A retrospective study of major lower limb amputations carried out in the Orthopaedic Department of the General Hospital, Kuala Lumpur, during the period 1972-79, revealed that diabetes mellitus was the cause in 43 percent of all lower amputations, followed by tumours and trauma. Post-amputation complications due to wound sepsis and wound breakdown were highest in diabetic patients, because of p...

Minor amputations in diabetic patients with foot complications have been well studied in the literature but controversy still remains as to what constitutes successful or non-successful limb salvage. In addition, there is a lack of consensus on the definition of a minor or distal amputation and a major or proximal amputation for the diabetic population. In this article, the authors review the e...

A series of 320 amputations was analyzed with regard to wound healing complications and re-amputation rates. Among 111 AK amputations complications in wound healing were encountered in 14 per cent (15/111) of the cases, leading to re-amputation in 2 per cent (2/111). TK amputations were followed by wound healing problems in 30 per cent (20/66) of the cases with re-amputation in 20 per cent (13/...

Background. Type 2 diabetes is the fourth leading cause of death in Guyana, South America. A complex, interprofessional, quality improvement intervention to improve foot and diabetes care was rolled out in two phases. Methods & Findings. Phase 1: Establishment of an Interprofessional Diabetic Foot Center (DFC) of Excellence to improve foot care and reduce diabetes-related amputations at the nat...

OBJECTIVE To analyze hospitalization for lower extremity amputations (LEAs) and amputee rates in persons with and without diabetes in Italy. RESEARCH DESIGN AND METHODS All patients with LEAs in the period 2001-2010 were identified analyzing the National Hospital Discharge Record database. For each year, amputee and hospitalization rates for LEAs were calculated either for persons with diabet...

The purpose of this study was to look at the current epidemiological trends of lower limb amputees in 1995 and the trends since 1984 in the area of Southern Finland with 1.3 million inhabitants. During the one-year period, the lower limb amputation was performed on 366 patients. The overall amputation rate has been unchanged since 1984 being 28.0 per 100,000 inhabitants in 1995. The mean age wa...

Objective: Digit and extremity amputations are unwanted complications in burn injuries. Although some amputations cause only cosmetic and psychological problems in burn patients, they can lead to serious loss in functionality and impairment in the quality of life. The aim of this study was to investigate the epidemiologic features of amputations among burn patients in the southeastern region of...

BACKGROUND The purpose of this study was to review tractor-related childhood hand injuries. METHODS Seventy children (53 males, 17 females; range 1 to 11 years) were admitted to our unit. Patients were analyzed according to sex, age, pattern of injury, type of treatment and functional results. The first step of the treatment included extensive debridement and irrigation. Patients with complex...

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%...