dc.contributor.author | Awori, KO | |
dc.contributor.author | Atinga, JE | |
dc.date.accessioned | 2013-05-29T06:02:12Z | |
dc.date.available | 2013-05-29T06:02:12Z | |
dc.date.issued | 2007 | |
dc.identifier.citation | East Afr Med J. 2007 Mar;84(3):121-6 | en |
dc.identifier.uri | http://hinari-gw.who.int/whalecomwww.ncbi.nlm.nih.gov/whalecom0/pubmed/?term=Atinga+JE | |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/26721 | |
dc.description.abstract | OBJECTIVE:
To determine the causes and pattern of lower limb amputations at the Kenyatta National Hospital.
DESIGN:
Descriptive prospective study.
SETTING:
The Kenyatta National Hospital between July 2003 and June 2004.
RESULTS:
A total of 77 lower limb amputations (LLA) were performed on 74 patients. The age ranged from seven months to 96 years (mean 44.8 +/- 22.5). Forty six patients (62.1%) were male. Majority of the patients (89.1%) had primary or no formal education, forty one (55.4%) were unemployed, with 39% self employed in the informal sector. Peripheral vascular diseases were the main indication for LLA (55.3%), 13 patients (17.5%) due to diabetes-related gangrene. Eighteen patients (24.3%) had tumours, mainly osteogenic sarcoma (16.2%), while trauma accounted for 18.9%. Forty two (55%) of the amputations were above-the-knee, 24 (31%) below-the-knee, four (5%) hip disarticulations and seven (9%) were foot amputations.
CONCLUSION:
This study found peripheral vascular diseases unrelated to diabetes to be the main indication for lower limb amputations at Kenyatta National Hospital contrary to previous institutional and loco-regional studies which report trauma as the leading cause. Further investigation into vascular causes is therefore recommended | en |
dc.language.iso | en | en |
dc.publisher | University of Nairobi. | en |
dc.title | Lower limb amputations at the Kenyatta National Hospital, Nairobi | en |
dc.type | Article | en |
local.publisher | Department of Human Anatomy, College of Health Sciences, University of Nairobi | en |