RESUMEN
Objective: To find out the incidence of homicide, age and gender distribution of victims, type of weapons used and the most frequently targeted regions of body in victims of homicide in Rawalakot, Azad Kashmir, AJ and K
Study Design: Retrospective study
Place and Duration of Study: This study was conducted at SKBZH/CMH Rawalakot, AJ and K from Jan 2012 toMay 2015
Materials and Methods: Performa was designed for retrospective cohort study. The study was conducted in the mortuary SKBZH/CMH Rawalakot. Consent was implied and relevant information was gathered from the available record. Out of all the cases autopsied during this three and a half year period, 66 were homicidal in nature. Rest of the cases were excluded
Results: Male to female ratio was 5.6:1.Maximum number of victims belonged to 21-40yrs agegroup. Singleinjury was present in 85% [n= 56] cases while 15% [n=10] cases had multiple injuries. The most common region of the body targeted was chest 31.8%[n=21] followed by limbs, head and neck and abdomen .The most common tool used to kill was firearm in 75.8% [n=50] cases followed by sharp edged weapon in 18.2% [n=12] cases and others [including RTA, electrocution etc.] in 6.1%[n=4]cases
RESUMEN
Background: Soft tissue defects around ankle is a challenge for reconstructive surgery
Objective: To compare the outcome of sural and lateral supramalleolar flap for soft tissue coverage in patients with exposed distal tibia and heel
Patients and Methods: This comparative cross-sectional study was conducted in Department of orthopedic surgery, Bahawal, Victoria Hospital, Bahawalpur from 1 st January, 2008 to 31 st March, 2009. We included 32 patients which were randomly divided into group A, in whom soft tissue defect was managed by distally based Sural flap and group B, managed by lateral supramalleolar flap. All patients were discharged on 5[th] post operative day after flap surgery. First follow up in outpatient department was scheduled 10 days after discharge and skin sutures were removed, then all patients were followed on every 5[th] day for two months. The data was entered and analyzed in SPSS
Results: Mean age of patients in group A was 36 years and in group B was 31 years. It was noted that 21 [65.6%] patients were having soft tissue defect of heel region while 11 [34.3%] cases were having soft tissue defect of distal tibia. In 30 [93.7%] cases, cause of soft tissue defect was trauma while in 2 [6.6%] patients, chronic osteomyelitis was causing soft tissue defect. Flap survived in all cases of group A while success rate was 94% in group B. Marginal necrosis occurred in 1 [6.6%] patient of group A and 4 [23.5%] patients of group B. Flap was debrided and advanced in all cases. Flap edema occurred in 2 [13.3%] patients of group A and 6 [35.2%] patients of group B that resolved spontaneously by elevating the limb
Conclusion: It is concluded that distally based sural flap is a better choice for soft tissue coverage of distal tibia and heel region because it is much reliable and covers a larger area than lateral supramalleolar flap