J B Sié Essoh1, M Kodo, V Djè Bi Djè, Y Lambin. 1. Department of Orthopaedic Surgery, Yopougon Teaching Hospital, 21 BP 632 Abidjan 21 Côte d'Ivoire. siessoh@yahoo.com
Abstract
OBJECTIVE: To determine the pattern of limb amputations and preventable indications. DESIGN: Aretrospective study. SETTING: Department of orthopaedic surgery, Yopougon Teaching Hospital, Abidjan, Côte d'Ivoire. PATIENTS AND METHODS: One hundred fifty-six patients with amputations over a 11-year period were studied. There were 111 men and 45 women with a mean age of 42 years. MAIN OUTCOME MEASURES: Indications, level of amputation, morbidity, and mortality. RESULTS: A total of 160 limb amputations were performed in the 156 patients. Trauma (49.9%), diabetic foot sepsis (31.4%), and peripheral vascular disease (13%) were the main indications. Below knee (46.9%) and below elbow (11.2%) amputations were the most common procedures performed. Wound infection was the commonest complication occurring in 42 (26.9%) patients. There were 25 (16%) deaths, out of which 22 were due to sepsis. CONCLUSION: Majority of amputations in our environment are preventable by education, early presentation and appropriate management of the common indications.
OBJECTIVE: To determine the pattern of limb amputations and preventable indications. DESIGN: Aretrospective study. SETTING: Department of orthopaedic surgery, Yopougon Teaching Hospital, Abidjan, Côte d'Ivoire. PATIENTS AND METHODS: One hundred fifty-six patients with amputations over a 11-year period were studied. There were 111 men and 45 women with a mean age of 42 years. MAIN OUTCOME MEASURES: Indications, level of amputation, morbidity, and mortality. RESULTS: A total of 160 limb amputations were performed in the 156 patients. Trauma (49.9%), diabetic foot sepsis (31.4%), and peripheral vascular disease (13%) were the main indications. Below knee (46.9%) and below elbow (11.2%) amputations were the most common procedures performed. Wound infection was the commonest complication occurring in 42 (26.9%) patients. There were 25 (16%) deaths, out of which 22 were due to sepsis. CONCLUSION: Majority of amputations in our environment are preventable by education, early presentation and appropriate management of the common indications.
Authors: Joanna Grudziak; Cornelius Mukuzunga; Caroline Melhado; Sven Young; Leonard Banza; Bruce Cairns; Anthony Charles Journal: Malawi Med J Date: 2019-12 Impact factor: 0.875