preprint
<title>Abstract</title> <bold>Background</bold> Worldwide, limb amputation is a very common procedure that is indicated after severe complications of diseases and after major physical traumas which cause a damage that is untreatable. Studies showed high prevalence of amputation in Sudan as a result of Diabetic. The most common type of major lower limb amputations is called Trans-tibial or below knee amputation. Any patient who undergoes an amputation will need thorough educational program to know more about his/her condition, avoid complications, and be able to return to his/her functional and normal life before the amputation. <bold>Aim</bold> The aim of this study was to determine the effect of pre- and postoperative patient education on preventing knee flexion contractures in trans-tibial amputation patients in selected centers in Khartoum state. <bold>Method</bold> A quantitative, descriptive, cross-sectional survey was used in this study. The data was collected using a self-administered questionnaire. A total of fifty participants from four facilities have participated in the study. The data were analyzed using Statistical Package for the Social Sciences (SPSS) Version 21 <bold>Result</bold> More than half of the participants who received patient education, did not have any complications and only 28% of them had complications. There were 42% of study participants came from outside Khartoum to seek Trans-tibial amputation rehabilitation services. There were 68% of participants received education from their physiotherapists. <bold>Conclusion</bold> There are a shortage in Trans-tibial amputation rehabilitation services outside Khartoum city. The study concluded that the pre- and postoperative patient education is important as it can decrease the number and severity of complications an amputee might have after the surgery. <bold>Recommendations</bold>: Pre- and post-operative Patient education must be part of the rehabilitation protocol and awareness about it should be required for patient and the rehabilitation team.
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DOI: 10.21203/rs.3.rs-5470619/v1
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