Outcomes of lower limb amputees at Cotonou |
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| Institution: | 1. Department of Orthopedic-Traumatology, National Teaching Hospital CNHU-HKM, Cotonou, Benin;2. Department of Physic Medicine and Rehabilitation, National Teaching Hospital CNHU-HKM, Cotonou, Benin;1. University of Alabama School of Medicine, 670 University Blvd, Birmingham, AL 35233, USA;2. Department of Orthopedic Surgery, University of Alabama School of Medicine, 1313 13th Street South, Birmingham, AL 35294, USA;3. Department of Orthopedic Surgery, Indraprastha Apollo Hospital, New Delhi, India;1. Department of Orthopedics, University of Alabama Birmingham, United States;2. University of Alabama Birmingham, School of Medicine, United States;3. Department of Biostatistics, University of Alabama Birmingham, United States;1. Clinic of Orthopaedic Surgery and Traumatology, University Hospital Nis, Bul. Dr Z. Djindjic 48, 18000 Nis, Serbia;2. National Academy of Medical Science, Medical Faculty, University of Nis, Serbia, Bul. Dr Z. Djindjic 81, 18000 Nis, Serbia;1. Departments of Anesthesiology, SUNY Downstate Medical Center, Brooklyn, NY, United States;2. Departments of Orthopaedic Surgery and Rehabilitation Medicine, SUNY Downstate Medical Center, Brooklyn, NY, United States;3. Department of Orthopaedics, University of Maryland Medical Center, Baltimore, MD, United States;1. P.D Hinduja Hospital and Medical Research Centre, Mumbai, India;2. Department of Orthopedics, P.D Hinduja Hospital and Medical Research Centre, Mumbai, India |
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| Abstract: | BackgroundLimb amputations are responsible for disability. We studied the outcomes of lower limb amputees in our daily practice.MethodsThis prospective analytical study over 7 years (January 2009–December 2015) included 70 amputees of lower limb. They were mainly male (73%), aged on average of 42.4 ± 18.8 years. The mean time of follow- up was 3.2 ± 1.9 years. We assessed disability on balance, walking, disability in daily life for patients with prosthesis, and the socio-economic impact of the amputation. Statistical analysis was performed with Chi2 and Mann-Whitney tests; a p-value ≤ 0.05 was considered statistically significant.ResultsThe average Timed Up and Go Test was 18.5 s. Class II of Pohjolainen subjects were the most recovered (37%). The mean Houghton score in the 17 fitted patients was 6.2 ± 2.0. Socially, 90% of the patients no longer practiced leisure activities, and 4/53 patients were no longer in a couple. At the economic level, 87% of patients had a decreased monthly income. Factors that bear direct correlation to functional outcome of patients were the level of amputation, and the prosthesis fitting.ConclusionLower limbs amputations entail adverse consequences at the functional and socio-economic level. Our country must review its policy on prosthetic fittings for amputees, and vote laws that involve private firms and government in socio-economic reintegration, and empowerment of these subjects. |
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| Keywords: | Lower limb amputation Outcomes Social reintegration |
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