dc.contributor.author | Awori, Kirsteen O | |
dc.date.accessioned | 2013-05-23T09:12:46Z | |
dc.date.available | 2013-05-23T09:12:46Z | |
dc.date.issued | 2004 | |
dc.identifier.citation | Master of Medicine in Surgery, University of Nairobi 2004 | en |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/11295/24747 | |
dc.description.abstract | This study was designed to assess the outcome of lower limb amputations as managed at
the Kenyatta National Hospital.
A prospective analysis of consecutive patients who underwent lower limb amputations at
the Kenyatta National Hospital between July 1st, 2003 and June 30th, 2004 was
performed. Data on the management and outcome were collected using questionnaires
administered to the patients while admitted and in the follow-up clinics. The main
outcome measures were the duration of hospital stay, duration of wound healing, need
for operative revision, need to convert to a higher amputation level, degree of mobility
and the thirty-day postoperative mortality.
A total of74 patients (46 males) underwent 77 lower limb amputations. The mean age at
operation was 44.4 years (range 7 months - 96 years). Ninety one percent were major
amputations; 42 AKA ( 3 bilateral), 24 BKA and 4 hip disarticulations. Open
amputations comprised 23% of the total. Extremity gangrene due to peripheral vascular
diseases was the main indication for amputation (55%). Anaemia was the most common
co-morbid condition (27%) followed by diabetes (18%), while stump infection was the
commonest complication (33%). The thirty-day mortality rate was 13.5%. The healing
rate for BKA was significantly less than for AKA, with a 21% rate of eventual
conversion of BKA to AKA. Most of the patients (70%) were ambulating on crutches
The average duration of hospital stay was 29.3 days. There was no patient who was using
a prosthetic limb during the study period. | en |
dc.language.iso | en | en |
dc.publisher | University of Nairobi | en |
dc.title | Assessment of the outcome of lower limb amputations as seen in Kenyatta National Hospital | en |
dc.type | Thesis | en |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |
local.publisher | School of Medicine | en |