Describe the different residual limb anomalies post lower limb amputations and the adjustment challenges in a black African population secondary to various amputation causes.
A descriptive prospective study where patients underwent clinical examination on the quality and functional tests of the residual limb prosthetic construction and deambulation specific to amputees fitted at the Orthopedist Center«Vivre Debout» at the University Hospital center of Yopougon in Côte d'Ivoire from 2016 to 2018
The study recruited 323 patients with lower limb amputations identified from a total population of 1792 patients admitted to the orthopedic center with a frequency of 18.02% Traumatic and vascular causes were the most represented with 52.94% and 32.5% respectively.
The majority of sit of amputations were transtibial at 70.28%. There were 123 cases of stump abnormalities (38.08%) including: trophic disorders with111 cases, 54 cases were abnormalities of length, and 11 cases of painful neuroses of stump.
Skin pathology related to the maladjustment of the prosthesis was seen in 37 cases.
The mobility performance of the fitted amputees showed that the degree of autonomy according to Houghton’s score was on average 9.6/12. The average distance to the TM6 was 479.33 meters. Univariate analysis revealed a statistically significant association between the quality of the residual limb and the mobility performance of the amputee
Traumatic and vascular amputations of the lower limbs are surgically managed on the one hand under emergency conditions with the priority objective of saving the life of the patient and on the other hand belatedly related to limited financial means of the neediest patients. This still does not lead the often-junior surgeons in our context to make a useful stump for a future prosthesis adapted to an adequate mobility performance and a quality locomotor function. Amputation of the lower limbs whatever the cause is stigmatized with negative consequences on the autonomy and quality of life. The hope of eventual recovery of locomotor function as close as possible to the amputee’s previous condition depends on the quality of the residual limb. However, the residual limbs of the amputees are the frequent site of stump anomalies with a consequence of difficulties in prosthetic use.
Koffi Benjamin MANOU– Doctors, FHB University of COCODY/ABIDJAN
Konan Joseph KOUAKOU– Doctors, FHB University of Cocody Abidjan
Cisse Ali– Orthopedic technician, University hospital center
awo Dorcas AKADJE– doctors, FHB University of Cocody
Abdouramane Mohamed KABA– Internal in hospital, AO University of Bouaké
Abdouramane COULIBALY– Doctors, University hospital Center of Yopougon
Manse Beatrice NANDJUI– Head chief of PRM, FHB University of Cocody
Kan Serge Pacôme YAO– Medicine Internal, FHB University