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Journal of Novel Physiotherapies
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  • Research Article   
  • J Nov Physiother 2019, Vol 9(3): 414

Lower Limb Amputation at a Tertiary Hospital in Maiduguri, Nigeria: A 10-Year Retrospective Survey

Stanley M Maduagwu1,2, Samuel Midai2, Chuka I Umeonwuka2,3*, Ismail Mohammed2, Obiora Oluchukwu4, Dabkana Theophilus5, Oyeyemi Adetoyeje Y2, Jaiyeola Olabode1,2 and Nwachukwu O Juliet6
1Department of Physiotherapy, University of Maiduguri Teaching Hospital,, Maiduguri, Borno State, Nigeria
2Department of Medical Rehabilitation, College of Medical Sciences, University of Maiduguri, Maiduguri, Borno State, Nigeria
3Department of Physiotherapy, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
4Department of Nursing Science, Faculty of Health Science and Technology, Nnamdi Azikiwe University, Nnewi Campus, Anambra State, Nigeria
5Department of Orthopedics and Trauma, University of Maiduguri, Maiduguri, Borno State, Nigeria
6Department of Physiotherapy, Nyanya General Hospital, Abuja, Federal Capital Territory, Nigeria
*Corresponding Author : Chuka I Umeonwuka, Department of Medical Rehabilitation, College of Medical Sciences, University of Maiduguri, Maiduguri, Borno State, Nigeria, Tel: +23-47065492665, Email: [email protected]

Received Date: Feb 19, 2019 / Accepted Date: Jun 10, 2019 / Published Date: Jun 17, 2019

Abstract

Background: Lower limb amputation is a psychologically devastating and ominous event that portends poor survival due to loss of function, sensation and change of body image. The incidence is on the rise in Nigeria with huge negative impacts on sufferers.

Objective: The aim of this study was to ascertain lower limb amputation types and causes, socio-demographic distributions of this condition, and cases referred for Physiotherapy intervention at a tertiary hospital in Nigeria.

Methods: This study was a 10-year retrospective review of lower limb amputations performed at a tertiary hospital in Nigeria from 1st January 2004 to 31st December 2013. A purposive sampling technique was used to select case records of lower limb amputation cases managed at the aforementioned facility.

Results: A total of one hundred and thirty-six case notes of persons with lower limb amputation were retrieved and reviewed over the 10 year period. Male (66.9%) amputees were in preponderance, and mean and age and range (in years) of the patients reviewed were 55.71 ± 3.54 and 3-90 respectively. Twenty-two amputee patients in the age group of 57-74 years were in majority. Diabetic neuropathy was the most important indication for lower limb amputation in this study. Below knee amputations constituted a vast majority (63.2%) of the level of amputation in our study. Only 10.3% of amputee patients with lower limb amputation were referred for physiotherapy management.

Conclusion: Physiotherapy referral for persons with amputation by first contact general practitioners was poor. It is imperative to create awareness on the role of physiotherapy amongst general practitioners involved in amputation care.

Keywords: Amputation; Incidence; Nigeria; Tertiary care centers

Citation: Maduagwu SM, Midai S, Umeonwuka CI, Mohammed I, Oluchukwu O, et al. (2019) Lower Limb Amputation at a Tertiary Hospital in Maiduguri, Nigeria: A 10-Year Retrospective Survey. J Nov Physiother 9: 414.

Copyright: © 2019 Maduagwu SM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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