Profile of Lower Limb Amputees attended at a tertiary care Hospital: A Descriptive study
Abstract
Amputation is one of the major causes of permanent disability. In addition, amputation can often be associated with anxiety, isolation and depression which may change the social and free time activities of the person with lower limb amputation. So this present study was conducted to know profile of lower limb amputees this study was conducted on 500 lower limb amputees in attendees of PMR Department of SMS Medical College, Jaipur (Rajasthan) India. In this present study mean age of amputees was 39.7 years with age range 18-60 years and males predominate over females to 9 times. Rural background amputees slightly predominate in number over urban background amputees. Hindu predominate in number over Muslim to 8.6times. religion 10.2%. About 2/3 of amputees were married while 28.8% were unmarried in this present study. Majority (92.2%) of amputees had unilateral only7.8% were bilateral. Majority (82.8%) of amputees were either illiterate or educated upto secondary and above secondary were only18.2%. Majority ( 57.6%) of the amputees had agricultural related work and only 0.4% of amputees were engaged in professional occupation. About 50% of amputees were either smoker or tobacco chewer and alcohol user were reported only 9.6%. In the present study it was observation that the most common cause of lower limb amputees was trauma (81%) followed by vascular disease (15.6%), diabetes mellitus (3.2%) and bone cancer (0.2%).
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Introduction
An amputation is the complete or partial removal of a limb and is only performed when all other attempts to save the limb have failed 1 . Amputation is one of the major causes of permanent disability. In addition, amputation can often be associated with anxiety, isolation and depression which may change the social and free time activities of the person with lower limb amputation which can ultimately adversely affect the quality of life of the lower limb amputees particularly. The incidence of lower limb amputation is also higher than the upper limb 2 .
In developed countries, vascular complications are the major contributors to lower limb amputations whereas in developing countries, traumatic accidents are the major cause of amputation 3 . Limitations in body structure and function due to amputation affects the activity level, and thereby, the participation of the individual in the society 4 . Additionally, personal and environmental factors play important roles in determining outcomes after amputation and also long term functioning of amputees 4 .Lower Limb amputees as compared to Upper Limb amputees experience more changes in their life after the amputation. According to World Health Organization, India has highest number of road traffic accidents in the world as per the data that may lead to a significant cause of lower limb amputation 5 .
Conclusion
In this present study mean age of amputees was 39.7 years with age range 18-60 years and males predominate over females to 9 times. Rural background amputees slightly predominate in number over urban background amputees. Hindu predominates in number over Muslim to 8.6times. religion 10.2%. About 2/3 of amputees were married while 28.8% were unmarried in this present study. Majority (92.2%) of amputees had unilateral only7.8% were bilateral. Majority (82.8%) of amputees was either illiterate or educated up to secondary and above secondary were only18.2%. Majority ( 57.6%) of the amputees had agricultural related work and only 0.4% of amputees were engaged in professional occupation. About 50% of amputees were either smoker or tobacco chewer and alcohol user were reported only 9.6%.
In the present study it was observation that the most common cause of lower limb amputees was trauma (81%) followed by vascular disease (15.6%), diabetes mellitus (3.2%) and bone cancer (0.2%).