Investigating the Etiology of Lower Limb Amputations in East Azarbaijan Hospitals

Irajian, Mohammad; Zamani Esfahlani, Mehrdad

doi:10.48309/ejst.2024.418589.1097

Document Type : Original Research Article

Authors

¹ Assistant Professor of Orthopaedics, Department of Orthopedics, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran

² Assistant Professor of Spine Surgery, Department of Orthopedics, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran

https://doi.org/10.48309/ejst.2024.418589.1097

Abstract

Introduction: As we navigate the intricate terrain of lower limb amputation etiology, this article seeks to provide valuable insights for healthcare professionals, researchers, policymakers, and anyone interested in the complexities of this critical healthcare issue. By unraveling the multifaceted factors contributing to lower limb amputations, we aim to contribute to the development of more effective prevention strategies, improved treatment approaches, and enhanced support systems for individuals living with limb loss.
Materials and methods: This retrospective study was conducted at a single-center and involved patients referred to our orthopaedic department for lower extremity amputation (LEA) during the period spanning January 2007 to December 2019 in East Azarbaijan Hospitals. Data collected included the year of amputation, patient age, gender, level of amputation, and the underlying cause for the amputation.
Results: The study encompassed a total of 114 lower extremity amputations, with major amputations accounting for 60.5% of the cases. Notably, the incidence of major amputations exhibited an upward trajectory over the study period, with an annual increase of 0.6 amputations per year. Male patients were significantly more prone to LEA than their female counterparts.
Conclusion: Within the patient population of our orthopaedic institution, the etiology of lower extremity amputations demonstrates a multifaceted nature that sets it apart from trends observed in other surgical specialties. Notably, the incidence of major amputations has shown a consistent upward trend over recent years.

Keywords

Main Subjects

Basic Medicine

References

[1] Fylstra B.L., England D.L., Stevens P.M., Campbell J.H., Wurdeman S.R., Creating Adjusted Scores Targeting mobiLity Empowerment (CASTLE 1): determination of normative mobility scores after lower limb amputation for each year of adulthood, Disability and Rehabilitation, 2023, 1 [Crossref], [Google Scholar], [Publisher]

[2] Lee L.S., Hitzig S.L., Mayo A., Devlin M., Dilkas S., MacKay C., Factors influencing physical activity among individuals with lower limb amputations: a qualitative study, Disability and Rehabilitation, 2023, 45:1461 [Crossref], [Google Scholar], [Publisher]

[3] England D.L., Miller T.A., Stevens P.M., Campbell J.H., Wurdeman S.R., Mobility Analysis of AmpuTees (MAAT 7): normative mobility values for lower limb prosthesis users of varying age, etiology, and amputation level, American Journal of Physical Medicine & Rehabilitation, 2022, 101:850 [Crossref], [Google Scholar], [Publisher]

[4] Aghamohamadi D., Gol M.K., An investigation into the effects of magnesium sulfate on the complications of succinylcholine administration in nulliparous women undergoing elective cesarean section: A double-blind clinical trial, International Journal of Women's Health and Reproduction Sciences, 2019, 7:520 [Crossref], [Google Scholar], [Publisher]

[5] Grudziak J., Etiology of major limb amputations at a tertiary care centre in Malawi, Malawi Medical Journal, 2019, 31:244 [Crossref], [Google Scholar], [Publisher]

[6] Eidmann A., Kamawal Y., Luedemann M., Raab P., Rudert M., Stratos I., Demographics and Etiology for Lower Extremity Amputations—Experiences of an University Orthopaedic Center in Germany, Medicina, 2023, 59:200 [Crossref], [Google Scholar], [Publisher]

[7] Ferrer C., Cannizzaro G.A., Borlizzi A., Caruso C., Giudice R., Acute ischemia of the upper and lower limbs: tailoring the treatment to the underlying etiology, in Seminars in Vascular Surgery. [Crossref], [Google Scholar], [Publisher]

[8] Diao S., Kassé A., Diouf J., Sané J., Thiam B., Diallo M., Sy M., Major limb amputations: etiological and clinical profile in a hospital in Sub-Saharan Africa, Open Journal of Orthopedics, 2021, 11:40 [Crossref], [Google Scholar], [Publisher]

[9] Khanbabaei Gol M., Aghamohammadi D., Effect of intravenous infusion of magnesium sulfate on opioid use and hemodynamic status after hysterectomy: double-blind clinical trial, The Iranian Journal of Obstetrics, Gynecology and Infertility, 2019, 22:32 [Crossref], [Google Scholar], [Publisher]

[10] Khanbabayi Gol M., Eidy M., Zamani Esfahlani M., Frequency ratio of carpal tunnel syndrome in women with breast cancer treated with lymphedema in Tabriz medical education centers; 2018-2019, The Iranian Journal of Obstetrics, Gynecology and Infertility, 2020, 22:62 [Crossref], [Google Scholar], [Publisher]

[11] Ettema S., Kal E., Houdijk H., General estimates of the energy cost of walking in people with different levels and causes of lower-limb amputation: a systematic review and meta-analysis, Prosthetics and orthotics international, 2021, 45:417 [Crossref], [Google Scholar], [Publisher]

