Indications and Complications of Major Limb Amputations in Kano, Nigeria
Identifieur interne : 003560 ( Main/Exploration ); précédent : 003559; suivant : 003561Indications and Complications of Major Limb Amputations in Kano, Nigeria
Auteurs : A. Ajibade [Nigeria] ; Ot Akinniyi [Nigeria] ; Cs Okoye [Nigeria]Source :
- Ghana Medical Journal [ 0016-9560 ] ; 2013.
Abstract
To determine the indications and complications of major limb amputations in a Nigerian hospital.
A five-year retrospective descriptive study.
National Orthopaedic Hospital, Dala, Kano, Nigeria.
Patients who had amputations above the wrist or ankle between January 2006 and December 2010.
Indications, complications and mortality.
There were 132 unilateral amputations. The patients were mostly males and below the age of 40. Lower limb amputations (74.2%) exceeded upper limb amputations (25.8%). The commonest indication was trauma (42.4%) followed by TBS gangrene (31.8%) and malignant tumours (12.9%). Wound infection, the commonest complication, occurred in patients who had identifiable predisposing factors. The 3 deaths that occurred were in patients who had had traditional bone setter intervention: 2 were due to septicaemia; 1, due to severe tetanus.
Trauma and traditional bone setter gangrene were the commonest indications. Most of the amputations were avoidable. Institution of preventive measures is imperative. Paying attention to predisposing factors can reduce complications.
Url:
PubMed: 24669024
PubMed Central: 3961849
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: 002E18
- to stream Pmc, to step Curation: 002E17
- to stream Pmc, to step Checkpoint: 002269
- to stream Ncbi, to step Merge: 006477
- to stream Ncbi, to step Curation: 006477
- to stream Ncbi, to step Checkpoint: 006477
- to stream Main, to step Merge: 003566
- to stream Main, to step Curation: 003560
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Indications and Complications of Major Limb Amputations in Kano, Nigeria</title><author><name sortKey="Ajibade, A" sort="Ajibade, A" uniqKey="Ajibade A" first="A" last="Ajibade">A. Ajibade</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Surgery, LAUTECH Teaching Hospital, Oshogbo, Nigeria</nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Surgery, LAUTECH Teaching Hospital, Oshogbo</wicri:regionArea><wicri:noRegion>Oshogbo</wicri:noRegion></affiliation></author><author><name sortKey="Akinniyi, Ot" sort="Akinniyi, Ot" uniqKey="Akinniyi O" first="Ot" last="Akinniyi">Ot Akinniyi</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Clinical Services, National Orthopaedic Hospital, Dala , Kano, Nigeria</nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Clinical Services, National Orthopaedic Hospital, Dala , Kano</wicri:regionArea><wicri:noRegion>Kano</wicri:noRegion></affiliation></author><author><name sortKey="Okoye, Cs" sort="Okoye, Cs" uniqKey="Okoye C" first="Cs" last="Okoye">Cs Okoye</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Clinical Services, National Orthopaedic Hospital, Dala , Kano, Nigeria</nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Clinical Services, National Orthopaedic Hospital, Dala , Kano</wicri:regionArea><wicri:noRegion>Kano</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24669024</idno><idno type="pmc">3961849</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3961849</idno><idno type="RBID">PMC:3961849</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">002E18</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002E18</idno><idno type="wicri:Area/Pmc/Curation">002E17</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002E17</idno><idno type="wicri:Area/Pmc/Checkpoint">002269</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">002269</idno><idno type="wicri:Area/Ncbi/Merge">006477</idno><idno type="wicri:Area/Ncbi/Curation">006477</idno><idno type="wicri:Area/Ncbi/Checkpoint">006477</idno><idno type="wicri:doubleKey">0016-9560:2013:Ajibade A:indications:and:complications</idno><idno type="wicri:Area/Main/Merge">003566</idno><idno type="wicri:Area/Main/Curation">003560</idno><idno type="wicri:Area/Main/Exploration">003560</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Indications and Complications of Major Limb Amputations in Kano, Nigeria</title><author><name sortKey="Ajibade, A" sort="Ajibade, A" uniqKey="Ajibade A" first="A" last="Ajibade">A. Ajibade</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Surgery, LAUTECH Teaching Hospital, Oshogbo, Nigeria</nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Surgery, LAUTECH Teaching Hospital, Oshogbo</wicri:regionArea><wicri:noRegion>Oshogbo</wicri:noRegion></affiliation></author><author><name sortKey="Akinniyi, Ot" sort="Akinniyi, Ot" uniqKey="Akinniyi O" first="Ot" last="Akinniyi">Ot Akinniyi</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Clinical Services, National Orthopaedic Hospital, Dala , Kano, Nigeria</nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Clinical Services, National Orthopaedic Hospital, Dala , Kano</wicri:regionArea><wicri:noRegion>Kano</wicri:noRegion></affiliation></author><author><name sortKey="Okoye, Cs" sort="Okoye, Cs" uniqKey="Okoye C" first="Cs" last="Okoye">Cs Okoye</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Clinical Services, National Orthopaedic Hospital, Dala , Kano, Nigeria</nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Clinical Services, National Orthopaedic Hospital, Dala , Kano</wicri:regionArea><wicri:noRegion>Kano</wicri:noRegion></affiliation></author></analytic><series><title level="j">Ghana Medical Journal</title><idno type="ISSN">0016-9560</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Summary</title><sec><title>Objectives</title><p>To determine the indications and complications of major limb amputations in a Nigerian hospital.</p></sec><sec><title>Design</title><p>A five-year retrospective descriptive study.</p></sec><sec><title>Setting</title><p>National Orthopaedic Hospital, Dala, Kano, Nigeria.</p></sec><sec><title>Participants</title><p>Patients who had amputations above the wrist or ankle between January 2006 and December 2010.</p></sec><sec><title>Main outcome measures</title><p>Indications, complications and mortality.</p></sec><sec sec-type="results"><title>Results</title><p>There were 132 unilateral amputations. The patients were mostly males and below the age of 40. Lower limb amputations (74.2%) exceeded upper limb amputations (25.8%). The commonest indication was trauma (42.4%) followed by TBS gangrene (31.8%) and malignant tumours (12.9%). Wound infection, the commonest complication, occurred in patients who had identifiable predisposing factors. The 3 deaths that occurred were in patients who had had traditional bone setter intervention: 2 were due to septicaemia; 1, due to severe tetanus.</p></sec><sec sec-type="conclusions"><title>Conclusion</title><p>Trauma and traditional bone setter gangrene were the commonest indications. Most of the amputations were avoidable. Institution of preventive measures is imperative. Paying attention to predisposing factors can reduce complications.</p></sec></div></front></TEI><affiliations><list><country><li>Nigeria</li></country></list><tree><country name="Nigeria"><noRegion><name sortKey="Ajibade, A" sort="Ajibade, A" uniqKey="Ajibade A" first="A" last="Ajibade">A. Ajibade</name></noRegion><name sortKey="Akinniyi, Ot" sort="Akinniyi, Ot" uniqKey="Akinniyi O" first="Ot" last="Akinniyi">Ot Akinniyi</name><name sortKey="Okoye, Cs" sort="Okoye, Cs" uniqKey="Okoye C" first="Cs" last="Okoye">Cs Okoye</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 003560 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 003560 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= LymphedemaV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= PMC:3961849
|texte= Indications and Complications of Major Limb Amputations in Kano, Nigeria
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:24669024" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a LymphedemaV1
| This area was generated with Dilib version V0.6.31. |  |