Lower extremity amputation in Hong Kong.

نویسنده

  • M Wn Wong
چکیده

OBJECTIVE To evaluate the characteristics and outcome of patients undergoing lower extremity amputation in Hong Kong. DESIGN Cohort study. SETTING University teaching hospital, Hong Kong. PARTICIPANTS. One hundred and eighty-four Chinese adults who underwent lower extremity amputation. MAIN OUTCOME MEASURES Demographic data of the cohort, wound complication and revision amputation rates, prosthesis use, functional ambulation level and institutionalisation at postoperative 6 months, operative mortality, and long-term survival. RESULTS The majority of patients (83.1%) who underwent lower extremity amputation were aged over 60 years. Vascular occlusive disease was the most common underlying pathology, followed by infection. The wound complication and operative mortality rates were high. Only 43.0% of patients were able to resume community ambulation at 6 months and 40.7% became institutionalised. After high-level amputations, 22.3% managed to use a prosthesis. The median survival after lower extremity amputation was 1008 days. High-level amputation was associated with lower wound complication and revision amputation rates, but an inferior functional outcome and survival compared with foot amputation. CONCLUSIONS Lower extremity amputation is associated with high morbidity and mortality, especially with high-level amputations. It places a heavy burden of care on patients, their families, the health care system, and society. Appropriate health care planning, provisions, and coordinated efforts at various levels are necessary to improve the situation. Major efforts must also be focused on preventing vascular occlusive disease and diabetes.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Seasonal variations in non-traumatic major lower limb amputation in Hong Kong Chinese diabetic patients.

OBJECTIVES To study the relationship between hospitalisation for diabetic foot complications, non-traumatic major lower limb amputations, and seasonal variation in humidity and temperature. DESIGN Retrospective study. SETTING Regional hospital, Hong Kong. PATIENTS Diabetic patients hospitalised for lower limbs infection during the inclusive period 1995 to 2004. MAIN OUTCOME MEASURES Mon...

متن کامل

Perioperative and rehabilitation outcome after lower-limb amputation in elderly Chinese patients in Hong Kong.

PURPOSE Major amputation of the lower limb is considered the last resort when limb salvage is impossible. The aim of this study is to determine the morbidity, mortality, and rehabilitation outcome of patients that underwent a lower-limb amputation. METHODS A retrospective cohort study was conducted among 100 elderly patients who underwent a total of 120 lower-limb amputations in a regional ho...

متن کامل

A 24 year survey of amputees in Hong Kong.

A 24-year retrospective study of amputees was conducted at the Prosthetic and Orthotic Unit of the Kowloon Rehabilitation Centre, the first and largest rehabilitation centre in Hong Kong. A review was made of 1821 patients and a rising trend of amputee population was demonstrated probably related to the population growth. The ratio of lower limb to upper limb amputees was 1.83 to 1. The mean ag...

متن کامل

Amputation in hand surgery.

P. C. Leung, MBBS, MS, FRACS, FRACS(E) Department of Orthopaedics & Traumatic Surgery Faculty of Medicine The Chinese University of Hong Kong Shatin, New Territories Hong Kong When referring to amputation, the immediate association tends to be amputation related to trauma. There is little doubt that injury is by far the commonest cause of amputation, but one must not forget that babies might al...

متن کامل

Prospect of Electronic Road Pricing in Hong kong

To cope with the urban congestion problem resulted from rapid urbanization some cities are successfully using Electronic Road Pricing policy as a demand management measure. In 1982, Hong Kong Governmenttook initiative to experiment electronic road pricing in Hong Kong. Though, the project outcome reveals that Electronic Road Pricing could bring tremendous economic, social and environmental bene...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Hong Kong medical journal = Xianggang yi xue za zhi

دوره 11 3  شماره 

صفحات  -

تاریخ انتشار 2005