ABSTRACT
Background: Orthopedic injuries in polytraumatised patient are common and affect the management in such patients
Aim of the Work: The purpose of this study was to assess the pattern and nature of orthopedic injuries in polytraumatised patient who sustain different mechanism of injury and to analyze the management of these injuries in the E.D. It is a descriptive study carried out at E.D. of Al-Jamhory teaching hospital
Patients and Methods: The study included all polytraumatised patient aged 15-45 years admitted to the E.D. OF Al-Jamhory teaching hospital after being injured in different mechanism of injury [MCV, FFH, Bullet injury, etc]. Management carried out according to ATLS and to specific patient needs, 64 patient included in this study by using a special form for the study, patients ages were ranging from 15-45 years with subdivided to subgroups [15-25], [26-35], [36-45] and studied separately from the mechanism of injury and injured part of the body point of view
Results: Total number of causalities was 64 their mean age was 20 years, out of them 59 were male and 5 females, the most mechanism of injury were MVC 32[50%], transportation time was with average of 30 minutes, upper limbs affected equally to lower limbs, closed orthopedic injuries were common than open injuries, head injuries were noted to be the bulk associated injuries with the most serious and fatal outcome
Conclusions: Orthopedic injuries have a major impact on the management of polytraumatized patients. Males were the active sex group in our society and had much more affected in polytrauma than females with the main mechanism of injury of MVC