Abstract
OBJECTIVE: To nd out the main causes of lower limb amputation (LLA)
during the four years period at Pakistan Institute of Prosthetic and Orthotic
Sciences (PIPOS) Rehabilitation Services Programme (PRSP) Peshawar, Khyber
Pakhtunkhwa, Pakistan.
METHODS: This retrospective cross-sectional study evaluated four-year
records of the registered LLA patients from PRSP Peshawar for assessment and
evaluation from January 2010 to December 2013. The collected data was
analyzed using Microsoft Excel, descriptive analysis like means, standard
deviation, percentages, range etc, on the bases of age, gender and causes of
amputation were calculated.
RESULTS: Out of 5820 patient with LLA registered during the study period,
5116 (87.9%) were males and 704 (12.1%) were females. Mean age of patients
was 37±19 years and about 67.6% (n=3933) patients were ≤40 years of age.
Overall, trans-tibial amputations were common (n=3582/5820; 61.6%),
followed by trans-femoral amputation (n=1496; 25.7%). Generally, an
increasing trend in frequency of patients with LLA was observed over four
years. Major causes of LLA were trauma (61.9%), reconstructive surgeries
(15.4%), various diseases (8.2%) and congenital (2.1%). In 12.4% cases, cause
of LLA was not documented. Bomb blast injuries (21.6%) and road trafc
accidents (14.6%) were main traumatic causes of LLA and diabetes mellitus
(4.6%) was the commonest disease-related cause of LLA.
CONCLUSION: Majority of patients were males and were ≤40 years of age.
Trans-tibial amputations were common. Trauma (mainly bomb blasts injuries
and road trafc accidents), reconstructive surgeries and various diseases like
diabetes are the leading causes of LLA in patients at PRSP, Peshawar, Pakistan.
Aziz Ahmad, Omar Ashfaq, Nizar Akhtar, Tabassum Rana, Momi Gul. (2019) CAUSES OF LOWER LIMB AMPUTATION IN PATIENTS REGISTERED AT PAKISTAN INSTITUTE OF PROSTHETIC AND ORTHOTIC SCIENCES PESHAWAR-PAKISTAN, KHYBER MEDICAL UNIVERSITY JOURNAL, Volume 11, Issue 1.
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