Ekere A U
Department of Surgery, University of Port Harcourt Teaching Hospital, Port Harcourt.
Niger J Med. 2003 Oct-Dec;12(4):225-8.
The aim of the study was to review extremities amputation cases in a private medical establishment in Port Harcourt with a view to identifying the incidence, indications, and limb status at surgery.
Hospital records were reviewed on amputation cases from June 1998 to May 2003. Upper and lower limb amputations done elsewhere with stump reviews by us were included.
Thirty-four cases were reviewed, with a male to female ratio of 2.1:1. The 2nd to 4th decade produced 67.6 percent of the victims. Trauma contributed 70.5 percent of the cases, with road trauma contributing 47 percent of the entire series. Gangrene as a result of injury complication was the commonest indication for surgery. Lower limb amputations were commoner (n = 24) than upper limb amputations (n = 10). Below knee amputation was the commonest procedure performed. The percentage of the patients who consulted the traditional bone setter before presentation in hospital was 33%.
Complications of injuries arising from road traffic accidents are a major cause of limb loss in our environment. Ignorance and cultural beliefs expose innocent persons to quacks especially traditional bone setters. Education and strong legislation is advocated to prevent unwarranted limb loss.
本研究旨在回顾哈科特港一家私立医疗机构的肢体截肢病例，以确定其发生率、指征以及手术时的肢体状况。
回顾了1998年6月至2003年5月期间的截肢病例医院记录。还纳入了在其他地方进行的上下肢截肢病例以及我们对残端的复查情况。
共复查了34例病例，男女比例为2.1:1。受害者中20到40岁年龄段的占67.6%。创伤导致了70.5%的病例，其中道路创伤占整个系列的47%。因损伤并发症导致的坏疽是最常见的手术指征。下肢截肢（n = 24）比上肢截肢（n = 10）更常见。膝下截肢是最常进行的手术。在入院前咨询过传统接骨师的患者比例为33%。
在我们所处的环境中，道路交通事故造成的损伤并发症是肢体缺失的主要原因。无知和文化信仰使无辜者容易接触到庸医，尤其是传统接骨师。提倡开展教育并制定强有力的立法以防止不必要的肢体缺失。
