Department of Surgery, Ebonyi State University Teaching Hospital, Abakaliki, 480001, Nigeria.
Int Orthop. 2012 Mar;36(3):613-8. doi: 10.1007/s00264-011-1322-7. Epub 2011 Jul 22.
We aimed to determine the epidemiological pattern and highlight challenges of managing traumatic amputation in our environment.
This was a ten-year retrospective study of all the patients with traumatic extremity amputation seen in Ebonyi State University Teaching Hospital and Federal Medical Centre Abakaliki from January 2001 to December 2010.
There were 53 patients with 58 amputations studied. There was a male to female ratio of 3:1 and the mean age was 32.67 ± 1.54 years. Amputations were more prevalent in the rainy season. Road traffic accident was the predominant causative factor and accounted for about 57% of amputations. A majority of the patients (81.4%) had no pre-hospital care and none of the amputated parts received optimum care. Three patients underwent re-attachment of amputated fingers and one was successful. Wound infection (in 56.6% of patients) was the most common complication observed. Overall mortality was 7.5% and all were due to complications of amputations.
Appropriate injury prevention mechanisms based on the observed patterns are needed. Educational campaigns for prevention should be intensified during the rainy season and directed toward young men. Measures aimed at improving pre-hospital care of patients and optimum care of amputated parts is an important aspect to be considered in any developmental programme of replantation services in the sub-region.
我们旨在确定创伤性截肢在我们环境中的流行模式，并强调管理此类创伤性截肢的挑战。
这是一项回顾性研究，对 2001 年 1 月至 2010 年 12 月期间在埃邦伊州立大学教学医院和阿巴卡利基联邦医学中心就诊的所有创伤性肢体截肢患者进行了研究。
共有 53 名患者，58 例截肢，男女比例为 3:1，平均年龄为 32.67±1.54 岁。截肢在雨季更为常见。道路交通伤是主要的致病因素，占截肢的 57%左右。大多数患者（81.4%）没有院前护理，没有对截肢部位进行最佳护理。3 例患者进行了断指再植，其中 1 例成功。感染（56.6%的患者）是最常见的并发症。总的死亡率为 7.5%，均因截肢并发症所致。
需要根据观察到的模式制定适当的伤害预防机制。应在雨季加强针对年轻人的预防教育活动。改善患者的院前护理和对截肢部位的最佳护理是该次区域任何再植服务发展计划中需要考虑的重要方面。
