Ismail Almogbil1, Talal Alharkan2,*, Ohud Turqi Alharbi3, Abdullah Alsaeed2, Rayan Alotaibi2, Abrar Marzouq Alharbi2, Sultan Essa Alharbi2, Sultan Alsaigh4, Emad Alnoqaidan4
1 Department of Orthopedic Surgery, College of Medicine, Qassim University, Buraydah 52571, Saudi Arabia
2 Unaizah College of Medicine, Qassim University, Unaizah, Saudi Arabia
3 Qassim College of Medicine, Qassim University, Buraydah, Saudi Arabia
4 Department of General Surgery, King Fahad Specialist Hospital, KFSH, Buraydah, Saudi Arabia
Volume: 10 | Issue: 1 | Pages: 12-18 | June 2024 | https://doi.org/10.54940/ms76863147 | PDF
Received: 13/12/2022 | Revised: 09/01/2023 | Accepted: 09/01/2023
*Corresponding Author: Talal Alharkan. Email: [email protected]
Abstract
Background: Limb amputation is one of the oldest medical procedures, dating back to the time of Hippocrates. Different populations report many other medical conditions leading to limb amputation. The diabetic foot was a significant indication of amputation. However, in developing countries, the most common reasons for amputations vary by the hospital.
Methods: This is an observational study conducted by retrospective chart review, at King Fahad Specialist Hospital. The Data was collected from January 2017-January 2022 files that met inclusion criteria. Collected data include age, gender, amputated limb, etiology, limb loss risk factors, and amputation level. Authorization was received from the hospital administration and the approval from Al-Qassim health directorate regional ethical committee.
Results: The study included 315 patients. Most cases were in 2021, representing a 97.6% increase over 2017. We discovered that 66% of the patients were males, with an M: F ratio of about 2:1. Mean age was 58.3 years, with a standard deviation of 13.75. According to BMI, 29.1% were obese, 54.9% overweight, and only 25.6% were of average weight. Amputations were performed on 91.4% of patients below the knee and 59.4% on the toes. 8.6%, on the other hand, were above the knee. In terms of etiology, diabetes was the leading cause of limb loss in 96.30% of patients, followed by peripheral artery disease found in 21.40% of patients, and trauma in about 9.2%.
Conclusion: Over the last 5 years, the incidence of lower limb amputation has increased in the Al-Qassim region. In this study, diabetic foot was a significant indication for amputation. Increasing diabetic patients' awareness of changes in feet, preventing infection, and controlling their diabetes may reduce the incidence of amputation.
Keywords
Limb Amputation, Lower limb, Diabetes, Trauma, Vascular diseases, Infection, Gangrene.
How to Cite
Al Mogbil, I., Al Harkan, T., Al Harbi, OT., Al Saeed, A., Al Otaibi, R.A., Al Harbi, A.M., Al Harbi, S.A., Al Saigh, S., & Al Noqaidan, E. (2024). Retrospective Study of Lower Limb Amputation Causes and Risk Factors in Al-Qassim Region, Saudi Arabia. Journal of Umm Al-Qura University for Medical Sciences, 10(1), 12-18. https://doi.org/10.54940/ms76863147