Dr. Ahmed Tehmas, Dr. Muhammad Ihtisham ul haq, Dr. Maryam Javed, Dr. Zardad Khan, Dr. Farooq Azam Qureshi
Objective: To know the current indications for a significant amputation of the lower limb in a tertiary care configuration. Study design: A Case series. Place and Duration: In the North Surgery Department of Mayo Hospital Lahore in Collaboration with Orthopedic department for Six months duration from July 2018 to December 2018. Methodology: We reviewed case reports of all patients with marked lower extremity amputation for six months. The main outcome measures were the patient's gender, age, amputation indicator, affected extremity, procedure, complications, outcome and hospitalization. Results: Overall, fifty three cases had a major lower limb amputation with 47.49 mean age. The diabetes mellitus complications were the major cause of lower limb amputation in (54.7%) 29 patients and trauma in 22 patients (44.93%). The usual pre-established methods in 26 patients (49%) was debridement, skin grafts in four (7.5%) and one patient (1.9%) vascular repair done. The mean hospital stay was 17.3 days, ranging from 8 to 33 days. One patient (1.9%) died in the hospital due to sepsis. Conclusion: The main complications of a limb amputation were complications of diabetes followed by trauma. Key Words: Trauma, amputation, indication, diabetes.