Two faces of major lower limb amputations.

dc.contributor.authorPaudel, Ben_US
dc.contributor.authorShrestha, B Ken_US
dc.contributor.authorBanskota, A Ken_US
dc.date.accessioned2009-05-28T04:13:38Z
dc.date.available2009-05-28T04:13:38Z
dc.date.issued2005-07-25en_US
dc.descriptionKathmandu University Medical Journal.en_US
dc.description.abstractOBJECTIVES: To review the indications for major lower limb amputations in adults and children in our patient population and to compare our experience in prosthetic rehabilitation with that of other published information. MATERIAL AND METHODS: We retrospectively reviewed charts of patients who underwent amputation between 1997 to 2004 at the Orthopaedic Department of B& B Hospital (BBH), Gwarko and Hospital and Rehabilitation center for Disabled Children ( HRDC), Banepa. There were 113 patients at BBH & 89 patients at HRDC. Major amputation was defined as any amputation at or proximal to wrist and ankle. RESULTS: Major lower limb amputations constituted 73.58%(39/53) of all major amputations at BBH and 97.77% (44/45) at HRDC.Road traffic accident was found to be number one cause for major lower limb amputations (74.29%) in adult population. In children postburn contracture was the leading cause for amputation (29.54%) followed by Congenital limb conditions (22.72%), Spina bifida with trophic ulcers ( 20.45%), Tumor (13.63%), Chronic Osteomyelitis (6.81%), Trauma (4.54%) and Arthrogryposis (2.27%). Prosthetic fitting and rehabilitation is as yet far from satisfactory in the adult population but all the children who had amputation at HRDC were fitted with prosthesis. CONCLUSION: Main causes of major lower limb amputation in both population is largely preventable by instituting safety measures and conducting awareness program. There is a need for an effective prosthetic fitting center for adults.en_US
dc.description.affiliationOrthopaedic Department, Hospital and Rehabilitation Center for Disabled Children, Banepa, Nepal. drbyapak@info.com.npen_US
dc.identifier.citationPaudel B, Shrestha BK, Banskota AK. Two faces of major lower limb amputations. Kathmandu University Medical Journal. 2005 Jul-Sep; 3(3): 212-6en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/46628
dc.language.isoengen_US
dc.source.urihttps://www.kumj.com.npen_US
dc.source.urihttps://kumj.com.np/ftp/issue/11/212-216.pdfen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAmputation --statistics & numerical dataen_US
dc.subject.meshChilden_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshLeg --surgeryen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.titleTwo faces of major lower limb amputations.en_US
dc.typeJournal Articleen_US
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