• J B Sié Essoh, M Kodo, V Djè Bi Djè, and Y Lambin.
• Department of Orthopaedic Surgery, Yopougon Teaching Hospital, 21 BP 632 Abidjan 21 Côte d'Ivoire. siessoh@yahoo.com
• Niger J Clin Pract. 2009 Sep 1; 12 (3): 245247245-7.

ObjectiveTo determine the pattern of limb amputations and preventable indications.DesignAretrospective study.SettingDepartment of orthopaedic surgery, Yopougon Teaching Hospital, Abidjan, Côte d'Ivoire.Patients And MethodsOne hundred fifty-six patients with amputations over a 11-year period were studied. There were 111 men and 45 women with a mean age of 42 years.Main Outcome MeasuresIndications, level of amputation, morbidity, and mortality.ResultsA total of 160 limb amputations were performed in the 156 patients. Trauma (49.9%), diabetic foot sepsis (31.4%), and peripheral vascular disease (13%) were the main indications. Below knee (46.9%) and below elbow (11.2%) amputations were the most common procedures performed. Wound infection was the commonest complication occurring in 42 (26.9%) patients. There were 25 (16%) deaths, out of which 22 were due to sepsis.ConclusionMajority of amputations in our environment are preventable by education, early presentation and appropriate management of the common indications.

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