Background: Amputations and disarticulation
of the limbs are becoming a public health problem. Goal: To describe the
epidemiological and etiological aspects of limb amputation in Kisangani.
Methods: A retrospective study of three health facilities in the city of
Kisangani: Kisangani Clinical University, General Hospital Makiso-Kisangani
Reference and Kabondo Reference General Hospital from 1st January 2005 to 31st
December 2014 counted 62 cases of amputation. Results: The prevalence of 14.69%
of all interventions of limbs. The age group of 57 - 75 years is the most concerned
and the male/female sex ratio is 2.9/1. The unemployed are most affected 51.6%.
The lower limb is concerned in 88.7%, including 30.6% in the lower leg and the
right side is reached in 56.5% of cases. Diabetic gangrene (30.1%) is
criminalized followed by traumatism (27.4%). The mortality rate is 17.8%.
Conclusion: The amputation of limbs is a situation encountered in Kisangani.
The adult male is most affected. Diabetic gangrene and open fractures are the
most encountered causes. Mortality is high. The early management of diabetics
and open fractures is a mandatory.
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