Changing trends for lower limb amputations in developing world
Journal Title: Medpulse International Journal of Dentistry - Year 2014, Vol 1, Issue 4
Abstract
Background Aims Purpose: To find out changing trend in indications of lower limb amputations and their impact on society specifically patients from lower economic strata in developing world. Study Design: Case series Case Description and Methods: Study was carried out in Department of surgery, Govt medical college and hospital, Nagpur, INDIA. from July 2008 to October 2013. Total 404 patients had lower limb amputation. Main outcome measures were patient’s age, gender, limb affected, indication of amputation and percentage of disability, complications, associated procedure performed. Findings and Outcome: Total 404 patients had lower limb amputation with mean age of 45 years with significant higher percentage in males (77.97%). Most common indication of amputation was diabetes mellitus 137(33.91%), peripheral vascular disease 127(31.43%), followed by trauma 65(16.08%) and tumour 44 (10.89%), with rare causes such as gas gangrene, burns, leprosy, osteomyelitis, etc. Tendency was to conserve knee with below knee to above knee ratio of 1.8:1 initially which changed to 1.21:1 after redo amputation. Prosthesis was offered to 160 (39.60%) patients from this institute, having good quality of life, other patients preferred crutches , some have preferred prosthesis from other physiotherapy centres. There was lesser morbidity, improved quality of life with better prosthetic fitting in patients of below knee amputation. Conclusion: Diabetes mellitus is leading indication of lower limb amputation and there is persistent increase in amputation because of Trauma with relative decline in number of amputations because of peripheral vascular disease indicating a changing trend. Clinical Relevance: Understanding this changing trend, lower limb amputations can very well be reduced by taking general precautions like foot care, control of blood sugar and road safety measures, it will reduce the morbidity and loss of man power
Authors and Affiliations
Hedawoo J B, Mehsare P S, Shahane S, Jadhav S
Keywords
Related Articles
- EP ID EP177029
- DOI -
- Views 145
- Downloads 0
A cross sectional study to analyse the smoking patterns and knowledge about harmful consequences of smoking on the beneficiaries attending the anti-tobacco clinic
Background: Tobacco is the second major cause of death in the world. The present study contemplates to analyse the smoking patterns and knowledge about harmful consequences of smoking on the beneficiaries attending the a...
A dozen human pieces – case report on a gruesome murder
The case material consisted of 12 (twelve) unidentified human body parts received in 2 lots under 2 different reference numbers on different dates. The first lot consisted of 4 human body parts and the second lot consist...
Study of various factors influencing perinatal outcome in APH
Introduction: Third trimester bleeding is known as major cause of maternal mortality throughout the world since very ancient times, though its identification and significance has only recently recognized. Variouss factor...
Knowledge awareness and attitude of medical students and teachers towards oral hygiene – A questionnaire study
Background: The aim of the study is to evaluate the knowledge, attitude and behavior regarding oral health among medical students and teaching staff. Materials and Method: A cross sectional questionnaire survey was condu...
Effect of Pranayama on cardiopulmonary functions and serum MDA levels
Yoga, pranayama, trascedental meditation are age old ancient Indian techniques known for providing a better way of living. They are claimed to improve status of body and mind. There are some evidences that pranayama prod...