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Pattern of limb amputation in a Kenyan rural hospital

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Abstract

Causes of limb amputations vary between and within countries. In Kenya, reports on prevalence of diabetic vascular amputations are conflicting. Kikuyu Hospital has a high incidence of diabetic foot complications whose relationship with amputation is unknown. This study aimed to describe causes of limb amputations in Kikuyu Hospital, Kenya. Records of all patients who underwent limb amputation between October 1998 and September 2008 were examined for cause, age and gender. Data were analysed using the statistical package for Social Sciences (SPSS) for Windows Version 11.50. One hundred and forty patients underwent amputation. Diabetic vasculopathy accounted for 11.4% of the amputations and 69.6% of the dysvascular cases. More prevalent causes were trauma (35.7%), congenital defects (20%), infection (14.3%) and tumours (12.8%). Diabetic vasculopathy, congenital defects and infection are major causes of amputation. Control of blood sugar, foot care education, vigilant infection control and audit of congenital defects are recommended.

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References

  1. Abbas AD, Musa AM (2007) Changing pattern of extremity amputations in University of Naiduguri Teaching Hospital, Nigeria. Niger J Med 16:330–333

    PubMed  CAS  Google Scholar 

  2. Akinboboye O, Idris O, Akinboboye O, Akinkugbe O (2003) Trends in coronary artery disease and associated risk factors in sub-Saharan Africa. J Hum Hyperten 17:381–387

    Article  CAS  Google Scholar 

  3. Awori KO, Ating’a JEO (2007) Lower limb amputations at the Kenyatta National Hospital, Nairobi. East Afr Med J 84:121–126

    PubMed  CAS  Google Scholar 

  4. Doğan A, Sungur I, Bilgiç S, Uslu M, Atik B, Tan O, Ozgökçe S, Uluç D, Coban H, Türkoğlu M, Akpinar F (2008) Amputations in eastern Turkey (Van): a multicenter epidemiological study. Acta Orthop Traumatol Turc 42(1):53–58

    PubMed  Google Scholar 

  5. Eason SL, Petersen NJ, Suarez-Almazor M, Davis B, Collins TC (2005) Diabetes mellitus. Smoking, and the risk for asymptomatic peripheral arterial disease: whom should we screen? J Am Board Fam Pract 5:355–361

    Article  Google Scholar 

  6. Ebskov LB (1991) Epidemiology of lower limb amputations in diabetics in Denmark (1980–1989). Int Orth 15(4):285–288

    CAS  Google Scholar 

  7. Ephraim PL, Dillingham TR, Sector M, Pezzin LE, Mackenzie EJ (2003) Epidemiology of limb loss and congenital limb deficiency: a review of the literature. Arch Phys Med Rehabil 84(5):747–761

    PubMed  Google Scholar 

  8. Kaisha WO, Khainga S (2008) Causes and pattern of unilateral hand injuries. East Afr Med J 85(3):123–128

    PubMed  CAS  Google Scholar 

  9. Kennedy PJ, Young WM, Deva AK, Haertsch PA (2006) Burns and amputations: a 24-year experience. J Burn Care Res 27(2):183–188

    Article  PubMed  Google Scholar 

  10. Key JA (1944) Amputation for chronic osteomyelitis. J Bone Joint Surg Am 26:350–355

    Google Scholar 

  11. Larsen CF, Mulder S, Johansen AM, Stam C (2004) The epidemiology of hand injuries in The Netherlands and Denmark. Eur J Epidemiol 19(4):323–327

    Article  PubMed  Google Scholar 

  12. Leggetter S, Chaturvedi N, Fuller J, Edmonds ME (2002) Ethnicity and risk of diabetes-related lower extremity amputation. Arch Intern Med 162:73–78

    Article  PubMed  Google Scholar 

  13. Loro A, Franceschi F (1999) Prevalence and causal conditions for amputation surgery in the third world: ten years experience at Dodoma Regional Hospital, Tanzania. Prosth Orth Int 23:217–224

    CAS  Google Scholar 

  14. Mensah GA (2008) Ishemic heart disease in Africa. Heart 94:836–843

    Article  PubMed  CAS  Google Scholar 

  15. Muyembe VM, Muhinga MN (1999) Major limb amputation at a provincial general hospital in Kenya. East Afr Med J 76:163–166

    PubMed  CAS  Google Scholar 

  16. Naraysingh V, Singh M, Raindass Mj, Rampaul R, Ali T, Teeluck Singh S, Muharaj D (2002) Major lower limb amputations in Trinidad; a retrospective analysis. (Amputations). Diabetic Foot. http://www.articlearchives.com/medicine-health/diseases-disorders-endocrine/978779-1.html. Accessed 17 May 2009

  17. Obimbo MM, Bundi PK, Collis F, Ogeng’o JA (2008) Foot complications among diabetics attending a district hospital in Kenya: Predisposing factors and possible intervention. Ann Afr Surg 2:3–8

    Google Scholar 

  18. Polyolainen J, Alaranta H (1988) Lower limb amputations in Southern Finland 1984–85. Prosth Orth Int 12(1):9–18

    Google Scholar 

  19. Rommers GM, Vos LD, Groothoff JN, Schuiling CH, Eisma WH (1997) Epidemiology of lower limb amputees in the North of Netherlands, aetiology, discharge destination and prosthetic use. Prosth Orth Int 21(2):92–99

    CAS  Google Scholar 

  20. Rucker-Whitaker C, Feinglass J, Pearce WH (2003) Explaining Racial variation in lower extremity amputation. A 5 year retrospective claims data and medical record review at an urban teaching hospital. Arch Surg 138:1347–1351

    Article  PubMed  Google Scholar 

  21. Saidi HS, Macharia WN, Atinga JEO (2005) Outcome of hospitalized road trauma patients at a tertiary hospital in Kenya. Eur J Trauma 31:401–406

    Article  Google Scholar 

  22. Saidi H (2008) Firearm injuries: surgical perspective. East Afr Med J 85(3):105–106

    PubMed  CAS  Google Scholar 

  23. Thanni LO, Tade AO (2007) Extremity amputation in Nigeria—a review of indications and mortality. Surgeon 5:213–217

    PubMed  CAS  Google Scholar 

  24. Yinusa W, Egbeye ME (2003) Problems of amputation surgery in a developing country. Int Orthop (SICOT) 27:121–124

    CAS  Google Scholar 

  25. Yowler CJ, Mozingo DW, Ryan JB, Pruitt BA Jr (1998) Factors contributing to delayed extremity amputation in burn patients. J Trauma 45(3):522–526

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Julius A. Ogeng’o.

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Ogeng’o, J.A., Obimbo, M.M. & King’ori, J. Pattern of limb amputation in a Kenyan rural hospital. International Orthopaedics (SICOT) 33, 1449–1453 (2009). https://doi.org/10.1007/s00264-009-0810-5

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  • DOI: https://doi.org/10.1007/s00264-009-0810-5

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