Chinnathurai, R (2011) Retrospective Study on Causes of Amputation. Masters thesis, Madras Medical College, Chennai.
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Abstract
INTRODUCTION: Amputation is the most ancient of all surgical procedures with a history of over 2500 years going back to the time of Hippocrates. Amputation is generally performed for a variety of indications including trauma, peripheral vascular disease, tumour, infection and congenital anamaly, but cause of amputation vary between and within countries. The life expectancy and outcomes of persons with amputation is same as normal person except with any associated medical comorbidities. With the advances in rehabilitation medicine, now any amputee patient at any level of amputation and associated with any deformities can be fitted with prosthesis. AIM OF THE STUDY: The aim of the study is to find out the cause of amputation and preventive measures needed to avoid such complications. Amputation impact can be frightening and challenging experience for the amputees and their families. Amputees become the responsibility of the health service and if not well looked after, they may continue crippled for life. OBJECTIVES: The primary aim of this retrospective study is to asses the cause of amputation in south Indian population and preventive measures needed to safeguard the general population to lead a healthy and peaceful life. MATERIALS AND METHODS: POPULATION: Government Institute of Rehabilitation Medicine is a main catering Institute for the disabled persons not only from northern part of Tamilnadu, also from Pondicherry, border area of Andra Pradesh and Karnataka. Even from southern most part of Tamilnadu patients are referred here for management. About 369 amputee patient admitted in this Institute from January 2007 to December 2010 were included in this study. SETTING: Tertiary care center, Government Institute of Rehabilitation Medicine, Chennai-600083, under Madras Medical College and Research Institute. PERIOD OF STUDY: Four years from January 2007 to December 2010. Inclusion criteria All amputee patients admitted for prosthetic fitting in 2007 to 2010 are included in this study. Exclusion criteria: 1. Amputee patient due to malignancy associated with life threatening secondaries not eligible to fit prosthesis. 2. Amputee patient who come for physically handicapped certificate. SAMPLE SIZE: Only 369 patients conformed to the above criteria during the period January to December 2010. CONCLUSION: 1. Amputation with a high male predominance with an average age of 30 years. 2. Trauma constitute a major cause of amputation. The second most common cause of amputation is of vascular etiology (Diabetes and TAO). 3. Most of amputation can be avoided. 4. Industrial accidents can be avoided by taking proper security measures. 5). Road safety measures should be implemented. 6. Amputation due to diabetes can be prevented by proper early diagnosis, control of diabetes by medications, proper foot care and providing appropriate foot wear. 7. The incidence of complications of stump can be reduced to a minimum by early rehabilitation. 8. Comprehensive rehabilitation centers integrated with community based rehabilitation will further improve the quality of life in the long run and will integrate amputee patients as productive members of the society.
| Item Type: | Thesis (Masters) |
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| Additional Information: | REG NO 20109004 |
| Uncontrolled Keywords: | Amputation ; Causes ; Retrospective Study. |
| Subjects: | MEDICAL > Physical Medicine and Rehabilitation |
| Depositing User: | Kambaraman B |
| Date Deposited: | 09 May 2018 03:51 |
| Last Modified: | 08 Jun 2018 07:45 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/7679 |
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