Available online Dec 18, 2019.
[ Original ] Volume 28, Issue 3, 2019, Pages 301-304
BACKGROUND: Globally, an increase in the rate of amputation is noted and it could be attributed to the sudden
surge in the incidence of non-communicable diseases especially diabetes and peripheral vascular disease
which is a complication of hypertension. There has been some variation in the pattern of presentation in
different climes and locality depending on the availability of expertise and the infrastructures available for limb
OBJECTIVES: To determine the indications, demographic pattern and clinical presentation of patients that had
amputation in National Orthopaedic Hospital Enugu (NOHE).
st st METHODOLOGY: All patients who had amputation in NOHE from 1 of September 2015 to 31 of August 2017
were recruited prospectively. The indications for amputation, demographic data and pattern of presentation
of the patients were analysed with SPSS version 20.
RESULTS: A total of 137 patients were recruited concurrently. Male to female ratio was 1.6:1. Dual peak age
range of 61-70 years (22.6%) and 21-30years (20.4%) were observed. There was relative preponderance of
traders (27.7%) with secondary school education (39.4%) and left lower limb was mostly involved 52.6%.
Commonest mode of presentation is darkish discolouration of the foot (45.9%), with duration of symptoms
most commonly between 1 - 6 months (40.9%) and 39.4% had no prior treatment before presentation. Diabetes
foot gangrene (in 39%) followed by trauma (24.1%) were the leading cause of amputation from our study and
above knee amputation was more commonly done (44%).
CONCLUSION: There is dual peaks in age groups with male preponderance in the amputations done. It
commonly involved left lower limb in traders with secondary education and the commonest indication being
Diabetic Foot Gangrene. Public enlightenment on diabetes is important to reduce the incidence of
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Volume 28 | Issue 3
Page Nos. 301-304
Online since Dec 17, 2019