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Title: | Forequarter amputations at the Moi Teaching and Referral Hospital |
Authors: | Muteti, E.N. Busakhala, N. Vagdama, H. Lagat, D. |
Keywords: | Forequarter amputation Proximal humerus Scapula and axillary region Induction chemotherapy Vascular invasion. |
Issue Date: | 12-Mar-2018 |
Publisher: | East African Orthopaedic Journal |
Abstract: | Background: Forequarter amputation is an uncommon procedure. It is performed for high grade sarcomas of the proximal humerus, scapula and axillary region; that are not responding to induction chemotherapy or tumour progression with vascular invasion. Objective: To document the indications and results of forequarter amputations done at the Moi Teaching and Referral Hospital. Methods: Records of patients that had received a forequarter amputation in Moi Teaching and Referral Hospital between February 2012 and February 2017 were retrieved. The patient’s demographics, indication for surgery, complications and duration of survival post-operatively were noted and further analyzed. Results: A total of twelve patients were found that had a forequarter amputation done on their upper extremity. Eight were male while four were female. Ten patients (83.3%) were operated on for sarcomas including: synovial sarcoma, neurofibrosarcoma, Ewing’s sarcoma, Kaposi’s sarcoma, rhabdomyosarcoma, enchondroma, osteosarcoma and poorly differentiated sarcoma. Two patients (15.4%) were operated for squamous cell carcinoma. All the amputations were primary surgeries. Survival was 77.7% at six months and 44.4% after one year. Conclusion: The most common indication for forequarter amputation was a limb sarcoma. A one-year survival rate of 44.4% was found following forequarter amputation of a limb. |
URI: | http://ir.mu.ac.ke:8080/jspui/handle/123456789/9074 |
Appears in Collections: | School of Medicine |
Files in This Item:
File | Description | Size | Format | |
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MUTETI.pdf | 175.61 kB | Adobe PDF | View/Open |
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