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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.
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References
- Akinyooha Al, Ogini LM, Adegbehingbeoo, Orimolade
- EA, Ogundele OJ. Causes of Limb amputations in Nigerian Children West Afr J Med 25 (4): 273 – 5, 2006.
- Thami Lo, Tade AO, Extremity amputation in Nigeria: Review of indications and mortality. Surgeon 5(4): 213 -7, , 2007 Aug.
- Ogeng’o JA, Ibimbo MM, King’ori J. Pattern of limb amputation in a Kenyan Rural hospital. Int. Orthop. 33(5): 1449-53, 2009.
- Ogunlade so, Alonge TO, Omolola AB, Gama JY, Salawu SA. Major limb amputations in Ibadan. Afr. J Med Sci. 31 (4): 333-6, 2002 Dec.
- Onuminya JE, Obekpa PO, Ihezue HC, Ukegbu ND Onabowele B. Major amputations in Nigeria: a plea to educate traditional bone setters. Trop Doctor 30(3): 133-5, 2000 Jul.
- Yakubu A, Muhamad 1, Mabogunje O. Limb amputation in Children in Zaria, Nigeria Ann Trop Paediatr. 15(2): 163 – 5, 1995 Juin.
- Criag B.P. Diabetes – related lower limp amputations in Australia. The medical journal of Australia 173:352-54, 2000.
- Solomon C, Van Riy A, Barnett R. Amputations in the surgical budget.
- NZ Med J 107; 78-80, 1994.
- Ashry HR, Lavery LA, Armstrong DG. Cost of diabetes-related amputations in minorities. J Foot Ankle Sung 37; 186-90, 1998.
- Van Hontum WH, Lavery LA, Harkles LB. The cost of diabetes related lover extremity amputations in the Netherlands. Diabetic Med. 1995; 12:777-81
- Sarah GH, Lila Schwartz, Brenda J. shields, Huynh
- Xiang and Gary A Smith. Characteristics of pediatric traumatic amputations treated in hospital emergency departments: United states 1990-2002. Pediatrics 116(5) 667-74, 2005.
- Pisoh –Tangnyin C, Bengondo M, Mbuagbaw, Lekina, Takongmo S, Farikou I, Ngowe Ngowe M. Lower extremity diabetic surgical complications in Yaoundé – Cameroon. Health Sci. Dis 10(1): , 2009.
- Lester F. Amputation in patients attending a diabetic clinic in Addis Ababa, Ethiopia. Ethiop Med J. 33; 15-20, 1995.
References
Akinyooha Al, Ogini LM, Adegbehingbeoo, Orimolade
EA, Ogundele OJ. Causes of Limb amputations in Nigerian Children West Afr J Med 25 (4): 273 – 5, 2006.
Thami Lo, Tade AO, Extremity amputation in Nigeria: Review of indications and mortality. Surgeon 5(4): 213 -7, , 2007 Aug.
Ogeng’o JA, Ibimbo MM, King’ori J. Pattern of limb amputation in a Kenyan Rural hospital. Int. Orthop. 33(5): 1449-53, 2009.
Ogunlade so, Alonge TO, Omolola AB, Gama JY, Salawu SA. Major limb amputations in Ibadan. Afr. J Med Sci. 31 (4): 333-6, 2002 Dec.
Onuminya JE, Obekpa PO, Ihezue HC, Ukegbu ND Onabowele B. Major amputations in Nigeria: a plea to educate traditional bone setters. Trop Doctor 30(3): 133-5, 2000 Jul.
Yakubu A, Muhamad 1, Mabogunje O. Limb amputation in Children in Zaria, Nigeria Ann Trop Paediatr. 15(2): 163 – 5, 1995 Juin.
Criag B.P. Diabetes – related lower limp amputations in Australia. The medical journal of Australia 173:352-54, 2000.
Solomon C, Van Riy A, Barnett R. Amputations in the surgical budget.
NZ Med J 107; 78-80, 1994.
Ashry HR, Lavery LA, Armstrong DG. Cost of diabetes-related amputations in minorities. J Foot Ankle Sung 37; 186-90, 1998.
Van Hontum WH, Lavery LA, Harkles LB. The cost of diabetes related lover extremity amputations in the Netherlands. Diabetic Med. 1995; 12:777-81
Sarah GH, Lila Schwartz, Brenda J. shields, Huynh
Xiang and Gary A Smith. Characteristics of pediatric traumatic amputations treated in hospital emergency departments: United states 1990-2002. Pediatrics 116(5) 667-74, 2005.
Pisoh –Tangnyin C, Bengondo M, Mbuagbaw, Lekina, Takongmo S, Farikou I, Ngowe Ngowe M. Lower extremity diabetic surgical complications in Yaoundé – Cameroon. Health Sci. Dis 10(1): , 2009.
Lester F. Amputation in patients attending a diabetic clinic in Addis Ababa, Ethiopia. Ethiop Med J. 33; 15-20, 1995.