Amputation: A Ten-Year Survey

Sarvestani, Amene Sabzi; Azam, Afshin Taheri

doi:10.5812/traumamon.11693

Cited by 45 publications

(29 citation statements)

References 18 publications

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“…In this study, 68 of the patients were males (78.2%). Similar results were also reported from Back Lion Hospital in Ethiopia (76%), Tanzania (66.7%), Sudan (76%) and Iran (79.62%) ( 9 , 10 , 11 ). It can be explained by our culture that males are involved in different activities that can expose them to traumas.…”

Section: Discussionsupporting

confidence: 86%

Patterns and causes of amputation in Ayder Referral Hospital, Mekelle, Ethiopia: a three-year experience

Gebreslassie¹,

Gebreselassie²,

Esayas³

2018

Ethiop J Health Sci

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BACKGROUND: Amputation is a surgical procedure for the removal of a limb which is indicated when limb recovery is impossible. There are different types of amputation, and their causes can vary from one area to the other. Therefor, the aim of this study is to find out the patterns and causes of amputations in patients presented to Ayder Referral Hospital, Mekelle, Ethiopia. METHODS: the record of 87 patients who had amputation at different sites after admission to Ayder referral hospital, Mekelle, Ethiopia in three years period were reviewed retrospectively. RESULT: A total of 87 patients had amputation of which 78.2% were males. The age range was from 3 to 95 years, and the mean age was 40.6 in years. The most common indications were trauma (37.7%), tumor (24.1%), and peripheral arterial disease (PAD) (20.7%). The commonest type of amputation was major lower limb amputation (58.6%) which includes above knee amputation (35.6%)and below knee amputation (23%) followed by digital amputation (17.2%).There was 11.4% major upper limb amputation of which there was one patient who had re-amputation. CONCLUSION: Most of the indications for amputations in our setup are potentially preventable by increasing awareness in the society on safety measures both at home and at work and early presentation to health facilities.

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Section: Discussionsupporting

confidence: 86%

Patterns and causes of amputation in Ayder Referral Hospital, Mekelle, Ethiopia: a three-year experience

Gebreslassie¹,

Gebreselassie²,

Esayas³

2018

Ethiop J Health Sci

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“…All participants interviewed in the study were males, and the views of females in physical activity participation is not known. While, this is a limitation of the findings, it should be noted that amputations are typically more prevalent in the male population (Sarvestani & Azam, 2013).…”

Section: Discussionmentioning

confidence: 83%

Untitled

2019

NZJP

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The aim of this study was to determine the physiotherapy management of patients undergoing upper and lower abdominal surgery performed via open or laparoscopic approaches in public hospital surgical units throughout New Zealand. The study also aimed to establish factors influencing physiotherapy practice and determine how New Zealand practice compares to current best evidence. A purpose-designed survey was distributed via post to the senior surgical ward physiotherapist of all public hospitals in New Zealand offering abdominal surgery (n = 23). A response rate of 83% (n = 19) was obtained. No respondents reported routine physiotherapy input with patients prior to surgery. Only one surgical centre (5%) provided prehabilitation, and this was to highrisk patients only. Postoperatively most respondents reported routine assessment and treatment of patients following open upper abdominal surgery, but not following open lower abdominal surgery or laparoscopic surgery. Early mobilisation and respiratory physiotherapy interventions were the most commonly implemented interventions postoperatively. This study identified that physiotherapy interventions for patients receiving abdominal surgery mainly focus on postoperative assessment and treatment of patients undergoing open upper abdominal surgery. Few units routinely assess these patients preoperatively or offer prehabilitation. This study will allow physiotherapists working with patients undergoing abdominal surgery in New Zealand to compare their own practice to that of others and consider their use of current best available evidence.

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“…5 Although a lot of studies have been conducted on the epidemiology and characteristics of limb amputations. [5][6][7][8] , very few have been interested in the outcomes of amputees in their daily life in Africa. The aim of this study was to evaluate the functional, social and economic outcomes of lower limb amputees and to find associated factors to functional outcomes.…”

Section: Introductionmentioning

confidence: 99%

Outcomes of lower limb amputees at Cotonou

Chigblo

Tidjani

Alagnidé

et al. 2019

Journal of Clinical Orthopaedics and Trauma

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Background: Limb amputations are responsible for disability. We studied the outcomes of lower limb amputees in our daily practice. Methods: This prospective analytical study over 7 years (January 2009-December 2015) included 70 amputees of lower limb. They were mainly male (73%), aged on average of 42.4 AE 18.8 years. The mean time of follow-up was 3.2 AE 1.9 years. We assessed disability on balance, walking, disability in daily life for patients with prosthesis, and the socioeconomic impact of the amputation. Statistical analysis was performed with Chi 2 and Mann-Whitney tests; a p-value 0.05 was considered statistically significant. Results: The average Timed Up and Go Test was 18.5 s. Class II of Pohjolainen subjects were the most recovered (37%). The mean Houghton score in the 17 fitted patients was 6.2 AE 2.0. Socially, 90% of the patients no longer practiced leisure activities, and 4/53 patients were no longer in a couple. At the economic level, 87% of patients had a decreased monthly income. Factors that bear direct correlation to functional outcome of patients were the level of amputation, and the prosthesis fitting. Conclusion: Lower limbs amputations entail adverse consequences at the functional and socioeconomic level. Our country must review its policy on prosthetic fittings for amputees, and vote laws that involve private firms and government in socioeconomic reintegration, and empowerment of these subjects.

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Amputation: A Ten-Year Survey

Cited by 45 publications

References 18 publications

Patterns and causes of amputation in Ayder Referral Hospital, Mekelle, Ethiopia: a three-year experience

Patterns and causes of amputation in Ayder Referral Hospital, Mekelle, Ethiopia: a three-year experience

Untitled

Outcomes of lower limb amputees at Cotonou

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