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Problems of amputation surgery in a developing country.

W Yinusa1, M E Ugbeye

  • 1Department of Orthopaedics and Trauma Surgery, National Orthopaedic Hospital, Igbabi, PMB 2009, Yaba Lagos, Nigeria. boboyinus@hotmail.com

International Orthopaedics
|April 18, 2003
PubMed
Summary

Extremity amputations in Nigeria are often due to trauma and gangrene, highlighting the need for advanced diagnostics and specialized care. Improving prosthetic services and amputee clinics is crucial for better patient outcomes.

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Area of Science:

  • Orthopaedic Surgery
  • Public Health
  • Trauma Care

Background:

  • Extremity amputation remains a significant surgical procedure in developing countries.
  • Road traffic accidents are a leading cause of amputation, followed by preventable complications from traditional bone setters.

Purpose of the Study:

  • To analyze the indications, outcomes, and challenges of extremity amputations in Lagos, Nigeria.
  • To identify factors contributing to delayed treatment and unsatisfactory results.

Main Methods:

  • Prospective study of 87 patients undergoing extremity amputation.
  • Data collection on patient demographics, indications for surgery, and treatment complications.

Main Results:

  • Trauma from road traffic accidents was the most common indication (34/87).

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  • Gangrene necessitated amputation in 44/87 patients, often as a life-saving measure.
  • Lack of advanced diagnostic tools (Doppler ultrasound, arteriography, CT scan) delayed treatment in 28 cases.
  • Inadequate prosthetic services and amputee clinics led to poor outcomes.

    • Conclusions:

    • Amputation in Nigeria is frequently a life-saving intervention driven by trauma and gangrene.
    • Limited access to specialized investigations and rehabilitation services significantly impacts patient outcomes.
    • Implementing advanced diagnostics, microvascular surgery facilities, and a multidisciplinary approach is essential to improve amputation care in developing nations.