Outcomes of Primary Versus Delayed Primary Stump Closure in Post-Traumatic Below-Knee Amputations: A Surgical Perspective

Yasir Umer; Syed Junaid  Ismail; Aamer  Nisar; Nida  Junaid; Waleed  Umer

doi:10.51253/pafmj.v75i6.12478

Authors

Yasir Umer Department of Orthopedic Surgery, Ali Medical Centre Islamabad, Pakistan
Syed Junaid Ismail Department of Orthopedic Surgery, Ali Medical Centre Islamabad, Pakistan
Aamer Nisar Department of Orthopedic Surgery, Ali Medical Centre Islamabad, Pakistan
Nida Junaid Department of Orthopedic Surgery, Ali Medical Centre Islamabad, Pakistan
Waleed Umer Department of Orthopedic Surgery, Ali Medical Centre Islamabad, Pakistan

DOI:

https://doi.org/10.51253/pafmj.v75i6.12478

Keywords:

Below-Knee Amputation, Closure, Delayed Primary, Infection, Stump

Abstract

Objective: To compare the outcomes of primary and delayed primary closure of stump after traumatic below-knee amputation (BKA).

Study Design: Quasi-experimental study.

Place and Duration of Study: Orthopedic Surgery Department of Ali Medical Centre Islamabad, Pakistan, from Jan 2022 to Jun 2023.

Methodology: Eighty (n=80) patients who underwent traumatic below-knee amputation (BKA) were included, and divided into two groups. Group-A patients underwent primary stump closure and Group-B patients underwent delayed primary stump closure. Patients underwent surveillance after the procedure, and variables including length of hospital stay, reoperation and wound infection were noted in both groups.

Results: The mean age of patients was 38.65±0.65 years. 71(88.8%) patients were males while 9(11.3%) were females. The mean length of hospital stay in Group-A was 6.17±2.74 days and in Group-B group was 8.42±1.48 days (p<0.001). Wound infection was observed in 7(17.5%) patients in Group-A and in 3(7.5%) patients in Group-B (p=0.17). Reoperation for above-knee amputation was performed in 2(5%) patients in Group-A and in 1(2.5%) patient in Group-B (p=0.55).

Conclusion: Primary closure of stump after traumatic below-knee amputation (BKA) is associated with reduced length of stay in the hospital without any significant increase in the incidence of wound infection and reoperation.

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