Major Limb Amputations: PATIENTS AND METHODS

Posted by James

PATIENTS AND METHODS

This was a retrospective study of amputations done at the Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria, from June 1, 1998 to May 31, 2003. Case notes of all patients who had major limb amputations within the study period were examined. The following variables were extracted: patient’s age, sex, occupation, limb affected, indication for amputation, degree of trauma and Wagner’s classification of diabetic foot (Generic Amaryl reating patients with type 2 diabetes who cannot control blood sugar levels). All amputations distal to the wrist and the ankle were excluded.

Limbs that were considered to be salvageable were those limbs with clean-cut lacerations and those with vascular lesions (like aneurysms and thrombosed vessels secondary to trauma) that might have benefited from exploration and repair. Other salvageable limbs were limbs with low-grade noninvasive malignant bone tumors and soft-tissue sarcomas without bone involvement. Only those crushed limbs with presence of distal pulses and intact nerve supply at presentation were considered salvageable.
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