Traumatic extremity amputation in a Nigerian setting: patterns and challenges of care

Omoke, Njoku Isaac; Chukwu, Christian Onyebuchi Otu; Madubueze, Christian C.; Egwu, Agama Nnachi

doi:10.1007/s00264-011-1322-7

Cited by 24 publications

(30 citation statements)

References 18 publications

(22 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It is in contrast to previous studies in which the rate of required surgery was lower (Friedrich et al, 2011, Omoke et al, 2012. A possible explanation is recent advances in microsurgical techniques in our center, consequently even less serious amputations are reconstructed by microsurgical soft tissue methods.…”

Section: Discussioncontrasting

confidence: 75%

Epidemiological patterns and preventability of trauma leading to finger amputation

et al. 2017

View full text Add to dashboard Cite

SUMMARY:Traumatic finger amputation is a widespread preventable public health problem. This study aimed to define the epidemiology of finger amputations to identify important related factors in order to suggest pertinent prevention strategies. A cross-sectional study was conducted in 2015 at the main orthopedic referral university hospital of Shiraz. All patients with any type of traumatic finger amputation were included. For each patient a questionnaire including demographic and injury characteristics was filled and analyzed. One hundred patients (92 men and 8 women, mean age: 32.5 ± 18 years) were enrolled. The vast majority of subjects were young men, more than half (53 cases) sustained occupation-related injuries during working time. Finger amputation following severe jammed finger in door was the second most frequent damage (18 %). Approximately 59% of victims labeled inattention during work as the reason of injury. Finger amputations in right hand were equal in frequency to the left one. Amputation of the index and middle fingers were seen as the most common amputated fingers in hands, 27% and 26% respectively. It was found that young beginner worker man with low educational level is at the highest risk of traumatic finger amputation especially with positive history of drug abusing. So, effective interventions such as closer supervision, more training programs, detection of drug addiction, and using safe engineering machines are urgently needed.

show abstract

Section: Discussioncontrasting

confidence: 75%

Epidemiological patterns and preventability of trauma leading to finger amputation

et al. 2017

View full text Add to dashboard Cite

show abstract

“…The prolonged interval between injury and presentation to hospital is potentially related to a delay in appropriate emergency trauma care (such as antibiotics administration and early wound care) especially in our setting where it has been documented in a previous study that there was no pre-hospital care given to over 80 % of patients with traumatic amputation [12]. The interval between injury and hospital admission is a modifiable risk factor.…”

Section: Discussionmentioning

confidence: 99%

“…However, there is evidence in a previous study that wound infection is not a complication of all traumatic extremity amputation stumps [12]. This implies that besides wound contamination other factors contributing to wound sepsis come into play with traumatic extremity amputation stumps.…”

Section: Introductionmentioning

confidence: 98%

See 1 more Smart Citation

An analysis of risk factors associated with traumatic extremity amputation stump wound infection in a Nigerian setting

Omoke

Nwigwe

2012

International Orthopaedics (SICOT)

Self Cite

View full text Add to dashboard Cite

Purpose We aimed to determine the risk factors associated with traumatic extremity amputation stump wound infection in our environment. Method This was a retrospective analysis of databases that included the entire patient population with traumatic extremity amputation seen in Ebonyi State University Teaching Hospital and Federal Medical Centre Abakaliki from January 2001 to December 2011. Result There were 63 patients studied and stump wound infection was a complication in 38 (60 %) of them. Stump wound infection rate significantly correlated with the form of amputation, i.e., a higher rate in crushing than guillotine (sharp clear-cut) amputation (80.5 vs. 22.7 % p<0.000); severity, i.e., a higher rate in major than minor amputation (80.6 vs. 33.3 % p<0.000); and limb involvement, i.e., a higher rate in lower than upper extremity amputation (71.1 vs. 60.7 % p<0.002). Haematocrit level on admission (p< 0.002), injury to hospital admission interval (p<0.012) and injury to first surgical debridement / amputation interval (p< 0.02) were all significantly related to incidence of wound infection. Multivariate analysis identified crushing amputation as an independent risk factor (p<0.009) for traumatic amputation stump wound infection. Conclusion The only independent predictor of traumatic extremity amputation stump wound infection is a crushing form of amputation; it should be accorded a high priority in interventions aimed at reducing infection rate

show abstract

“…2 The sudden and unexpected loss of the extremity to trauma (without going through a pre-loss adaptation) is a devastating condition. 3 The indications for amputation are trauma, malignant tumors, diabetic gangrene, peripheral artery disease, limb infections and burns. 4 While the indications for amputation in Europe and America are dwindling, the situation in Nigeria is worsening, as many treatable cases end up in amputation.…”

Section: Introductionmentioning

confidence: 99%

Major limb amputations in a tertiary hospital in North Western Nigeria

Nwosu¹,

Babalola

Ibrahim³

et al. 2017

Afr H. Sci.

View full text Add to dashboard Cite

Background: Amputation is the removal of whole or part of a limb, often as a life saving measure. It is a mutilating surgical procedure altering the body image and producing severe functional deficit. It is a common orthopedic surgical procedure performed worldwide. Aims and objectives: The aim of this study was to determine the pattern and indications for amputation in Federal Medical Centre, Birnin Kebbi, Kebbi State, Nigeria; between January 2008 and December 2014, in a bid to proffer preventive measures. Patients and methods: This was a retrospective study of consecutive patients who had major limb amputations at the Federal Medical Centre, Birnin Kebbi, Kebbi State, Nigeria; between January 2008 and December 2014. Case notes of patients were retrieved with relevant information extracted and analyzed. Results: A total of 112 amputations were studied. The age range of patients was between 3-89 years. Amputation in 23.5% of patients was due to trauma, followed by diabetic foot gangrene in 21% of cases. About 42.9% of the amputations were above knee, followed by below knee amputations in 37% of cases. The lower limbs were involved in 84.8% of cases and upper limbs in 15.2% of cases. Conclusion: Trauma was the most predominant indication for amputation in this study. This was followed by diabetic foot gangrene. This is usually due to the high rate of road traffic accidents and consequent mismanagement by traditional bone setters.

show abstract

Traumatic extremity amputation in a Nigerian setting: patterns and challenges of care

Cited by 24 publications

References 18 publications

Epidemiological patterns and preventability of trauma leading to finger amputation

Epidemiological patterns and preventability of trauma leading to finger amputation

An analysis of risk factors associated with traumatic extremity amputation stump wound infection in a Nigerian setting

Major limb amputations in a tertiary hospital in North Western Nigeria

Contact Info

Product

Resources

About