Major amputations in Nigeria: a plea to educate traditional bone setters
| Autor: | J. E. Onuminya, N D Ukegbu, H C Ihezue, P. O. Obekpa, B. O. Onabowale |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment 030231 tropical medicine Iatrogenic Disease Nigeria 030204 cardiovascular system & hematology Amputation Surgical 03 medical and health sciences Fractures Bone 0302 clinical medicine Plea Amputation Traumatic Risk Factors medicine Humans Risk factor Vascular insufficiency Child Medicine African Traditional Aged Gangrene Aged 80 and over Cultural Characteristics business.industry General surgery Public Health Environmental and Occupational Health Middle Aged medicine.disease Surgery Infectious Diseases Amputation Splints Child Preschool Etiology Female Complication business Major amputation |
| Zdroj: | Tropical doctor. 30(3) |
| ISSN: | 0049-4755 |
| Popis: | A study was made of 100 major amputations performed on 96 patients in two regional hospitals in a 10-year period in Nigeria. The objective of the study was to evaluate the outcome of major amputations in Nigeria. The median age of patients was 30 years with male to female ratio 3:1. Ninety of the 100 major amputations involved the lower limbs with the above-the-knee/elbow-the-knee ratio of 0.5. Trauma was the leading indication for 70 amputations, of these 60 were iatrogenic resulting from mismanaged fractures by the traditional bone setters. The non-traumatic indications were: diabetic limb gangrene (20); bone malignancies (9); and vascular insufficiency (1). Provisional amputation was offered in 60 cases, of these 10 had reamputation. There were eight (8.5%) mortalities. The functional outcome for this group was discouraging. Only 25 amputees affording successful prosthetic fitting and social rehabilitation. Major amputation in Nigeria foreshadows a dismal existence and emphasizes the need for health policies which are effective in controlling the risk factors. |
| Databáze: | OpenAIRE |
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