Table of Contents
Plastic Surgery International
Volume 2012, Article ID 752749, 7 pages
http://dx.doi.org/10.1155/2012/752749
Clinical Study

Buruli-Ulcer Induced Disability in Ghana: A Study at Apromase in the Ashanti Region

1Reconstructive Plastic Surgery and Burns Unit, Komfo Anokye Teaching Hospital, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
2Department of Community Health, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
3Health Education Unit, Global Evangelical Mission Hospital, Apromase-Ashanti, Ghana
4Department of Anatomy, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
5Centre for Disability and Rehabilitation Studies, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
6Department of Surgery, Volta Regional Hospital, Ho, Ghana
7American Leprosy Missions, Greenville, SC 29601, USA

Received 23 December 2011; Revised 5 March 2012; Accepted 6 March 2012

Academic Editor: Marcus Lehnhardt

Copyright © 2012 Pius Agbenorku et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives. To describe trends and category of disabilities caused by Buruli ulcer disease. Design. This retrospective study was set up to quantify information on the disability trends caused by Buruli ulcer (BU) using data on patients attending BU and chronic ulcer clinics from 2004 to 2009, at Global Evangelical Mission Hospital, Apromase. Methods. Data was retrieved from the WHO BU1 form, case registry book, surgical theatre register, and BU patients' records book of the hospital. Disability was measured as the incapability of patients to perform one or more daily activities due to his/her state of BU disease before treatment. Results. A total of 336 positive BU cases comprising 181 males (53.9%) were recorded of which 113 (33.6%) cases of disabilities were identified. A mean age of 52.5 ( ) years was recorded. For the trend of disabilities, the year 2009 recorded the highest (N = 34, 31.0%). The lesions were mostly located at the lower limbs (N = 65, 57.5%) region of the patients. Lesions with diameter >15 cm were the major (59.3%) category of lesions. Conclusion. Trend of disability reveals proportional increase over the years from 2004 to 2009. Contracture at the knee and ankle joints was the commonest disability recorded.