Indications for Amputations

Wallace, George F.

doi:10.1016/j.cpm.2005.03.005

Cited by 7 publications

(5 citation statements)

References 18 publications

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“…This might explain the reason for trauma being the major indication for amputation in their study unlike in this study where we had patients who were older with more cases of diabetic foot gangrene. The leading cause of amputation in this study was diabetic foot gangrene; this is in consonance with reports by other authors [12][13][14][15]. Some studies have reported trauma to be the leading cause of amputation [10].…”

Section: Discussionsupporting

confidence: 92%

Indications and Pattern of Limb Amputation: A Tertiary Hospital Experience, South-South, Nigeria

Abang¹,

Asuquo²,

Anisi³

et al. 2018

Recent Advances in Biology and Medicine

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The aim of this paper was to study the indications and patterns of limb amputations in the University of Calabar Teaching Hospital, a retrospective study of 142 limb amputations performed in patients admitted to the University of Calabar Teaching Hospital, South-South, Nigeria. Data was obtained from theater records and the medical record department of the hospital after due ethical approval. The data spanned a period of 10 years (from January 2004 to December 2014). A total of 142 patients were seen. The age ranged from 8 to 87 years with a mean age of 46 years ± SD 17.9 years and a male to female ratio of 2.3:1. Adults accounted for 95.8% while 4.2% were children. Emergency procedures accounted for 47.9% of the amputations. Diabetic foot gangrene was the major cause of lower limb amputation 91 (64.1%), trauma accounted for 27 (19%) of these, 15.5% were due to road traffic accidents, and 3.5% were cases of gunshot injuries. Tumors and limb ischemia accounted for 9.2 and 2.8%, respectively. Electrical injury, industrial accidents, and ischemic limbs from tight tourniquet splints by traditional bonesetters were the common causes of upper limb amputations. Most of the amputations were on the lower limb (83.7%) with the left lower limb accounting for 47.8% and the right lower limb accounting for 35.9% .Upper limb amputations accounted for 15.4% with right and left upper limbs being 8.4 and 7.0%, respectively .Only one patient had bilateral lower limb amputation(0.7%). For the levels of amputation, the majority were below knee 54 (38%) followed by above elbow 38 (26.8%) amputations (Figure 1); others were ray amputation of the foot and hand as 28 (19.7%) and 8 (5.6%), respectively. The least was below elbow amputation 6 (4.2%). The study showed that 96% of the causes were potentially preventable, and that establishment of a prosthetic-orthotic center is needed in this part of the country.

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Section: Discussionsupporting

confidence: 92%

Indications and Pattern of Limb Amputation: A Tertiary Hospital Experience, South-South, Nigeria

Abang¹,

Asuquo²,

Anisi³

et al. 2018

Recent Advances in Biology and Medicine

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“…7-10 But in most advanced countries, vascular disorders like diabetic complications and peripheral vascular diseases are the leading indications for major limb amputations. 4,[11][12][13][14] Distal frostbites are treated by pedal amputations 15 but if advanced can result in inevitable major limb amputations and these are common among mountaineers in winter times in some temperate countries. However there are conflicting reports in our environment by some authors in very recent studies on the commonest indication for amputation and they noted a changing trend.…”

Section: Discussionmentioning

confidence: 99%

“…21 The age commonly affected in the reports from advanced countries is 60 years and above which is in line with the aetiologies. [12][13][14] The economic impact of amputations on the patients and their family members and on the society are profound and where the support system is lacking, many of the amputees are often seen in the streets of major cities hopping about with wooden crutches, begging for alms. Putting preventive measures in place to reduce the rate of traffic accidents will go a long way to reducing limb injuries and invariably reducing the rate of amputations.…”

Section: Discussionmentioning

confidence: 99%

The indications for major limb amputations: 8 years retrospective study in a private orthopaedic and trauma centre in the south-east Nigeria

Agu

Ojiaku

2016

Journal of Clinical Orthopaedics and Trauma

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“…The final step includes soft‐tissue coverage through adjunctive wound therapy modalities, plastic surgery techniques, or pedal amputations. This coordinated surgical approach combined with comprehensive medical management of the patient is vital for overcoming the morbidity and mortality associated with a diabetic foot infection 17 . This article presents a rational approach for reducing the morbidity, mortality, psychological distress, and lengthy hospitalizations associated with the management of patients with complicated diabetic foot infections.…”

Section: Initial Patient Evaluationmentioning

confidence: 99%

Surgical Management of Diabetic Foot Infections and Amputations

et al. 2008

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The incidence of diabetes with severe foot infections (eg, necrotizing fasciitis, gas gangrene, ascending cellulitis, infection with systemic toxicity or metabolic instability) has risen significantly during the past decade. Foot infections are a major cause of hospitalization and subsequent lower extremity amputation among patients with diabetes mellitus who have a history of a preexisting ulceration. Surgical management often is required to address severe diabetic foot infections because they can be limb- or life-threatening. Critical limb ischemia, neuropathy, and an immunocompromised host, which often are associated with diabetic foot infections, complicate treatment and are associated with a poorer prognosis.

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Indications for Amputations

Cited by 7 publications

References 18 publications

Indications and Pattern of Limb Amputation: A Tertiary Hospital Experience, South-South, Nigeria

Indications and Pattern of Limb Amputation: A Tertiary Hospital Experience, South-South, Nigeria

The indications for major limb amputations: 8 years retrospective study in a private orthopaedic and trauma centre in the south-east Nigeria

Surgical Management of Diabetic Foot Infections and Amputations

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