Limb Amputations in Owerri                   Orient Journal of Medicine                        Vol 28 [1-2] Jan-June, 2016
ORIGINAL ARTICLE

Epidemiology and pattern of limb amputations at a private hospital in Owerri, Imo State, South-East Nigeria
Solomon N UKIBE1
Nkiruka R UKIBE2
Alphonsus C OBI- OKARO3
Jervas EKEZIE1
Chukwubike U  OKEKE1
Chidinma T  ONYEANUSI1

1Dept of Prosthetics & Orthotics, School of Health Technology, Federal University of Technology
Owerri, Imo State, NIGERIA

2Dept of Medical Laboratory
Science, Faculty of Health Science, Nnamdi Azikiwe University Teaching Hospital Nnewi, NIGERIA
3Dept of Community Medicine
College of Medicine, Nnamdi Azikiwe University Teaching Hospital, Nnewi, NIGERIA


Author for Correspondence
Solomon N UKIBE
Dept of Prosthetics &Orthotics, School of Health Technology, Federal University of Technology Owerri, NIGERIA

Email: soloukibe@yahoo.com
Phone: +234 803 500 0346

Received:  October 26th, 2015
Accepted: May 14th, 2016

DISCLOSURES: NONE
ABSTRACT
Background: Amputation of either the upper or lower extremities in man presents a special public health challenge due to the problems associated with patientsí rehabilitation.
Objective: To determine the epidemiology and pattern of limb amputations in a private medical setting in Owerri, Imo State.
Methodology: This was a 5
-year retrospective epidemiological study of a total of 251patients who had amputations between 2006 and 2010.
Results: Out of 251 patients studied, 166 (66.14%) were males while 85 (38.86%) were females. Lower limb amputations (LLA) occurred more frequently (189) than upper limb amputations (ULA) (62) in the ratio of 3:1. The age group with the highest rate of amputation (LLA) in both sexes was 41-60 years (64%). Trauma was the most common reason for upper limb amputations (75.8%), while peripheral vascular disease was the most frequent indication for lower limb amputation (49.8%). The occupational group with the highest rate of amputation was the commercial motor cyclists (33.9%), followed by commercial drivers (21.5%). The pattern of amputation showed that digits/toes amputations were the most frequent procedures (35.1%) followed by below knee/below elbow amputations (27.2%).
Conclusion: Amputations were more in the males of the productive age range, and most of them were in the lower limbs. Trauma was the most frequent indication for limb amputations. This has a far-reaching effect on family and state economy.

Keywords: Diabetes mellitus, trauma, peripheral, vascular disease