A five-year audit of lower limb amputations below the knee and rehabilitation outcomes: the Durban experience
JEMDSA (Online)
; 24(2): 41-45, 2019. ilus
Article
in English
| AIM
| ID: biblio-1263765
Responsible library:
CG1.1
ABSTRACT
Introduction:
Lower limb amputation (LLA) due to diabetes mellitus (DM) is a growing epidemic worldwide.Objectives:
To determine the prevalence of LLAs at Addington Hospital from 2010 to 2014 and to explore the rehabilitation outcomes of amputees. Design andsetting:
A retrospective chart review of LLAs below the knee was undertaken at Addington Hospital.Subjects:
Patients who underwent LLAs were filtered from theatre registers.Methodology:
A data collection sheet included demographic profile, diabetic status, level of amputation, limb orientation and rehabilitation outcomes. Outcomemeasures:
Study endpoints were prevalence, compliance and rehabilitation outcomes.Results:
From 2010 to 2014, 767 LLAs in 667 patients were identified. Mean age was 59 (13.2) years. MF ratio was 11. Of these, 354 patients (53.1%) had DM. Level of amputation was below-knee 57%, trans-metatarsal 12.4% and toectomy 30.6%. Only 116 patients (17.4%) were referred for physiotherapy, of whom 95 (81.9%) attended. Median frequency of physiotherapy visits was five and four for diabetic and non-diabetic amputees respectively. Mobility after rehabilitation was with a walking frame (49%), crutches (32%), prosthesis and crutches (8%), wheelchair-bound (9%) and independent gait (1%).Conclusion:
Over half of amputations were associated with DM. The gender incidence was similar. Referral to physiotherapy and adherence thereto was poor
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Index:
AIM (Africa)
Main subject:
South Africa
/
Prevalence
/
Physical Therapy Modalities
/
Lower Extremity
/
Diabetes Mellitus
/
Amputation, Surgical
Type of study:
Prevalence study
/
Risk factors
Country/Region as subject:
Africa
Language:
English
Journal:
JEMDSA (Online)
Year:
2019
Type:
Article
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