Abstract

INCIDENCE OF AMPUTATION IN EMERGENCY

Author(s): K. Rojaramani Kumbha1, K. Manohar Kamarthi2

Advanced Technology and early detection of disease by recent improvements in investigation modalities lead to decreased incidents of amputations while Road Traffic Accidents (RTA) increase. Furthermore, it leads to variation and decreased morbidity, mortality and accidents (crush injuries), and better equipped and trained staff, specialist services, diabetic food, rehabilitation centres, and giving good support physically and psychologically for Amputated patients.
OBJECTIVE
To know incidence rates of Emergency Amputation who attended causality with advanced disease and severe Trauma.
METHODOLOGY
The study is done over a period of one year i.e. between June 2015 to June 2016 who attended causality with advanced and severe disease affecting the limbs either due to diabetes, trauma or vascular diseases.
RESULTS
During one-year period, total 6,371 patients attended for general surgery OP. In those, 187 patients needed emergency surgery which included both major and minor operations. Among those, 81 patients were amputated.
CONCLUSION
As per our available records and observation, even though there is increased literacy and access to advanced technology, there is still increased incidence of patients undergoing amputations due to diseases. Therefore, there is a need to improve awareness and importance of early detection of diabetes, hazards of smoking, and regular general health checkups for patients at root level. With that we can treat diabetes and/or any disease in time. So there must be awareness in peripheral health staff i.e. PHC, subcentres, and community health centres about early detection of disease which in turn improves the quality of life of the patient. Due to diabetes slight injury to the glucose laden tissue may cause chronic infection and ulcer formation.(1) The tumours are seen commonly in the age group of 20-40 years after bone fusion, bones affected commonly are those around the knee (lower end of knee, upper end of tibia.) A lytic tumour with no new formations is seen in the x-ray films of bone tumours.(2) Commonly, bone tumour amputations are planned electively after thorough investigations. As per records available, vascular diseases and diabetes are most common diseases of Amputations.