Major extremity amputations: Indications and post surgery challenges in a Nigeria tertiary institution
Sahel medical journal (Print)
;
22(1): 8-11, 2019. tab
Artigo
em Inglês
| AIM
| ID: biblio-1271697
ABSTRACT
Amputation is an ancient procedure which has been practiced for centuries for a variety of indications. The goal of the procedure is to eliminate potential threat to the patient while producing a viable stump for easy rehabilitation.Objective:
To identify the indications, postoperative complications and peculiarities of patients with amputation in a native African population.Materials andMethods:
This was a prospective study carried out on all consenting patients who had extremity amputation at Federal Medical Centre, Birnin Kebbi, from June 2015 to May 2016.Results:
During the study period, there were 47 amputations in 47 patients (34 males and 13 females). The mean age of the patients was 35.73 ± 19.43 years. The most common indication for amputation was traditional bone setter's (TBS) gangrene accounting for 44.7% of cases, followed by diabetic foot syndrome at 25.5%. Camel bites accounted for 6.4% of the amputations. The most common type of amputation was belowknee amputation (46.8%), followed by aboveknee amputation (25.5%). Five (10.7%) patients had surgical site infection and only 2.1% of the patients developed phantom limb sensation. None of these patients was fitted with a prosthesis due to the high cost or nonavailability of the prosthesis.Conclusion:
Complications of TBS intervention were the leading cause of amputation in this study. Gangrene following camel bites was also found to be a peculiar cause for amputation in this environment. Appropriate public health interventions are necessary to reduce the incidence of preventable gangrene. Provision of prosthesis with adequate technical support is essential to proper rehabilitation of the amputees
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Índice:
AIM (África)
Assunto principal:
Masculino
/
Gangrena
/
Amputação Cirúrgica
/
Nigéria
Tipo de estudo:
Estudo observacional
/
Fatores de risco
País/Região como assunto:
África
Idioma:
Inglês
Revista:
Sahel medical journal (Print)
Ano de publicação:
2019
Tipo de documento:
Artigo
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