Is the Race Still between Trauma and Diabetes? - Reviewing the Most Common Reasons for Lower Limb Amputations in Nigeria

Background: Lower limb amputation is a major healthcare concern globally, particularly in Nigeria, where trauma and diabetes mellitus (DM) are significant contributors.This study aimed to assess the causes of above-knee amputations at the National Orthopaedic Hospital Igbobi, Lagos, from 2011 to 2020, re-examining whether trauma and diabetes remain the predominant factors in the context of changing healthcare dynamics and demographic shifts.Methods: This retrospective cross-sectional study analyzed the medical records of patients who underwent above-knee amputations between 2011 and 2020 at the National Orthopaedic Hospital,