The scope of extremity amputations in a private hospital in the south-south region of Nigeria

Abstract

Background: The aim of the study was to review extremities amputation cases in a private medical establishment in Port Harcourt with a view to identifying the incidence, indications, and limb status at surgery.

Methods: Hospital records were reviewed on amputation cases from June 1998 to May 2003. Upper and lower limb amputations done elsewhere with stump reviews by us were included.

Results: Thirty-four cases were reviewed, with a male to female ratio of 2.1:1. The 2nd to 4th decade produced 67.6 percent of the victims. Trauma contributed 70.5 percent of the cases, with road trauma contributing 47 percent of the entire series. Gangrene as a result of injury complication was the commonest indication for surgery. Lower limb amputations were commoner (n = 24) than upper limb amputations (n = 10). Below knee amputation was the commonest procedure performed. The percentage of the patients who consulted the traditional bone setter before presentation in hospital was 33%.

Conclusion: Complications of injuries arising from road traffic accidents are a major cause of limb loss in our environment. Ignorance and cultural beliefs expose innocent persons to quacks especially traditional bone setters. Education and strong legislation is advocated to prevent unwarranted limb loss.