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East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
ISSN: 1024-297X EISSN: 1024-297X
Vol. 18, No. 2, 2013, pp. 103-107
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Bioline Code: js13037
Full paper language: English
Document type: Research Article
Document available free of charge
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East and Central African Journal of Surgery, Vol. 18, No. 2, 2013, pp. 103-107
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Prevalence, Indications, Levels and Outcome Limb amputations at University Teaching Hospital-Butare in Rwanda.
Murwanashyaka, E.; Ssebuufu, R. & Kyamanywa, P.
Abstract
ackground:
Amputation is one of the oldest surgical procedures with artificial limbs identified
from over 2000 years ago. Amputation is still often viewed as a failure of treatment but can be the
treatment of choice and life saving procedure for severe trauma, vascular disease and tumors. The
aim of this study was to determine the prevalence, indications and levels of limb amputation at the
University Teaching Hospital Butare (UTH-B) from 1st January 2009 to 31st March, 2012.
Methods:
The records of 107 limb amputations performed in patients admitted at UTH-B over a
period of 2 years and 3 months were reviewed.
Results:
Out of 3466 operated cases in Surgery Department, there were 107 limb amputations
accounting for 3.08% of all operations performed during the study period. Females accounted for
29.9% cases. The mean age was 44.7±21.5 years. The commonest indication was gangrene in
43.95% especially dry gangrene with 22.43%.The most common level was below knew amputation
(BKA) with 37.38% of cases. The outcome of the 107 patients amputated: 87.9% had uneventful
recovery, 7.5% were re-operated and 4.7% died.
Conclusion:
The prevalence of limb amputation was 3.08% with the commonest indication as
gangrenes most often secondary to peripheral vascular disease. Below knee amputation was the
most performed procedure. The majority (87.9%) of the patients had uneventful recovery. The
postoperative mortality rate was 4.7%.
Keywords
Limb; Amputation; Prevalence; Indication; Levels; outcome
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© Copyright 2013 - East and Central African Journal of Surgery
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