[12] Biagioni R.B., Louzada A.C.S., Biagioni L.C., da Silva M.F.A., Teivelis M.P., Wolosker N., Cross-Sectional Analysis of 180,595 Lower Limb Amputations in the State of Sao Paulo Over 12 Years, World journal of surgery, 2022, 46:2498 [Crossref], [Google Scholar], [Publisher]

[13] Shahidi N., Mahdavi F., Gol M.K., Comparison of emotional intelligence, body image, and quality of life between rhinoplasty candidates and control group, Journal of Education and Health Promotion, 2020, 9 [Crossref], [Google Scholar], [Publisher]

[14] Stewart C.C., Berhaneselase E., Morshed S., The Burden of Patients With Lower Limb Amputations in a Community Safety-Net Hospital, JAAOS-Journal of the American Academy of Orthopaedic Surgeons, 2022, 30:e59 [Google Scholar], [Publisher]

[15] Utiyama D.M.O., Alfieri F.M., dos Santos A.C.A., Ribeiro C.P.C., Sales V.C., Battistella L.R., Effects of an Inpatient Physical Rehabilitation Program Designed for Persons with Amputations of Traumatic or Vascular Etiologies, JPO: Journal of Prosthetics and Orthotics, 2022, 34:152 [Google Scholar], [Publisher]

[16] Jiang S., Zhang, Y., Alsaikhan, F., Jalil, A.T., Gol, M.K.,Tarighatnia, A., A meta-analysis review of the effect of Zn-doped synthetic polymer materials on bone regeneration, Journal of Drug Delivery Science and Technology, 2022, 103792 [Crossref], [Google Scholar], [Publisher]

[17] Hunter S.W., Motala A., Cronin A.E., Bartha R., Viana R., Payne M.W., Cortical activation during imagined walking for people with lower limb loss: a pilot study, Frontiers in Human Neuroscience, 2023, 17 [Crossref], [Google Scholar], [Publisher]

[18] Gol M.K., Payami S., Lotfi A., Study of the Effect of Ear Acupressure on Stress and Serum Cortisol Level Before Rhinoplasty Surgery: A Randomized Clinical Trial, Crescent Journal of Medical & Biological Sciences, 2020, 7 [Google Scholar], [Publisher]

[19] McDonald C.L., Westcott-McCoy S., Weaver M.R., Haagsma J., Kartin D., Global prevalence of traumatic non-fatal limb amputation, Prosthetics and orthotics international, 2021, 0309364620972258 [Crossref], [Google Scholar], [Publisher]

[20] Miller M.J., Blankenship J.M., Kline P.W., Melanson E.L., Christiansen C.L., Patterns of sitting, standing, and stepping after lower limb amputation, Physical therapy, 2021, 101:pzaa212 [Crossref], [Google Scholar], [Publisher]

[21] Miller M.J., Cook P.F., Magnusson D.M., Morris M.A., Blatchford P.J., Schenkman M.L., Christiansen C.L., Self‐efficacy and social support are associated with disability for ambulatory prosthesis users after lower‐limb amputation, PM&R, 2021, 13:453 [Crossref], [Google Scholar], [Publisher]

[22] Krueger M.D., Mortality After Nontraumatic Major Lower-Limb Amputations in Medicare Patients at a Large Metropolitan Prosthetic Facility, JPO: Journal of Prosthetics and Orthotics, 2023, 35:250 [Google Scholar], [Publisher]

[23] Resnik L., Borgia M., Heinemann A.W., Clark M.A., Prosthesis satisfaction in a national sample of Veterans with upper limb amputation, Prosthetics and orthotics international, 2020, 44:81 [Crossref], [Google Scholar], [Publisher]

[24] Gaunaurd I.A., Morgan S.J., Balkman G.S., Kristal A., Rosen R.E., Haynes J.S., Gailey R.S., Hafner B.J., Modifying the five-time sit-to-stand test to allow use of the upper limbs: Assessing initial evidence of construct validity among lower limb prosthesis users, PloS one, 2023, 18:e0279543 [Crossref], [Google Scholar], [Publisher]

[25] McLarney M., Pezzin L.E., McGinley E.L., Prosser L., Dillingham T.R., The prevalence of lower limb loss in children and associated costs of prosthetic devices: A national study of commercial insurance claims, Prosthetics and orthotics international, 2021, 0309364620968645 [Crossref], [Google Scholar], [Publisher]

[26] JA M.P., Martínez M., Factors related to success in the prosthetic fitting of lower limb amputees from vascular etiology, Rehabilitacion, 2022, S0048 [Crossref], [Google Scholar], [Publisher]

Eurasian Journal of Science and Technology

Investigating the Etiology of Lower Limb Amputations in East Azarbaijan Hospitals

References

References

Volume 4, Issue 1
January 2024
Pages 21-30

Investigating the Etiology of Lower Limb Amputations in East Azarbaijan Hospitals

References

References

Volume 4, Issue 1January 2024Pages 21-30

Volume 4, Issue 1
January 2024
Pages 21-30