Review Article

Global trends in incidence of lower limb amputation: a review of the literature

L. Godlwana, T. Nadasan, T. Puckree
South African Journal of Physiotherapy | Vol 64, No 1 | a93 | DOI: | © 2008 L. Godlwana, T. Nadasan, T. Puckree | This work is licensed under CC Attribution 4.0
Submitted: 06 January 2008 | Published: 07 January 2008

About the author(s)

L. Godlwana, Lecturer and masters student in the discipline of Physiotherapy at the University of KwaZulu Natal
T. Nadasan, Lecturer in the discipline of Physiotherapy at the University of KwaZulu Natal
T. Puckree, Associate professor in Physiotherapy at the University of KwaZulu Natal

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The aim of this paper was to compile a literature report on the global epidemiology of lower limb amputations. Specifically it aimed at capturing information on the incidence of traumatic and non-traumatic lowerlimb amputations throughout the world, to identify the etiology including diseases and lifestyle habits associated with lower limb amputees (LLA) in boththe developed and the developing countries, to identify the demographiccharacteristics, age, sex, race, geographical location of the people undergoing LLA including the levels of amputation as pointed out by the literature. Aliterature search was conducted. Different keyword combinations were used togather as much literature on the subject as possible. The authors systemicallyreviewed literature from some parts of Europe, Asia, North and South America and South Africa. The data was analyzed and presented under various themes. The existing literature shows that diabetes is the leading cause of LLA and trauma accounts for the minority of these cases. The incidence of LLA can be predicted by gender, age, maritalstatus, level of education and socio-economic status. Information on LLA in South Africa is almost absent.


lower limb amputation; literature review


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Crossref Citations

1. Evolving Indications for Lower Limb Amputations in South Africa Offer Opportunities for Health System Improvement
Muhammad Zafar Khan, Michelle TD Smith, John L Bruce, Victor Y Kong, Damian L Clarke
World Journal of Surgery  vol: 44  issue: 5  first page: 1436  year: 2020  
doi: 10.1007/s00268-019-05361-9