Yakubu A, Muhammad I, Mabogunje O A
Department of Surgery, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.
J R Coll Surg Edinb. 1996 Apr;41(2):102-4.
Over a period of 10 years, a total of 320 limb amputations were performed on adults at the Ahmadu Bello University Hospital, Nigeria. The major indication for upper limb amputation was trauma and post-fracture splintage gangrene (57%). In the lower limb the most common indication for amputation was advanced squamous cell carcinoma of the skin involving the bone. There was no case of peripheral vascular disease in these patients other than diabetic ulcers. The fitting of prosthesis was uncommon. Most of these amputations were certainly preventable. The need is for early and effective management of fractures, and the excision and grafting of non-healing leg ulcers before they become chronic.
在10年的时间里，尼日利亚阿马杜·贝洛大学医院共对成年人实施了320例肢体截肢手术。上肢截肢的主要指征是创伤和骨折后夹板固定性坏疽（57%）。下肢截肢最常见的指征是累及骨骼的晚期皮肤鳞状细胞癌。除糖尿病溃疡外，这些患者中没有外周血管疾病病例。假肢安装并不常见。这些截肢手术大多肯定是可以预防的。需要对骨折进行早期有效的处理，以及在腿部溃疡未发展成慢性之前对其进行切除和植皮。
