Indications and Complications of Major Limb Amputations in Kano, Nigeria
Identifieur interne : 002E18 ( Pmc/Corpus ); précédent : 002E17; suivant : 002E19Indications and Complications of Major Limb Amputations in Kano, Nigeria
Auteurs : A. Ajibade ; Ot Akinniyi ; Cs OkoyeSource :
- 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
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PMC:3961849Le 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><nlm:aff id="A1">Department of Surgery, LAUTECH Teaching Hospital, Oshogbo, Nigeria</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Akinniyi, Ot" sort="Akinniyi, Ot" uniqKey="Akinniyi O" first="Ot" last="Akinniyi">Ot Akinniyi</name>
<affiliation><nlm:aff id="A2">Department of Clinical Services, National Orthopaedic Hospital, Dala , Kano, Nigeria</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Okoye, Cs" sort="Okoye, Cs" uniqKey="Okoye C" first="Cs" last="Okoye">Cs Okoye</name>
<affiliation><nlm:aff id="A2">Department of Clinical Services, National Orthopaedic Hospital, Dala , Kano, Nigeria</nlm:aff>
</affiliation>
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<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>
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<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><nlm:aff id="A1">Department of Surgery, LAUTECH Teaching Hospital, Oshogbo, Nigeria</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Akinniyi, Ot" sort="Akinniyi, Ot" uniqKey="Akinniyi O" first="Ot" last="Akinniyi">Ot Akinniyi</name>
<affiliation><nlm:aff id="A2">Department of Clinical Services, National Orthopaedic Hospital, Dala , Kano, Nigeria</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Okoye, Cs" sort="Okoye, Cs" uniqKey="Okoye C" first="Cs" last="Okoye">Cs Okoye</name>
<affiliation><nlm:aff id="A2">Department of Clinical Services, National Orthopaedic Hospital, Dala , Kano, Nigeria</nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">Ghana Medical Journal</title>
<idno type="ISSN">0016-9560</idno>
<imprint><date when="2013">2013</date>
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<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>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Ghana Med J</journal-id>
<journal-title-group><journal-title>Ghana Medical Journal</journal-title>
</journal-title-group>
<issn pub-type="ppub">0016-9560</issn>
<publisher><publisher-name>Ghana Medical Association</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">24669024</article-id>
<article-id pub-id-type="pmc">3961849</article-id>
<article-id pub-id-type="publisher-id">jGMJ.v47.i4.pg185</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Research</subject>
</subj-group>
</article-categories>
<title-group><article-title>Indications and Complications of Major Limb Amputations in Kano, Nigeria</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Ajibade</surname>
<given-names>A</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Akinniyi</surname>
<given-names>OT</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Okoye</surname>
<given-names>CS</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Department of Surgery, LAUTECH Teaching Hospital, Oshogbo, Nigeria</aff>
<aff id="A2"><label>2</label>
Department of Clinical Services, National Orthopaedic Hospital, Dala , Kano, Nigeria</aff>
<author-notes><corresp>Corresponding Author: Dr A. Ajibade <email>ajifada2@yahoo.com</email>
, <email>ajifada2@gmail.com</email>
</corresp>
<fn fn-type="conflict"><p><bold>Conflict of Interest:</bold>
None declared</p>
</fn>
</author-notes>
<pub-date pub-type="ppub"><month>12</month>
<year>2013</year>
</pub-date>
<volume>47</volume>
<issue>4</issue>
<fpage>185</fpage>
<lpage>188</lpage>
<permissions><copyright-statement>Copyright © Ghana Medical Association 2013</copyright-statement>
<copyright-year>2013</copyright-year>
</permissions>
<abstract abstract-type="executive-summary"><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>
</abstract>
<kwd-group><kwd>Major amputation</kwd>
<kwd>limb amputation</kwd>
<kwd>developing country</kwd>
<kwd>Nigeria</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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