Traumatic gangrene and other trauma related limb conditions are the leading indications for amputation in this study despite some recent reports stating otherwise. Trauma is largely preventable and so there is a need for continued intensification of the public campaign on road use as a means of preventing severe limb injuries and thus reducing consequent need for amputations.

HighlightsRemoval of an entrapped penile ring where possible should be done in a simple non-invasive way.Milking the oedematous penis through the thick metallic ring in a slippery field complemented by levering with a blunt end paediatric bone lever, was the technique used to remove the ring.The ring was extricated without any morbidity and the patient went home on the same day.

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