DEMOGRAPHIC PROFILE AND SURGICAL OUTCOME OF VARIOUS TYPES OF LOWER LIMB AMPUTATIONS'

Abstract

Background- Amputations is one of the oldest surgery known to mankind.Knowledge on the current trends in amputation is necessary to devise effective preventive measures at community level and to reduce this devastating event. : - 1)To know the incidence of various types of lower-limb amputations in our hospital.2)ToAim And Objectives study the demographic pattern in lower limb amputations in our hospital.3)To know the various risk factors leading to lower limb amputations.4)To know the immediate postoperative complications associated with lower-limb amputations. MATERIALS AND METHODS-This study is a prospective observational study.All patients who have undergone lower limb amputation during 1 year period fulfilling the inclusion criteria were included in the study.Main outcome measures were patient's age, gender, limb affected, indication for amputation, complications, reamputation rate,associated procedure performed, duration of hospital stay and outcome. Of the 96 patients who have underwent lowerResults- limb amputations,the mean age was 57.34 with male: female ratio 3:1.Hospital stay ranged from 3 days to 90days.The presence of comorbidities such as Diabetes Mellitus,Peripheral vascular disease and osteomyelitis were associated with an increased rate of complications postoperatively. The most common complication was stump infection , followed by phantom limb.10 patients died during the hospital stay. Sepsis with MODS was the main cause of death.Reamputation rate in this study was 5%. Diabetic foot and its complications is the leading cause of amputations.ThusConclusion- educating diabetics on proper foot care can prevent diabetic patients from ending up with amputations. Prevention is better than cure.