Prosthetic Limb Use, Barriers, and Associated Factors among Lower Limb Amputees at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: A cross-sectional Study (2020 - 2025)
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Date
2025
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Addis Ababa University
Abstract
Abstract
Introduction: Lower limb amputation (LLA) is a global health issue affecting millions of people worldwide. Globally, an estimated 1.5 million people undergo amputations every year and needs access to prosthetic services. This surgical intervention leads to a significant change of an individual’s life that has a very intricate relationship with psychosocial, social, economic, and physical adjustments. Restoring functional mobility and independence through prosthetic limb rehabilitation is therefore a cornerstone of post-amputation care.
Methods: An institution-based cross-sectional study was conducted at Tikur Anbesa Hospital, Ethiopia. Data collection was carried out through Reviewing medical charts & telephone calls with participants to complete self-structured questionnaires. Descriptive and binary Regression analysis were performed to analyse data using Statistical Package for Social Science (SPSS)26.
Results: A total of 106 patients were included in the study.86 (81.1%) were male with Median age of respondents 50.50 (IQR) of 32.75 - 64 years. 86.8% of the amputations were unilateral, with Below knee(39.6%) and Above knee (56.6%). 55(51.9%) of the participants get a prosthesis. The average time between amputation and fitting of a definitive prosthesis was 7.79 months (SD +/- 5.32 months). The three most reported barriers for not receiving a prosthesis were long waiting time, unsuitable amputation stump and lack of awareness about available prosthetic options. On Regression analysis only, level of amputation found to be associated with prosthetic fitting.
Conclusions: While progress is evident, persistent barriers and disparities in prosthetic rehabilitation demand urgent action. By addressing these, Ethiopia can enhance mobility, independence, and quality of life for amputees, fostering social reintegration and reducing the broader socioeconomic burden of limb loss. This study serves as a foundation for evidence-based reforms, ultimately advancing equitable assistive technology access in resource-limited settings.
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Lower Limb Amputation, Prosthetic fitting, Sustained User, Barriers, Tikur Anbesa Hospital, Addis Ababa, Ethiopia