Predisposing factors affecting lower limb amputation in Bangladesh.

Abstract

Purpose: To identify the factors that are responsible for lower limb amputation in Bangladesh. Objectives: To explore the socio-demography (age, sex, occupational status, and living area) of the lower limb amputee patients. To find out the factors that are responsible for lower limb amputation in Bangladesh. Methodology: The study design was cross-sectional. Total 97 samples were selected conveniently for this study from the Prosthetic and Orthotic department of CRP, Dhaka Medical College, Dhaka, and National Institute of Traumatology and Orthopaedic Rehabilitation - NITOR. Data was collected by using a self-developed questionnaire. Descriptive statistic was used for data analysis which focused through table, pie chart and bar chart. Results: Among 97 participants, 2.1% (n=2) were between 0-10 years age range, 15.5% (n=15) were 11- 20 years range, 33% (n=32) were 21-30 years range, 13.4% (n=13) were 31-40 years range, 18.6% (n=18) were 41-50 years range, 9.3% (n=9) were 51-60 years range, 8.2% (n=8) were 61-70 years range. The mean age was 35. Study focused that 17.5% (n=17) were females and 82.5% (n=80) were males. 60.8% (n=59) were married, and 39.2% (n=38) were unmarried, 21.6% (n=21) were illiterate, 20.6% (n=20) had primary education, 28.9% (n=28) had secondary education, 14.4% (n=14) had higher secondary education, 14.4% (n=14) had bachelor & masters. 15.5% (n=15) were businessman, 20.6% (n=20) were service holder, 7.2% (n=7) were farmer, 55.5% (n=54) were from others profession. Moreover 19.6% (n=19) were previously amputed. 30.9% (n=30) were trans-femoral amputed, 59.8% (n=58) were trans-tibial amputed, 5.2% (n=5) were knee disarticulated, 3.1% (n=3) were hip disarticulated, and 1% (n=1) amputation occur in others area of lower limb. Study demonstrated that 10.3% (n=10) occur due to congenital diseases, 3.1% (n=3) amputation due to vascular diseases & cancer, 5.2% (n=5) amputation due to diabetes, 2.1% (n=2) amputation occur due to post-operative complications, 6.2% (n=6) amputation occur due to infection, 70.1% (n=68) amputation occur due to trauma. Among trauma RTA was main and the frequency was 54.6% (n=53). Key words: Amputation, trans-tibial, trans-femoral, disarticulation etc