Agriculture related injuries; Spectrum and management outcome in General Surgical unit

Traumatic injuries related to agricultural related profession can lead to serious disability and even mortality. To study the spectrum of agricultural production related injuries and their management outcome in General Surgical unit. RetrospectiveDescriptive, Interventional. January 2012 to December 2013. Surgical Department Aziz Bhatti Shaheed Teaching Hospital Gujrat and Surgical department Islam Medical and Dental College Sialkot. Data of 33 patients involved in an accident and sustained injury while operating agriculture machine/ equipment is being presented with reference to age, gender, nature of injury, type of equipment /machine involved and management outcome. Record of total 33 patients with agriculture related injuries was analysed retrospectively. Male population is more involved in agriculture related accidents seen in 20 out of 33 patients [60.6%], female involvement in such accidents is not uncommon seen in 13 patients [39.9%]. Fodder Cutter [TOKA] was the commonest agricultural equipment found involved in 17 [51.5%] cases. Traumatic amputation both minor or major type of upper limb was most frequent injury seen in 19 [57.7%] cases and infection was the commonest complication occurred in 13 cases. Fournier's gangrene and tetanus was the most dreadful complication with 100% mortality. Overall mortality was 03.03%. Agriculture machinery related accidents cause serious injuries that lead to disability, morbidity and often mortality. Victims are usually young. Awareness campaigns regarding hazards and safety measures in using agriculture machinery should be launched with the help of media. Re-implantation / re-vascularization surgery must be considered in case of limb amputations in selected cases

Joint reconstruction in juxta-articular bone tumours using methylmethacrylate

Joint reconstruction technique using methylmethacrylate bone cement in juxta-articular osteolytic bone tumours is discussed. Five cases of tumours of musculoskcletal system presenting as osteolytic juxta-articular lesions, 4 cases of giant cell tumour and one of desmoid fibroma, treated by marginal resection and local reconstruction using bone cement are reported. The short term follow-up reveals excellent results with early painfree joint mobilization and good range of movements