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Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 8 Issue 8

Trends and Causes of Major Lower Limb Amputation in Bahrain: A Comparative Study

Rani Alagha1, Ali Hasan Abdulla2*, Hawra Mohammed Eid3, Ali Alsharifa3, Husain Alsharifa3, Heet sheth3 and Retaj reyadh4

1MD, FRCSI, CABS Vascular Surgery Consultant, Slamanyia Medical Complex, Kingdom of Bahrain
2MBBS, General Surgery Specialist, Al Kindi Medical Center, Kingdom of Bahrain
3MD, Medical Doctor, Vascular Surgery Department, Slamanyia Medical Complex, kingdom of Bahrain
4MD, Junior General Surgery Resident, Slamanyia Medical Complex, Kingdom of Bahrain

*Corresponding Author: Ali Hasan Abdulla, MBBS, General Surgery Specialist, Al Kindi Medical Center, Kingdom of Bahrain.

Received: June 21, 2025; Published: July 14, 2025

Abstract

Background: Major lower limb amputation (MLLA) Inflicts significant psychological and socioeconomic Pressure for the patients and families. worldwide, diabetes mellitus (DM) and peripheral vascular disease are the leading causes for lower limb amputations [1]. Similar to developed countries, Bahrain exhibits a high prevalence of diabetes mellitus [2].

Objective: To compare the causes and characteristics of Major lower limb amputation in Bahrain between the periods of 2015–2016 and 2018–2023, highlighting any epidemiological shifts.

Methods: A comparative analysis was conducted using data published in 2017 a prospective study done from period May 2015 to 30 April 2016 and vascular registry records from Salmaniya Medical Complex for the years 2018 through 2023. Patient demographics, indications for amputation, and surgical details were analyzed.

Results: In 2017 dataset, 84.4% of MLLAs were Associated with DM and its complications. From 2018 to 2023, this figure increased to 94.1%. Trauma-related amputations accounted for only 2.4% of cases in the recent dataset compared to 4.4% in the 2017 dataset, Cases with unspecified causes mainly due to missing data remained low in both datasets. Across all years, most amputations were reported in males over the age of 60.

Conclusion: Major lower limb amputations due to DM has increased significantly, from 2017 to 2023 supporting the need for urgent and Extensive diabetes management strategies in Bahrain.

Keywords: Major Lower Limb Amputation (MLLA); Bahrain

References

  1. Molina CS and Faulk J. “Lower extremity amputation”. StatPearls. Treasure Island (FL): StatPearls Publishing; (2022).
  2. Al Agha R., et al. “Major lower limb amputation: causes, characteristics and complications”. Bahrain Medical Bulletin 3 (2017): 159-161.
  3. Ajibade AA., et al. “Indications and complications of major limb amputations in Kano, Nigeria”. Ghana Medical Journal4 (2013): 185-188.
  4. Moxey PW., et al. “Lower extremity amputations—a review of global variability in incidence”. Diabetic Medicine 10 (2011): 1144-1153.
  5. Ahmad N., et al. “The prevalence of major lower limb amputation in the diabetic and non-diabetic population of England 2003-2013”. Diabetes and Vascular Disease Research 5 (2016): 348-353.
  6. Almaraz MC., et al. “Incidence of lower limb amputations in individuals with and without diabetes mellitus in Andalusia (Spain) from 1998 to 2006”. Diabetes Research and Clinical Practice 3 (2012): 399-405.
  7. Chalya PL., et al. “Major limb amputations: a tertiary hospital experience in northwestern Tanzania”. Journal of Orthopaedic Surgery and Research 7 (2012): 18.
  8. Carmona GA., et al. “Major lower limb amputations in the elderly observed over ten years: the role of diabetes and peripheral arterial disease”. Diabetes Metabolism5 (2005): 449-454.
  9. Kulkarni J., et al. “Survival rates in dysvascular lower limb amputees”. International Journal of Surgery4 (2006): 217-221.

Citation

Citation: Ali Hasan Abdulla., et al. “Trends and Causes of Major Lower Limb Amputation in Bahrain: A Comparative Study".Acta Scientific Orthopaedics 8.8 (2025): 08-13.

Copyright

Copyright: © 2025 Ali Hasan Abdulla., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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