title: Epidemiologic data of trauma-related lower limb amputees: A single center 10-year experience.
abstract: OBJECTIVE
  The aim of this study is three fold: 1) to introduce epidemiologic data of patients with trauma-related amputations as a 10-year experience of a rehabitation center; 2) to determine comorbidities and secondary conditions of lower limb loss; 3) to determine the rehospitalization reasons for lower limb amputee patients.
  
  
  METHODS
  This retrospective study was conducted in a tertiary rehabilitation center in Turkey. Clinical and demographic data of amputees including sex, age, employment status, time since amputation, time after amputation to first hospitalization, length of hospitalization, how many times the patient was hospitalized, reason for hospitalization, stump complications, comorbid conditions, amputation level and K classifacation were documented.
  
  
  RESULTS
  Three hundred ninetynine patients with a mean age of 23,48±6,04 (4-74) years were included in this study. Mean duration after amputation was 119,71±68,86months. Patients were 3,43±2,53 times hospitalized. Landmine explosion was the most common etiology of amputation with 370 patients (92.7%). Below knee amputation was the most common amputation level with 230 (50,77%) amputations. 399 patients were hospitalized 1369 times and the most common hospitalization reason were stump complications (356 times, 26,00%). Spur formation (202 times) was the most common stump complications. Pyscologic disorders were the most common comorbidity with 68 patient (37,56%).
  
  
  CONCLUSIONS
  Patients with traumatic limb amputations are likely to experience several complications and comorbidities. Prevention of secondary conditions affecting those living with the loss of a limb is an important part of amputee rehabilitation and may prevent rehospitalization.
authors.affiliation: Gulhane Military Medical Academy, Department of Physical Medicine and Rehabilitation, Ankara, Turkey. Electronic address: evrenyasar@yahoo.com.
authors.forename: Evren
authors.initials: E
authors.lastname: Yaşar
authors.affiliation: Gulhane Military Medical Academy, Department of Physical Medicine and Rehabilitation, Ankara, Turkey.
authors.forename: Fatih
authors.initials: F
authors.lastname: Tok
authors.affiliation: Gulhane Military Medical Academy, Department of Physical Medicine and Rehabilitation, Ankara, Turkey.
authors.forename: Serdar
authors.initials: S
authors.lastname: Kesikburun
authors.affiliation: Gulhane Military Medical Academy, Department of Sports Medicine, Ankara, Turkey.
authors.forename: A Mustafa
authors.initials: AM
authors.lastname: Ada
authors.affiliation: Cukurova University, Department of Physical Medicine and Rehabilitation, Adana, Turkey.
authors.forename: Bayram
authors.initials: B
authors.lastname: Kelle
authors.affiliation: Medipol University Hospital, Department of Physical Medicine and Rehabilitation, İstanbul, Turkey.
authors.forename: A Salim
authors.initials: AS
authors.lastname: Göktepe
authors.affiliation: Güven Hospital, Department of Physical Medicine and Rehabilitation, Ankara, Turkey.
authors.forename: Kamil
authors.initials: K
authors.lastname: Yazıcıoğlu
authors.affiliation: Gulhane Military Medical Academy, Department of Physical Medicine and Rehabilitation, Ankara, Turkey.
authors.forename: A Kenan
authors.initials: AK
authors.lastname: Tan
mesh_terms: D000059:Accidents; D000672:Amputation Stumps / Q000473:pathology*; D000673:Amputation, Traumatic / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation*; D000674:Amputees / Q000523:psychology / Q000534:rehabilitation / Q000706:statistics & numerical data*; D001753:Blast Injuries; D002056:Burns; D015897:Comorbidity; D005096:Exostoses / Q000473:pathology / Q000523:psychology / Q000601:surgery*; D005260:Female; D006801:Humans; D007869:Leg Injuries / Q000150:complications / Q000453:epidemiology / Q000601:surgery*; D035002:Lower Extremity / Q000473:pathology / Q000601:surgery*; D008297:Male; D010359:Patient Readmission / Q000706:statistics & numerical data*; D012047:Rehabilitation Centers; D012189:Retrospective Studies; D014421:Turkey / Q000453:epidemiology; D055815:Young Adult
keywords: Amputation; Comorbidity; Complication; Epidemiology; Rehospitalization; Trauma