PATTERN OF UPPER AND LOWER LIMB AMPUTATIONS AMONG PATIENTS PRESENTING TO EMERGENCY DEPARTMENT OF MAYO HOSPITAL, LAHORE
DOI:
https://doi.org/10.59058/78nw5e49Keywords:
Keywords: Limb amputation, trauma, emergency department, upper limb, lower limb, road traffic accident, Mangled Extremity Severity Score, PakistanAbstract
Background &Objective: Limb amputation is a surgery performed for the removal of a limb. It is indicated
when the recovery of limb is impossible due to certain conditions. There are different types of amputations,
and their causes, pattern, and levels can vary from one area to the other. The objective of this study was to
assess the pattern of upper and lower limb amputations among patients presenting to Emergency Department
of Mayo Hospital, Lahore.
Methods: This retrospective study was executed at the Mayo Hospital, Lahore, from 2018 to 2020. Atotal of
100 patients were included in the study. These individuals had undergone upper or lower limb amputations
due to trauma or mechanical injuries. Data was taken from hospital records and entered in SPSS version 25.
Descriptive statistics were used to assess the pattern of amputations. Chi-square test was used to see the
association between gender and limb involvement, and p≤0.05 was considered significant.
Results: The mean age of participants was 42.7 ± 9.5 years. 75% patients were male and 25% female. 78%
cases of amputations were performed because of road traffic accidents, whereas, 22% were due to mechanical
injuries. Lower limb amputations were more common (60%) than upper limb amputations (40%). The most
frequent levels of amputations were below-knee (58.3%) and below-elbow (62.5%). The mean Mangled
Extremity Severity Score (MESS) was 7.8 ± 0.57. There was no statistically significant association between
gender and type of limb amputated (p = 0.34).
Conclusion: Trauma remains the leading cause of limb amputation in emergency settings in Pakistan, with
young to middle-aged males most affected. Lower limb amputations are more prevalent, and below-joint
amputations are more common due to efforts to preserve limb function. These findings highlight the need for
improved trauma prevention, early intervention, and development of a national amputation registry to inform
healthcare planning and rehabilitation services.
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