Outcomes of lower limb amputees at Cotonou.

Autor: Chigblo P; Department of Orthopedic-Traumatology, National Teaching Hospital CNHU-HKM, Cotonou, Benin., Tidjani IF; Department of Orthopedic-Traumatology, National Teaching Hospital CNHU-HKM, Cotonou, Benin., Alagnidé E; Department of Physic Medicine and Rehabilitation, National Teaching Hospital CNHU-HKM, Cotonou, Benin., Lawson E; Department of Orthopedic-Traumatology, National Teaching Hospital CNHU-HKM, Cotonou, Benin., Madougou S; Department of Orthopedic-Traumatology, National Teaching Hospital CNHU-HKM, Cotonou, Benin., Agbessi O; Department of Orthopedic-Traumatology, National Teaching Hospital CNHU-HKM, Cotonou, Benin., Hans-Moevi Akué A; Department of Orthopedic-Traumatology, National Teaching Hospital CNHU-HKM, Cotonou, Benin.
Jazyk: angličtina
Zdroj: Journal of clinical orthopaedics and trauma [J Clin Orthop Trauma] 2019 Jan-Feb; Vol. 10 (1), pp. 191-194. Date of Electronic Publication: 2017 Dec 09.
DOI: 10.1016/j.jcot.2017.12.002
Abstrakt: Background: Limb amputations are responsible for disability. We studied the outcomes of lower limb amputees in our daily practice.
Methods: This prospective analytical study over 7 years (January 2009-December 2015) included 70 amputees of lower limb. They were mainly male (73%), aged on average of 42.4 ± 18.8 years. The mean time of follow- up was 3.2 ± 1.9 years. We assessed disability on balance, walking, disability in daily life for patients with prosthesis, and the socio-economic impact of the amputation. Statistical analysis was performed with Chi 2 and Mann-Whitney tests; a p -value ≤ 0.05 was considered statistically significant.
Results: The average Timed Up and Go Test was 18.5 s. Class II of Pohjolainen subjects were the most recovered (37%). The mean Houghton score in the 17 fitted patients was 6.2 ± 2.0. Socially, 90% of the patients no longer practiced leisure activities, and 4/53 patients were no longer in a couple. At the economic level, 87% of patients had a decreased monthly income. Factors that bear direct correlation to functional outcome of patients were the level of amputation, and the prosthesis fitting.
Conclusion: Lower limbs amputations entail adverse consequences at the functional and socio-economic level. Our country must review its policy on prosthetic fittings for amputees, and vote laws that involve private firms and government in socio-economic reintegration, and empowerment of these subjects.
Databáze: MEDLINE
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