Lower limb amputations

Abstract

The authors consecutively recorded all lower limb amputations performed at the University Hospital of Trondheim from January 1st, 1994 to January 1st, 1997. A total of 215 primary lower limb amputations were carried out in the study period: 40 partial foot amputations, 2 ankle disarticulations, 51 trans-tibial amputations, 68 knee disarticulations, 50 transfemoral amputations and 4 hip disarticulations. Seventy-four (74) (34%) of the amputees had diabetes mellitus, 113 (53%) had peripheral vascular disease and 28 (13%) of the amputees had various diagnoses. In those who were amputated due to diabetic and peripheral vascular disease the overall reamputation rate was 19% and 20%, respectively. The rates of reamputation at the trans-tibial and knee level were similar. In the city of Trondheim the annual incidence of primary amputations was 34 per 100,000 and 4.4 per 1,000 diabetic subjects. The incidence of lower limb amputations was 25 times higher in diabetic subjects compared to non-diabetic subjects.

Psychosocial Problems And Care Of Patients With Amputatiton

“…Major developments took place following the second world war in the fields of both amputation surgery and prosthesis applications because there were a large number of genetic amputation cases due to war injuries. [3] …”

“…[4] Much as the main amputation causes may change according to the countries, diabetes and peripheral vascular diseases are generally in the first place in developed countries [3,5] and traumas are in the first place in the less developed countries. [6,7] The main reason of amputation under 50 years of age is trauma.…”

Adult acquired major upper limb amputation in Norway: prevalence, demographic features and amputation specific features. A population-based survey

“…The majority of amputation literature deals with lower extremity amputation [31][32][33][34]. Many publica-tions look at both upper and lower limb amputations or include congenital limb loss, often making it difficult to abstract specific data on acquired upper limb loss [7,8,15,16,20,[22][23][24][25][26][27][35][36][37][38][39][40].…”

A Retrospective Analysis of Amputation Rates and Comorbidity in Patients with Diabetic Foot Ulcer

“…Diyabetik ayak ülseri nontravmatik amputasyonların %40-60'nı oluşturur [13]. Diyabetik ayak ülseri nedeniyle yapılan amputasyonların içinde major amputasyon insidansı ise 0,5-5/1000 arasında değişmektedir [14][15][16].…”