The Etiology of Upper Extremity Amputation in Lower Punjab Pakistan

Muhammad Kamran  Khan; HM  Israr; Wisal  Shah; Bibi Uzma

doi:10.36082/jpost.v3i1.1510

Authors

Muhammad Kamran Khan 3Dit Medical (Takween Tech Centre for Prosthetics and Orthotics)
HM Israr Prosthetics and Orthotics Specialist the Indus Hospital
Wisal Shah Prosthetics and Orthotics Department Fauji foundation Hospital
Bibi Uzma
[email protected]
3Dit Medical (Takween Tech Centre for Prosthetics and Orthotics)

Keywords:

Upper limb amputation, Road traffic accidents, Crush injuries, Risk mitigation, Community intervention

Abstract

Background: Amputation, a common orthopedic procedure, is often necessary due to severe trauma or vascular diseases, yet it can lead to psychological issues. This study investigates the causes of upper limb amputation in a specific region of Pakistan to raise awareness and mitigate risks. Aims: To identify causes of upper limb amputation in a specific region of Pakistan and raise awareness to prevent such occurrences. Methods: A cross-sectional study was conducted on upper limb amputations in South Punjab between January 2015 and June 2017. Data from 1174 patients, collected at the Physical Rehabilitation Centre in Muzaffargarh, were analyzed based on age, gender, amputation level, and affected side using HMIS, PMRN, and Microsoft Excel. Results: Analysis revealed a male-to-female ratio of 824:350, with the highest incidence among individuals aged 31 to 45. Crush injuries, primarily caused by the "TOKKA" machine, accounted for 66.4% of cases, followed by road traffic accidents at 10.7%. Domestic violence and electric shocks were also observed. Conclusion: Crush injuries from the "TOKKA" machine were the leading cause of upper limb amputations, highlighting the need for machinery safety awareness. Additionally, promoting protective gear use like helmets and early intervention in domestic violence can help reduce such injuries.

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References

Ahmad, N., Thomas, G. N., Gill, P., Chan, C., & Torella, F. (2014). Lower limb amputation in England: prevalence, regional variation and relationship with revascularisation, deprivation and risk factors. A retrospective review of hospital data. Journal of the Royal Society of Medicine, 107(12), 483–489. https://doi.org/10.1177/0141076814557301/ASSET/IMAGES/LARGE/10.1177_0141076814557301-FIG1.JPEG

Calabrese, L., Maffoni, M., Torlaschi, V., & Pierobon, A. (2023). What Is Hidden behind Amputation? Quanti-Qualitative Systematic Review on Psychological Adjustment and Quality of Life in Lower Limb Amputees for Non-Traumatic Reasons. Healthcare 2023, Vol. 11, Page 1661, 11(11), 1661. https://doi.org/10.3390/HEALTHCARE11111661

Di Giovanni, P., Scampoli, P., Meo, F., Cedrone, F., D’Addezio, M., Di Martino, G., Valente, A., Romano, F., & Staniscia, T. (2021). The impact of gender on diabetes-related lower extremity amputations: An Italian regional analysis on trends and predictors. Foot and Ankle Surgery, 27(1), 25–29. https://doi.org/10.1016/J.FAS.2020.01.005

Einfeldt, A. K., Rebmann, F., Yao, D., Stukenborg-Colsmann, C., Hurschler, C., Windhagen, H., & Jakubowitz, E. (2023).

What do users and their aiding professionals want from future devices in upper limb prosthetics? A focus group study. PLOS ONE, 18(12), e0295516. https://doi.org/10.1371/JOURNAL.PONE.0295516

Goodall, R., Alazawi, A., Hughes, W., Bravis, V., Salciccioli, J. D., Marshall, D. C., Crowley, C., & Shalhoub, J. (2021). Trends in type 2 diabetes mellitus disease burden in European Union countries between 1990 and 2019. Scientific Reports 2021 11:1, 11(1), 1–14. https://doi.org/10.1038/s41598-021-94807-z

Ilham, M. (2021). Prevalence of Anxiety, Depression, and Post-traumatic Stress Disorder Among Amputees Attending

Jaipur Foot Trust Artificial Limb Centre. http://erepository.uonbi.ac.ke/handle/11295/160692

Le, J. T., & Scott-Wyard, P. R. (2015). Pediatric Limb Differences and Amputations. Physical Medicine and Rehabilitation

Clinics of North America, 26(1), 95–108. https://doi.org/10.1016/j.pmr.2014.09.006

Miller, M. J., Jones, J., Anderson, C. B., & Christiansen, C. L. (2019). Factors influencing participation in physical activity after dysvascular amputation: a qualitative meta-synthesis. Disability and Rehabilitation, 41(26), 3141–3150. https://doi.org/10.1080/09638288.2018.1492031

Tennent, D. J., Wenke, J. C., Rivera, J. C., & Krueger, C. A. (2014). Characterisation and outcomes of upper extremity amputations. Injury, 45(6), 965–969. https://doi.org/10.1016/J.INJURY.2014.02.009

Ziegler-Graham, K., MacKenzie, E. J., Ephraim, P. L., Travison, T. G., & Brookmeyer, R. (2008). Estimating the Prevalence of Limb Loss in the United States: 2005 to 2050. Archives of Physical Medicine and Rehabilitation, 89(3), 422–429.

https://doi.org/10.1016/J.APMR.2007.11.005