Author :  Amir Shahzad1, Liaqat Ali Malik2, Hamid Hussain3, Suhail Karim Soomro4

Abstract
Background: the causes of amputation are trauma, infection and malignancies. In developing countries, the leading cause of amputation is trauma. Globally, the rate of amputation has been on rise due to accidents, gun- shot injuries, vascular diseases, diabetes, terrorist attack, bomb blasts and earthquake.
Objective: the objective of the study was to find out the most frequent cause of amputation in Pakistani Population.
Study design: Cross sectional survey.
Setting: The registered patient’s record was collected from the PIPOS (Pakistan Institute of Prosthetic and Orthotic Science) Rehabilitation Services Program (PRSP), Peshawar from the January 1st 2010 to December 31st, 2012.
Subjects/patients:Study population for this study wasfresh amputee/ newly registered patients. Sample size was 3268. The Data were analyzed using SPSS 17.0.
Results: Total number of participants was n=3268 and their mean age was 28.5±5.0 years. After analyzing the data, it showed common causes which were trauma 75% (n=2450), disease 17.4%(n=251) and congenital 7.7 % (n=567). In cause of trauma, the data were assorted into components which were bomb blast 37.2%, (n=915) road traffic accident 20%(n=488) and others 43% (n=1865) respectively.
Conclusion: The common cause of amputation was the trauma. In cause of trauma, the most frequent component was the Bomb blast.
Keywords:  Amputation, Road traffic accident, Bomb blast, orthoses & prosthoses