Surgical Limb Amputation: A Five-Year Experience At Hilltop Orthopedic Hospital Enugu, Nigeria

Nwankwo, OE; Katchy, Amechi Uchenna

doi:10.4314/njotra.v3i2.29236

Cited by 13 publications

(20 citation statements)

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“…7,15 It was however comparable to that reported by Massod et al which was based in Pakistan. 16 The main reasons for mortality in our study are diabetic-related complications, wound sepsis and the delayed presentation of the patients to the hospital.…”

Section: Mortalitysupporting

confidence: 61%

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Epidemiology of major limb amputations: a cross sectional study from a South Indian tertiary care hospital

2017

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Background: Limb loss to amputation is a major problem especially in developing countries where majority of the cases are preventable. It is a burden, not just for the patient, but also for their care givers which imposes tremendous financial and psychological burden upon them. The aim was to outline the patterns, indications and short term complications of major limb among patients attending Government Medical College, Kozhikode, Kerala, India which is a tertiary care centre.Methods: This was a prospective, observational study that was conducted at Govt. Medical College, Kozhikode, for a period of 18 months. 81 patients underwent major limb amputations in our hospital during the study period.Results: The age ranged between 23 to 90 years (mean 59.23±14.79). Males outnumber females by a ratio of 4:1. Above knee (transtibial) amputations were the most common. Diabetes mellitus was the most common cause (39.5%) followed by chronic NDMVI (33.3%). Younger individuals who underwent amputation were mostly due to trauma. Most common post op complication was surgical site infection (21%) and the most common organism cultured from the wound was Pseudomonas (50%). The most common additional procedure done was wound debridement. Themortality rate was 10% and mean duration of hospital stay was 23 days. Conclusions: Complications of diabetic foot ulcers and chronic vascular disease were the most common indications for major limb amputation in our environment. Trauma was the most common indication in younger individuals. The majority of these amputations are preventable by provision of health education, early presentation and appropriate management of the common indications.

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Section: Mortalitysupporting

confidence: 61%

“…8,15 The most common complication was superficial surgical site infection. Pseudomonas was the most common organism isolated.…”

Section: Complicationsmentioning

confidence: 99%

Epidemiology of major limb amputations: a cross sectional study from a South Indian tertiary care hospital

2017

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“…As reported in other studies [21][22][23] trauma was the most common indication for amputation in this study. However, this outcome is also different from studies that reported diabetes related complications as the leading cause of amputations [4,6].…”

Section: Discussionsupporting

confidence: 83%

“…However, in an earlier study BKA was reported as the most common procedure performed [23]. In relation to the upper limbs, above elbow amputations are reported to be common [17,21].…”

Section: Discussionmentioning

confidence: 96%

The Epidemiological Features of Amputations at the University Teaching Hospital in Lusaka, Zambia

Mangowela¹,

Munalula-Nkandu²,

Chileshe³

et al. 2015

SJPH

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Abstract:Introduction: While major limb amputations are reported to be a major surgical procedure that is a preventable public health problem, they are associated with profound economic, social and psychological effects on the patient, family and the country at large. There is however, limited data on the epidemiological features of amputations in developing countries where the impact is huge due to poor prosthetic services and unaffordable costs where services are available. The aim of the study was to determine the epidemiological features of amputations done at the University Teaching Hospital in Lusaka, Zambia. Methods: Data was collected using a checklist. The study was retrospective and descriptive in nature. Convenient sampling was used on records of patients who underwent major limb amputations between 2013 and 2014. Results: Out of 84 records that were reviewed, the commonest indication for amputation was trauma 29.8% (n=25), followed by Diabetic complications 21.4% (n=18) and the prevalent age group was 31-50 years 35.8% (n=30). Men were the most affected (70.2%; n=59) giving a ratio of 2.3:1. Lower limbs were more frequent 75% (n=63) than upper limbs 25% (n=21) ratio 3:1. Above knee amputation was the commonest procedure accounting for 45.2% (n=38) cases. Conclusion: Trauma and diabetes were the common indications for amputations at the University Teaching Hospital in Lusaka, Zambia and mostly affected is the productive age group of 31-50 years. Given that both are non-communicable conditions we can conclude that the majority of the amputations could have been prevented with the behaviour change and adherence to traffic regulations by drivers, more road safety education for road users, health education, early presentation and intervention on patients plus appropriate management of the common indications.

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“…Limb loss by an individual in developing countries like Nigeria where the prosthetic services is poor often has profound economic, social and psychological effects on the patient and their families. [10][11][12][13] Major limb amputations are essentially disfiguring operations that carry a fairly high peri-operative mortality and morbidity and persons who have undergone amputations are often viewed as incomplete individuals 14 . In this paper, the authors review the implications of major lower limb amputations in Nigeria.…”

Section: Introductionmentioning

confidence: 99%

An Update on Major Lower Limb Amputation in Nigeria

O¹,

Onuminya²

2014

IOSRJDMS

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Surgical Limb Amputation: A Five-Year Experience At Hilltop Orthopedic Hospital Enugu, Nigeria

Cited by 13 publications

References 0 publications

Epidemiology of major limb amputations: a cross sectional study from a South Indian tertiary care hospital

Epidemiology of major limb amputations: a cross sectional study from a South Indian tertiary care hospital

The Epidemiological Features of Amputations at the University Teaching Hospital in Lusaka, Zambia

An Update on Major Lower Limb Amputation in Nigeria

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