dc.contributor.author | Ojwang, Fanuel O | |
dc.date.accessioned | 2024-05-06T05:50:55Z | |
dc.date.available | 2024-05-06T05:50:55Z | |
dc.date.issued | 2023 | |
dc.identifier.uri | http://erepository.uonbi.ac.ke/handle/11295/164555 | |
dc.description.abstract | Background: Upper limb amputations contributes about 8-20% of the total amputations done
compared to lower limb amputations contributing about 75-90%. However, it causes more
functional losses and psychological trauma on amputees, the bulk of whom are in the working and
productive age group. Trauma causes the bulk of amputations followed by dysvascular conditions,
infection, tumours and congenital malformations. There is a paucity of data on the subject in
developing countries, a situation that hinders the development of workplace and occupational
safety procedures, rehabilitation protocols, development and availability of suitable prostheses
Objectives: The study will establish the demographic characteristics, levels and indications of
upper limb amputations at Kenyatta National Hospital
Study setting: Department of Records/Health Information at KNH
Study design: Descriptive retrospective study
Subjects: Two hundred and ninety-nine (299) patients who underwent upper limb amputations at
KNH between 1st February 2018 to 31st January 2023
Results: The age range was from 2 months to 83 years with a mean age of 30 years. The highest
number of amputees were in the 19-30 years age group, had primary education (44.5%) and were
unemployed (44.2%). The leading indications were Trauma 83.9%, infections 6.0%, vascular
abnormalities 3.0%, congenital abnormalities 2.7%, burns 2.3%, and tumors 2.0%.
Accidental lacerations caused the bulk of traumatic amputations. Trans phalangeal amputation
was the most common level of amputation (76.2%)
Conclusion: Upper limb amputation is a common procedure in KNH. Trauma causes the bulk of
the cases, majority of which are machine and workplace related, further studies are required into
this area to guide in development of policy that enhance occupational safety | en_US |
dc.language.iso | en | en_US |
dc.publisher | University of Nairobi | en_US |
dc.rights | Attribution-NonCommercial-NoDerivs 3.0 United States | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/us/ | * |
dc.title | Pattern of Upper Limb Amputations in Kenyatta National Hospital: a Five-year Retrospective Study | en_US |
dc.type | Thesis | en_US |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |