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Amputation and prostheses in Khartoum

I A Mohamed1, A R Ahmed, M E Ahmed

  • 1Damazine Hospital, University of Khartoum, Sudan.

Journal of the Royal College of Surgeons of Edinburgh
|August 1, 1997
PubMed
Summary
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This study on major lower limb amputations found that diabetic amputees require more surgeries. Functional outcomes varied by amputation cause and level, with below-knee amputations generally yielding better results.

Area of Science:

  • Orthopedics
  • Rehabilitation Medicine
  • Public Health

Background:

  • Major lower limb amputation (MLLA) presents significant rehabilitation challenges.
  • Understanding amputation causes and prosthetic outcomes is crucial for improving patient care.

Purpose of the Study:

  • To analyze the causes, prosthetic interventions, and functional outcomes of major lower limb amputations.
  • To identify factors influencing rehabilitation success in amputees.

Main Methods:

  • A retrospective study of 170 patients with MLLA at The National Prosthetic-Orthotic Centre (NPOC) in Khartoum over one year.
  • Data collected on patient demographics, amputation etiology, amputation level, prosthetic type, and functional outcomes.
  • Analysis of revisional surgery rates and factors associated with stump pain.

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Main Results:

  • Diabetes (24%), trauma (17.6%), and war injuries (17%) were primary amputation causes.
  • Below-knee amputation (BKA) was most common (111 patients), followed by above-knee amputation (AKA) (52 patients).
  • Diabetic amputees had higher revisional surgery rates; BKA and trauma/Madura foot amputees reported better functional outcomes than diabetics. Poor functional outcomes were reported by 50% of AKA and 19% of BKA patients.

Conclusions:

  • Amputation level and indication significantly impact functional rehabilitation outcomes.
  • Diabetic septic foot amputations require more complex management and have poorer outcomes.
  • Enhanced surgeon involvement in long-term functional outcome evaluation is recommended to refine surgical techniques.