A RETROSPECTIVE REVIEW OF INDICATIONS AND COMPLICATIONS OF EXTREMITY AMPUTATIONS IN LAUTECH TEACHING HOSPITAL, OGBOMOSO, NIGERIA.
Formerly Published in Vol. 6 No. 2 Jul. - Dec., 2021
Keywords:
Amputation, traumaAbstract
Background: information Major amputations are not without their devastating post-operative omplications which may include hallenges with wound healing, wound infection, the disturbing phenomenon of phantom limb pain, and psychosocial problems to mention a few. It becomes imperative to find out the associated indications and complications.
Methodology: This is a retrospective hospital-based study of 75 unilateral extremity amputations done between 2018 and 2022 in LAUTECH Teaching Hospital, Ogbomoso, Oyo state. Case notes of the patients were retrieved from the hospital's Records department. Information about their sociodemographic characteristics, indications for amputation, the level of amputation, complications after surgery, and others were obtained from their records using a well- structured proforma.
Result: The age of the patients ranged between 5 to 80 years and the mean age is 46.7 years. The majority in terms of education had secondary school certificates (34%). Also, out of Seventy-five (75) patients with unilateral amputations. 58 (77.3%) of them were male and 17(22.7%) were female with male to female ratio of 3.4: 1. In addition. 29(38.7%) and 28(37.3%) patients had below-knee amputations and above-knee amputations respectively. The most common indication for amputation is trauma i.e. 34.67% (26 patients) followed by diabetic foot gangrene seen in 17 (22.67%) patients. Traditional bone setter (TBS) gangrene was the culprit i12(16%) patients. Peripheral vascular disease was the indication in 11(14.7%) patients while tumours were the cause in 6 (8%) patients.
Conclusion and Recommendation: Trauma is the leading indication for amputation in our study. This affects the productive population of any society. Therefore, there is a need to implement multi-sectoral measures that target the behaviors of commercial drivers and riders. Stringent rules and regulations must be enforced on the use of our roads by various agencies saddled with the responsibility.
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