Spectrum of Lower Limb Amputation in General Surgical Department of Allama Iqbal Memorial Teaching Hospital, Sialkot

Abstract

Aim: To assess the spectrum of lower limb amputation in general surgery as regards its etiology and levels of amputation. Study Design: Prospective study. Place & duration of study: Department of General Surgery, Khawaja Muhammad Safdar Medical College, Sialkot; from March 2015 to April 2018. Methods: All patients undergoing amputations of lower limb irrespective of age and sex were enrolled admitted in surgical department with varied indications for amputations. Data of 195 patients was collected from March 2015 to April 2018. Patients were distributed in two groups. Group I- Minor amputations and Group II- Major Amputations. Results of treatment were assessed by regular follow up. Data of only those patients was included who could complete follow up for at least 3 months after surgery. Results were analysed using SPSS v22. Results: In our study no of patients having minor amputation are 159 in which amputation due to diabetic infections are 122, necrotizing fasciitis 0,peripheral vascular disease is 20,crushing injuries 15,vascular injuries 2,malignant tumour 0.no of patients having major amputation are 36 in which due to diabetic infections are 14, necrotizing fasciitis 7, peripheral vascular disease 3,crushing injuries 6,vascular injuries 3,malignant tumors 3.No of patients having minor amputation are 159 in which those having amputation of single toe are 111, amputation of 2 or more toes are 39,forefoot amputation 9. Conclusion: Amputations of lower limb are being done frequently in a surgical set up. There are varied indications for minor and major amputations.