Document Detail


Major amputations in Nigeria: a plea to educate traditional bone setters.
MedLine Citation:
PMID:  10902466     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A study was made of 100 major amputations performed on 96 patients in two regional hospitals in a 10-year period in Nigeria. The objective of the study was to evaluate the outcome of major amputations in Nigeria. The median age of patients was 30 years with male to female ratio 3:1. Ninety of the 100 major amputations involved the lower limbs with the above-the-knee/elbow-the-knee ratio of 0.5. Trauma was the leading indication for 70 amputations, of these 60 were iatrogenic resulting from mismanaged fractures by the traditional bone setters. The non-traumatic indications were: diabetic limb gangrene (20); bone malignancies (9); and vascular insufficiency (1). Provisional amputation was offered in 60 cases, of these 10 had reamputation. There were eight (8.5%) mortalities. The functional outcome for this group was discouraging. Only 25 amputees affording successful prosthetic fitting and social rehabilitation. Major amputation in Nigeria foreshadows a dismal existence and emphasizes the need for health policies which are effective in controlling the risk factors.
Authors:
J E Onuminya; P O Obekpa; H C Ihezue; N D Ukegbu; B O Onabowale
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Tropical doctor     Volume:  30     ISSN:  0049-4755     ISO Abbreviation:  Trop Doct     Publication Date:  2000 Jul 
Date Detail:
Created Date:  2000-09-07     Completed Date:  2000-09-07     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  1301706     Medline TA:  Trop Doct     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  133-5     Citation Subset:  IM    
Affiliation:
Jos UniversityTeaching Hospital, Nigeria.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Amputation / mortality,  statistics & numerical data*
Amputation, Traumatic / etiology*,  mortality
Child
Child, Preschool
Cultural Characteristics
Female
Fractures, Bone / complications*,  therapy
Humans
Iatrogenic Disease*
Male
Medicine, African Traditional*
Middle Aged
Nigeria / epidemiology
Risk Factors
Splints / adverse effects*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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