot- the modern and super modern diabetic foot surgery system.

Newer concepts that were developed recently included orphan disease. Eur Heart J Suppl, 2015; 17:A64-
diabetic foot ulcer scoring, [9] linear foot test scoring, [10] A68.
rule of 3, [11] diabetic foot surgery classification, [12] 5. Jain AKC. Amit Jain’s system of practice for diabetic
diabetic foot pentagon, [13] amputation/destructive foot: the new religion in diabetic foot field. IntSurg J,
ladder, [14] triangles for diabetic foot, [14] [15], extended 2018 a; 5:368-72.
SCC classification, [16] etc. 6. Gopal S & Haridarshan SJ. Amit Jain’s system of
practice for diabetic foot: the modern diabetic foot
The author currently is still working on this new surgery. Int J Res Orthop, 2019; 5:532-9.
principle and practice for diabetic foot and aims to add 7. Singh M & Sahu A. Analyzing diabetic foot
further various new concepts in this super modern complications according to modern, comprehensive
diabetic foot surgery. Amit Jain classification from Indian subcontinent in a
Government care setting. IJCMAAS, 2017;
CONCLUSION 13(3):125-130.
Diabetic foot is a disease associated with many 8. Gopal S. Amit Jain’s classification for diabetic foot
medical and non medical problems. Often, it is best to complication: The universal classification supreme.
prevent complications and amputations rather than Int J SurgSci, 2018; 2(2):8-10.
treating it. Various developments and evolution of new 9. Jain AKC. Development of a new Amit Jain’s scoring
concepts have taken place in this field with Amit Jain’s system for diabetic foot ulcer. IAR J Med Sci, 2020 b;
system of practice for diabetic foot being one. Addition 1(1):31-34.
of various newer concepts has led this modern diabetic 10. Jain AKC. Proposal of a scoring system to Amit
Jain’s screening tool for foot in diabetes. SAR J Surg,
foot surgery to evolve in to the super modern diabetic
2020 c; 1(2):41-43.
foot surgery.
11. Jain AKC. Amit Jain Rule of “3‟ for diabetic foot.
IJMSCI, 2018 b; 5(5):3774-6.
REFERENCES 12. Jain AKC. A new classification for diabetic foot
1. Jain AKC. Classifying problems of diabetic foot. surgery. Int J Surg& Surgical Res, 2020 d; 2(1):6-8.
IAR J Med &Surg Res, 2020 a; 1(3):83-85. 13. Jain AKC. Amit Jain’s Diabetic foot Pentagon. East
2. Jain AKC. A simple new classification for diabetic African Scholars J Med Sci, 2020 e; 3(4):154-156.
14. Jain AKC. Amit Jain’s destructive/amputation ladder
foot ulcers. Medicine Science, 2015; 4(2):2109-20.
and its variants. Saudi J Med, 2020 f; 5(5):214 -221.
3. Lipsky BA, Senneville É, Abbas ZG, et
15. Jain AKC. Triangle of therapeutic footwear. SAR J
al. Guidelines on the diagnosis and treatment of Med, 2020 g; 1(2):31 -33.
foot infection in persons with diabetes (IWGDF
16. Jain AKC. Extended application of Amit Jain’s ‘SCC’
2019 update). Diabetes Metab Res
classification concept for diabetic foot. Int J SurgSci,
Rev. 2020; 36(S1):e3280.
2019; 3:188 -91.
4. Paola LD, Carone A, Vasilache L & Pattavina M.
Overview on diabetic foot: a dangerous, but still

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