Amputations de membres dans un hopital de zone du Nord-Bènin: A' propos de 122 cas

Abstract Limb amputation at a zone hospital in Northern Benin area: about 122 cases Aim: To study limb amputations at the Zone Hospital of Saint Jean de Dieu of Tanguiéta (ZHSJDT) in Benin. Materiel and methods: This was a descriptive study with retrospective data collection over a 5 yearperiod from January 1th 2009 to December 31th 2013. Different registers have been consulted. Data analysis was conducted by informatics and statistical significance was set at the .05 level. Results: One hundred and twenty-two (122) amputations in 118 patients were carried out. The mean age was 37.4 years, ranging from 1 to 80 years and 71.2% of the amputations occurred in manual workers respect to other professional activities (p = 0.041). Seventy (70) amputations (57.4 %) were performed on the left body side and 52 (42.6%) on the right side. Lower limbs were involved in 73.8% of cases and upper extremities in 26.2%. Major amputations accounted for 86.1% and minor amputations for 13.9% (p = 0.002). The causes of amputations were road injuries in 41.0% of cases and post-traumatic gangrene in 58.0%. Postoperative complications occurred in 37.7% of patients with 22.1% of surgical site infections and 10.2% of psychiatric manifestations. Mortality was 1.7%. Only 9.0% of cases had a prosthetic device after amputations. Conclusion: The young and active population are the most affected by limb amputations in ZHSJDT.