Original Article: JRCRS. 2021; 9(1): 18-21.
4- Etiology of Amputation among Patients Presented At Helping Hand Institute of Rehabilitation Sciences Mansehra.
Keramat Ullah Keramat1, Mohammad Shazad Shahzad2, Jamal Tariq3, Abdul Haseeb Bhutta4
1 Associate Professor, Helping Hand Institute of Rehabilitation Sciences Mansehra.
2, 4 Lecturer, Helping Hand Institute of Rehabilitation Sciences Mansehra.
3 Physiotherapist, Helping Hand Institute of Rehabilitation Sciences Mansehra.
The current study compute the amputation distribution and causes of amputation at only service of prosthetic and orthotics of Helping Hand Institute of Rehabilitation Sciences since earthquake 2005.
This retrospective study was conducted in prosthetics and orthotics department of Helping Hand Institute of Rehabilitation Sciences Mansehra. The record of Helping Hand Institute of Rehabilitation Sciences over 12 years (July 2006 to July 2018) was evaluated and data on amputees were segregated. All patient’s files who availed prosthetics and orthotics were reviewed thoroughly and incomplete record were excluded. The collected data were classified into 4 groups in relation to age. Frequencies and descriptive statistics were applied on the collected data and analyzed by SPSS 21.
A total of 564 cases met the inclusion criteria. The majority (79.6%) patients were males as opposed to 20.4% females. And 66.1% were in the age group 20-60 years. Unilateral cases were the communist (96.4%) and mostly right side (52.3%). Traumatic cases were the highest 74% among the amputations. Road Traffic Accidents were the leading causes among traumatic amputations, which accounted for 33% of amputations. The non-traumatic cases were 26% and diabetes (47.3) was the major cause followed by peripheral vascular disorders (16.2%).
Traumatic causes of amputation were reported more than non-traumatic causes in 12 years of data. Males are more vulnerable than females. The high incidence of amputation due to road traffic accidents raises question of road safety regulations. Diabetes is the leading cause of non-traumatic amputations.
Key words: Amputation, Diabetes, Etiology, Trauma