Publication:
Two faces of major lower limb amputations

creativeworkseries.issn1812-2027
dc.contributor.authorB, Paudel
dc.contributor.authorBK, Shrestha
dc.contributor.authorAK, Banskota
dc.date.accessioned2025-07-17T08:51:11Z
dc.date.available2025-07-17T08:51:11Z
dc.date.issued2005
dc.description.abstractObjectives: To review the indications for major lower limb amputations in adults and children in our patient population and to compare our experience in prosthetic rehabilitation with that of other published information. Material and Methods: We retropectively reviewed charts of patients who underwent amputation between 1997 to 2004 at the Orthopaedic Department of B& B Hospital (BBH ) , Gwarko and Hospital and Rehabilitation center for Disabled Children ( HRDC), Banepa. There were 113 patients at BBH & 89 patients at HRDC . Major amputation was defined as any amputation at or proximal to wrist and ankle. Results: Major lower limb amputations constituted 73.58 %(39/53) of all major amputations at BBH and 97.77% (44/45) at HRDC.Road traffic accident was found to be number one cause for major lower limb amputations (74.29%) in adult population. In children postburn contracture was the leading cause for amputation (29.54 %) folowed by Congenital limb conditions (22.72%) ,Spina bifida with trophic ulcers ( 20.45 %), Tumor (13.63%), Chronic Osteomyelitis (6.81%), Trauma (4.54%) and Arthrogryposis (2.27%). Prosthetic fitting and rehabilitation is as yet far from satisfactory in the adult population but all the children who had amputation at HRDC were fitted with prosthesis. Conclusion: Main causes of major lower limb amputation in both population is largely preventable by instituting safty measures and conducting awareness program. There is a need for an effective prosthetic fitting center for adults. Key Words: Major lower limb amputations, Prosthesis fitting
dc.identifier.urihttps://hdl.handle.net/20.500.14572/337
dc.language.isoen_US
dc.publisherKathmandu University
dc.titleTwo faces of major lower limb amputations
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage216
oaire.citation.startPage212
relation.isJournalIssueOfPublication1440e0da-ef6e-4ab7-8994-4af391c774bf
relation.isJournalIssueOfPublication.latestForDiscovery1440e0da-ef6e-4ab7-8994-4af391c774bf
relation.isJournalOfPublicationa782b7ff-cf89-4178-ad1c-11ed89cfe1bd

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