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Lower limb amputation in Jos, Nigeria.

A T Kidmas1, C H Nwadiaro, G O Igun

  • 1Department of Surgery, Jos University Teaching Hospital, Jos, Nigeria.

East African Medical Journal
|December 30, 2004
PubMed
Summary

Lower limb amputations (LLA) are often preventable. Early presentation and proper management of limb conditions like diabetic foot sepsis and trauma can significantly reduce the need for amputation.

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Area of Science:

  • Medical research
  • Surgical outcomes
  • Public health

Background:

  • Lower limb amputation (LLA) is a significant surgical procedure with various underlying causes.
  • Understanding the patterns and preventable factors of LLA is crucial for improving patient outcomes and healthcare resource allocation.

Purpose of the Study:

  • To analyze the trends of lower limb amputations (LLA) at a University Teaching Hospital in Jos, Nigeria.
  • To identify the primary indications for LLA and highlight potentially preventable causes.

Main Methods:

  • A retrospective study design was employed.
  • Data were collected from 87 patients who underwent 94 LLAs over a five-and-a-half-year period.
  • Indications, associated morbidities, and mortality rates were analyzed.

Main Results:

  • Trauma (29.9%), diabetic foot sepsis (26.4%), and malignant limb conditions (23%) were the leading causes of LLA.
  • Above-knee amputation (AKA) was the most frequent procedure (48.9%), followed by below-knee amputation (BKA) (37.2%).
  • Mortality rate was 12.6%, with sepsis and multiple organ failure being the primary cause of death, often linked to diabetic foot sepsis and compound fractures.

Conclusions:

  • A significant proportion of lower limb amputations could be averted through timely medical intervention and appropriate management.
  • There is a critical need for enhanced community health education emphasizing the importance of early hospital presentation for limb-related issues to prevent amputations.

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