EPIDEMIOLOGY OF EXTREMITY AMPUTATIONS IN YAOUNDE-CAMEROON

C Pisoh-Tangnyin, Ibrahim Farikou, Bernadette Ngo Nonga, ML Guifo, SN Mbah, Marcellin Ngowe Ngowe, Samuel Takongmo, MA Sosso

Abstract


OBJECTIVES: The study was carried out to analyse the risks, the indications and complications of extremity amputations in Yaoundé-Cameroon

 

METHODOLOGY: This was a retrospective study of patients operated in the University Hospital Centre within a period of 15years, 1st January 1996 to 31st December 2010.  The variables studied were the age and sex of the patients, the risk factors for the extremity amputation, the indications of the extremity amputation, and the complications

 

RESULTS: The study was carried out on 123 files of patients aged 5 to 73 years with a mean age of 42years.  There were 72 patients of the male sex and 51 patients of the female sex.  128 amputations were realized with 90 (70.3%) in the lower extremity and 38(29.7 %) in the upper extremity.  Two patients had bilateral amputations and three patients had repeat amputations.  There were 27 patients (21.5%) with postoperative complications dominated by stump infection followed by hematoma. The leading risk factor for amputation was diabetes (51: 41.5%) followed by ulcer (24: 18.8%) and vascular diseases (19 cases: 14.8%).  Diabetic complication was the commonest cause for amputation (44: 35.8%) followed by gangrene from non infectious and infectious causes (35: 28.5%).  One hundred and eleven (111) patients (90.2%) evolved favorably and were discharged.  There were 11 (8.9%) deaths

 

CONCLUSION: In spite of complications and inconveniences of extremity amputations, they remain life saving means when health education towards foot care in diabetes, prevention of gangrene and proper management of diabetes and infections of the extremities have failed.

Key words: Amputation, diabetic foot, gangrene.


Keywords


Amputation, pied diabétique, gangrène

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