Traumatic extremity amputation in a Nigerian setting: patterns and challenges of care.
Purpose: We aimed to determine the epidemiological pattern and highlight challenges of managing traumatic amputation in our environment.Method: This was a ten-year retrospective study of all the patients with traumatic extremity amputation seen in Ebonyi State University Teaching Hospital and Federa...
| Publicado en: | International Orthopaedics Vol. 36; no. 3; pp. 613 - 619 |
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| Autores principales: | , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Springer Nature
Mar2012
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104532885&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104532885 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03412695 NQZ jtl: International Orthopaedics issn: 03412695 maglogo: N pubinfo: dt: Mar2012 vid: 36 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 104532885 104532885 NLM21779952 2011483075 10.1007/s00264-011-1322-7 NLM21779952 PMC3291756 104532885 ppf: 613 ppct: 6 formats: tig: atl: Traumatic extremity amputation in a Nigerian setting: patterns and challenges of care. aug: au: Omoke NI Chukwu CO Madubueze CC Egwu AN Omoke, Njoku Isaac Chukwu, Christian Onyebuchi Otu Madubueze, Christian Chukwuemeka Egwu, Agama Nnachi affil: Department of Surgery, Ebonyi State University Teaching Hospital, Abakaliki, 480001, Nigeria sug: subj: Amputation, Traumatic Mortality Extremities Surgery Safety Accidents, Traffic Adult Amputation, Traumatic Etiology Amputation, Traumatic Surgery Female Academic Medical Centers Human Male Nigeria Replantation Retrospective Design Seasons Surgical Wound Infection Mortality Survival Adult: 19-44 years Female Male ab: Purpose: We aimed to determine the epidemiological pattern and highlight challenges of managing traumatic amputation in our environment.Method: This was a ten-year retrospective study of all the patients with traumatic extremity amputation seen in Ebonyi State University Teaching Hospital and Federal Medical Centre Abakaliki from January 2001 to December 2010.Result: There were 53 patients with 58 amputations studied. There was a male to female ratio of 3:1 and the mean age was 32.67 ± 1.54 years. Amputations were more prevalent in the rainy season. Road traffic accident was the predominant causative factor and accounted for about 57% of amputations. A majority of the patients (81.4%) had no pre-hospital care and none of the amputated parts received optimum care. Three patients underwent re-attachment of amputated fingers and one was successful. Wound infection (in 56.6% of patients) was the most common complication observed. Overall mortality was 7.5% and all were due to complications of amputations.Conclusion: Appropriate injury prevention mechanisms based on the observed patterns are needed. Educational campaigns for prevention should be intensified during the rainy season and directed toward young men. Measures aimed at improving pre-hospital care of patients and optimum care of amputated parts is an important aspect to be considered in any developmental programme of replantation services in the sub-region. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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