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Войти в исследования Nigerian journal of clinical practice · 2009
Limb amputations in adults in an Ivorian teaching hospital.
СтатьяНазвание и аннотация: Перевод в очереди
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Sié Essoh J B, Kodo M, Djè Bi Djè V, Lambin Y
Аннотация
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.
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.