Background: Referring to Diabetes mellitus in Egypt, it is required to establish a multidisciplinary (MDT) diabetic foot department, aiming to controlling amputation numbers. In addition, MDT foot department could detect and optimize early diabetic foot complications.
Objective: To evaluate the impact of multidisciplinary team management of ischemic diabetic foot patients in comparison to traditional management regarding limb salvage, amputation rate, and recurrence.
Patients and Methods: We started a MDT Diabetic Foot project in October 2017 at Al- Hussein and SayedGalalUniversityHospitals of Al-Azhar Faculty of Medicine, Cairo, Egypt. Before October 2017, we retrospectively collected 50 patients admitted with ischemic diabetic foot ulcers prior to the establishment of MDT diabetic foot clinic and prospectively data were collected.
Results: No statistical difference was found regarding age and sex distribution and associated comorbidities from the beginning of establishment of our MDT foot project. There has been an increase in limb salvage due to increased endovascular interventions. Increase in angioplasty was 16% and bypass operation was 12%. In addition, there has been a decrease in the rate of minor amputation 12%.  Significant decrease in major amputations also decreased by 22% with p value 0.02.  while there was a non-significant increase in healing rate 12 % with p value 0.221. Recurrence rate of DFU in MDT group was 10% of total 5 cases, while was not assessed in retrospective group due to shortage of data.
Conclusion: By set up of MDT diabetic foot project, we can identify and correctly manage diabetic foot complications at its early stage aiming to reduce these complications. In addition, more education and early referral from primary health care providers needed to control and reduce amputation and recurrence rates.