| ORIGINAL ARTICLE |
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| Year : 2020 | Volume
: 6
| Issue : 1 | Page : 78-83 |
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A study to evaluate the pattern, cause and type of traumatic major limb amputation in Eastern Nepal
Anand Shankar1, Santosh Kumar2, Raju Rijal3, Shiv Raj Paneru4, Reetesh Roshan5
1 Assistant Professor, Dept. of Orthopaedics, NMCH, Jamuhar, Sasaram, India
2 Professor & Head, Dept. of Orthopaedics, IGIMS, India
3 Professor, B.P. Koirala Institute of Health Sciences, Dharan, Nepal, India
4 Assistant Professor, Dept. of Orthopaedics, B.P. Koirala Institute of Health Sciences, Dharan, Nepal, India
5 PG Student, Dept. of Orthopaedics, IGIMS, India
Correspondence Address:
Santosh Kumar
Prof. & Head Dept. of Orthopedics, IGIMS, Patna
India
 Source of Support: None, Conflict of Interest: None
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Background & objectives: The amputation of injured extremities has been performed for over 2,500 years. Despite the advances in limb prosthetic technology, traumatic amputations continue to have a major impact on daily activities and subsequent quality of life. The loss of a limb often has profound economic, social and psychological effects on the patient and their family. However in many cases, amputation of the limb is the only viable option to save the patient’s life. We also did a study to evaluate the pattern of amputation after major trauma and its outccome.
Methods: Total sixteen patients were included in the study. All patientswith traumatic injury to the limb leading to non-viability of the major part of the limb (above wrist and above ankle) coming to emergency of BPKIHS giving written consent for the trial were included in the study.All patients underwent emergency amputation. The clinico-radiological outcomes were evaluated for involved limb, level of involvement, cause, active bleeding, Blood pressure, Pallor, infection, type of amputation, infection, phantom pain, phantom limb, Mangled Extremity Severity Score. Collected data were evaluated and various statistical tests applied.
Results : Upper limb involvement is more than lower limb, crush injury is more common than road traffic accident, only one case has Ischemic heart disease, only two patients had intact neurology, two case had compartment syndrome, none of the patients had viable distal limb, only three closed amputation was performed primarily, post operatively three had infection, five had phantom limb and pain none of the cases had change of job.
Conclusion : Traumatic major limb amputation can occur both in upper and lower limb. Better prosthetic fitting and rehabilitation is needed to make the patient conduct his near normal life style.
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