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Major limb amputation in Ibadan

S O Ogunlade1, T O Alonge, A B O Omololu

  • 1Division of Orthopaedics and Trauma, Department of Surgery, College of Medicine, University of Ibadan and University College Hospital, Ibadan, Nigeria.

African Journal of Medicine and Medical Sciences
|March 19, 2004
PubMed

Insights

Major limb amputations are often caused by trauma and diabetes. Focusing on preventing accidents and improving diabetic foot care could significantly reduce amputation rates.

Area of Science:

  • Clinical Medicine
  • Surgical Outcomes
  • Public Health

Background:

  • Major limb amputations are a significant surgical procedure with various underlying causes.
  • Understanding the epidemiology and predisposing factors is crucial for preventative strategies.

Purpose of the Study:

  • To analyze the trends, causes, and outcomes of major limb amputations at a tertiary hospital.
  • To identify key factors contributing to amputations and inform public health interventions.

Main Methods:

  • Prospective study design.
  • Data collection over a 5-year period at University College Hospital Ibadan.
  • Analysis of patient demographics, amputation indications, and post-operative complications.

Main Results:

  • 101 major limb amputations were performed (71% male).
  • Leading causes included trauma (48%), diabetes (26%), soft tissue infections (13%), and tumors (13%).
  • Lower limb amputations constituted 69% of cases; wound infection was the primary post-operative complication.

Conclusions:

  • Trauma and diabetes are primary drivers of major limb amputations.
  • Delayed presentation due to patient refusal impacts surgical outcomes.
  • Public health initiatives targeting vehicular safety and diabetic foot care are essential for amputation reduction.

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