PATTERNS AND INDICATIONS OF AMPUTATION IN AABET HOSPITAL, ADDISS ABABA, ETHIOPIA: 2 YEAR’S REVIEW

Abstract

ABSTRACT BACKGROUND: Amputation is a surgical procedure for the removal of a limb which is indicated when limb recovery is impossible. There are different types of amputation, and their causes can vary from one area to the other. Therefore, the objective of this study is to find out the patterns and causes of amputations in patients presented to AaBET Hospital, Addis Ababa. Ethiopia. METHODS: A hospital based retrospective descriptive study was done. The record of 173 patients who had amputation at different sites after admission to AaBET Hospital, Addis Ababa, from September (9), 12, 2015 – September (9), 10,2017 were reviewed. Descriptive statistical tools were used to analyze the findings. The results were compared with similar studies worldwide and in Ethiopia. RESULT: A total of 173 patients had amputation of which 78% were males. The age range was from 4 to 86 years. The commonest type of amputation was major lower limb amputation (46.8%) which includes Below knee amputation (29.1%), Knee Disarticulation (1.7%) and Above Knee amputation (16%) followed by digital amputation (31.4%). There was 14.8% major upper limb amputation. The most common indications were Trauma 75 (43.4%), Gangrene 69 (39.9%) and Tumors 8 (4.6%). CONCLUSION: Below Knee Amputation was the commonest type of Lower Limb amputation while Digital amputation was the commonest in the Upper Limb. Trauma and Gangrene were the leading indications for amputations in our setup. KEYWORDS: Amputation. Disarticulation, Amputation Indications, Limb, Trauma, Retrospective