PATTERN OF PRESENTATION AND INDICATIONS FOR AMPUTATION IN NATIONAL ORTHOPAEDIC HOSPITAL, ENUGU.

Lasebikan, Omolade Ayoola, Okorie, Ifeanyi Sunday, Oguzie, Gerald Chukwuemeka; Ofoegbu, Joseph Ikechukwu

Available online Dec 18, 2019.

[ Original ] Volume 28, Issue 3, 2019, Pages 301-304


Abstract

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

 

salvage procedures.

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

 

amputation.

 


Keywords

Amputation, indication, Pattern, Diabetes,

JULY - SEPTEMBER 2019

Volume 28 | Issue 3

Page Nos. 301-304

Online since Dec 17, 2019

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