East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
Vol. 17, No. 3, 2012, pp. 102-106
Bioline Code: js12059
Full paper language: English
Document type: Research Article
Document available free of charge
East and Central African Journal of Surgery, Vol. 17, No. 3, 2012, pp. 102-106
© Copyright 2012 - East and Central African Journal of Surgery
Primary and Revision Amputation Surgery in a Tertiary Institution in South West Nigeria|
Esan, O.; Adeyemi, T.O.; Orimolade, E.A. & Esan, O.T.
Background: Amputation is a common elective or emergency surgical procedure. We set out to study the
cases undergoing amputation surgery with special interest of determining the prevalence rate of revision
amputation surgery; its indication and trend among patients who had amputation surgery at a tertiary
Method: Study was cross sectional in design and retrospective in nature, conducted in a tertiary health
facility selected purposively in a state, South West, Nigeria. Data collection was by reviewing the records
of amputation surgery done at a tertiary health facility over a 15-year period (1996- 2010). Data collected
were analyzed using the SPSS version 17, and statistical inferences made at p-value ≤0.05.
Results: A total of 124 amputations were done with 9 cases of revision amputation giving a prevalence
rate of 7.25%. The commonest indication found for amputation surgery was trauma while it was
ascending gangrene for revision amputation. Among those who had revision amputation done, 75% were
diabetic while 22% had earlier refused consent for amputation at an appropriate site. An increasing trend
in the prevalence of revision amputation was found. There was a statistically significant association
between diabetic amputees and their having a revision amputation done with p =0.002.
Conclusion: Diabetic amputees are at a higher risk of a revision amputation. Counseling and appropriate
diagnostic procedures is essential for prevention.