An Epidemiological and Etiological Report on Lower Extremity Amputation in Northwest of Iran

Document Type : RESEARCH PAPER

Authors

Department of Orthopedic Surgery School of Medicine, Tabriz University of Medical Sciences Tabriz, Iran.

Abstract

 
Background:
Lower extremity amputation has different etiologies and the purpose of the study was to describe the demographics and etiologies of amputations.
This study was designed to evaluate amputations performed in the province of Eastern Azerbaijan (north-west of Iran) and to
 
 
 
determine specific causes of amputations associated with geographical and cultural characteristics of the region.
 
Methods:
We have done this retrospective and descriptive study from June 1st, 2005 to June 1st, 2010 in Tabriz Shohada Hospital (Tabriz, Iran). The patients were evaluated with respect to age, sex, etiology, side and level of amputations, prevalence of amputations among the sexes at different ages and surgical interventions performed.
Results:
One-hundred-sixty files were identified with a diagnosis of lower limb amputation. Trauma was the most frequent cause in 67 cases (46%), followed by vascular disease in 61 cases (42%), and then infection in 18 cases (12%). Eighty percent of patients were male and 20% were female.
Conclusion:
This investigation shows that trauma (especially due to car accidents) is the most common cause of amputations in our region, followed by vascular problems.

Keywords

References

  1. Carmona GA, Hoffmeyer P, Herrmann FR, Vaucher J, Tschopp O, Lacraz A, et al. Major lower limb amputations in the elderly observed over ten years: the role of diabetes and peripheral arterial disease. Diabetes Metab. 2005;31(5):449-54.

  2. Krishnan S, Nash F, Baker N, Fowler D, Rayman G. Reduction in diabetic amputation over 11 years  in a defined population. Diabetes Care. 2008; 31(1): 99-101.

  3. Apelqvist J, Larsson J. What is the most effective way to reduce incidence of amputation in the diabetic foot? Diabetes & Metabolism Research and Reviews. 2000;16(1): 75-83.

  4. Hazmy W, Mahamud M, Ashikin N, Jamilah S, Yee LE, Shong HK. Major limb amputations in seremban Hospital: a review of 204 cases from 1997-1999. Med J Malaysia. 2001; 56:3-7.

  5. Kauzlaric N, Kauzlaric KS, Kolundzic R. Prosthetic rehabilitation of persons with lower limp amputations due to tumor. Eur J Cancer Care. 2007;16(3):238-43.

  6. Robert K, Heck Jr. Amputation. In: Campbell’s operative orthopedics (Canale ST, Beaty JH). 11th ed. Philadelphia: Mosby; 2008: 561-579.

  7. Global Lower Extremity Amputation Study Group. Epidemiology of lower extremity amputation in centres in Europe, North America and East Asia. Br J Surg. 2000;87(3):328-37.

  8. Rotter K, Sanhueza R, Robles K, Godoy M. A descriptive study of traumatic lower limb amputees from the Hospital Hel Trabajador: clinical evolution from the accident until rehabilitation discharge. Prosthet Orthot Int. 2006; 30(1): 81-6.

  9. Dogan A,  Sngur I. Amputations in eastern Turkey (Van): a multicenter epidemiological study. Acta Orthop Traumatol Turc. 2008; 42(1):53-8.

  10. Ephraim PL, Dillingham TR, Sector M, Pezzin LE. Epidemiology of limb loss and congenital limb deficiency: a review of the literature. Arch Phys Med Rehabil. 2003; 84:747-61.

  11. Brodsky JW. The diabetic foot. In: Mann RA, Coughlin MJ, eds. Surgery of the foot and Ankle. 8 th ed. St. Louis, MO: Mosby; 2006:1281-368.

  12. Brodsky JW. Amputations of the foot and ankle. In: Mann RA, Coughlin MJ, eds. Surgery of the foot and ankle. 6th ed. St. Louis, MO: Mosby; 1993, 959-90.

The Archives of Bone and Joint Surgery
Volume 1, Issue 2 - Serial Number 2
December 2013
Pages 103-106

Files

History

  • Receive Date: 11 July 2013
  • Revise Date: 19 August 2013
  • Accept Date: 11 September 2013

Share

How to cite

Statistics