RESUMO
Objective: To find the outcome of bipolar hemiarthroplasty using posteriolateral and lateral approaches
Study design: Descriptive case series
Place and Duration of study: Departments of Orthopaedics and Spine Centre, Ghurki Trust Teaching Hospital Lahore, from January 2015 to December 2016
Methodology: Patients of either sex and of age above 40 year, who presented in Emergency Department with femoral neck fractures, were included in the study. Data included basic demorgraphic profile, Harris hip scoring, duration of surgery, hospital stay and blood loss
Results: A total of 200 patients were included in the study. There were 77 [38.5%] males and 133 [61.5%] females. Male to female ratio was 0.58:1 with mean age of 58.2 +/- 6.02 year. Mean follow up was 14.2 +/- 2.5 months. In 134 [67.0%] patients there was history of fall, 41 [20.5%] presented with fracture after low energy vehicle accident, 20 [10.0%] presented after high energy vehicle accident. Duration of surgery and blood loss were less in posteriolateral approach. The complication rate and Harris hip scoring was similar in both the approaches
Conclusions: Outcome of surgery in terms of infection, mobility and pain as well as dislocations were similar in both the approaches. The posterior approach was superior in terms of short duration of surgery and less blood loss
RESUMO
Objective: To find out demographics, mechanism of injury and bones involved so as to suggest preventive measures in geriatric population
Study design Retrospective case series
Place and Duration of study: Department of Orthopaedics and Spine Centre, Ghurki Trust Teaching Hospital Lahore, from January 2015 to December 2015
Methodology: This study included all patients of age greater than 50 year of either sex admitted through emergency or OPD having any type fracture. The data were taken from hospital database and included clinical, epidemiological and radiological records. The results were analyzed using SPSS version 17.0
Results: A total of 1215 patients were included in the study. Of these 880 [72.4%] were males and 335 [27.6%] females. Male to females ratio were 1.38:1 with mean age of 56.21 +/- 12.603 year. Most of them were between 51-60 year [n=629 - 51.77%]. Femoral fractures were the most common and the main mechanism of injury were fall followed by road traffic accidents
Conclusions: Femoral neck fractures were the most common fractures and mostly females were involved. Fall was the main mechanism of injury
RESUMO
Background: Fracture shaft of humerus is a common orthopedic problem and represents roughly 3% of all fractures, usually managed non-operatively. The usual operative modalities used for fixation of humerus fractures are the kuntscher nails, dynamic compression plate [DCP], external fixator and intramedullary nail [IMN]. Plating of fracture shaft of humerus is the more common surgical treatment option. There is a higher rate of excellent and good results and tendency for earlier union with the plating of fracture shaft of humerus
Methods: This study was conducted at Orthopedic Department of Allied and DHQ Hospital Faisalabad from November 2011 to November 2012. All patients with fracture shaft of humerus were included and treated with dynamic compression plating
Results: 91 patients with mean age of 37.24 including 70 [76.9%] males and 21 [23.1%] females falling in inclusion criteria were operated by same orthopaedic surgeons team with same implant i.e. DCP. At 1ST postoperative day, 87 patients [95.60%] had no neurological deficit while 4 patients [4.40%] had neurological deficit. At 12th postoperative day only 9 patients [9.9%] had superficial wound infection while 82 patients [90.1%] have no wound infection
Conclusion: Humeral shaft fracture is one of the commonest fractures among the working community and elderly. Fixation of fracture with Dynamic Compression Plate is the treatment of choice. Postoperative radial nerve injury is an important complication and few patients in this study developed neurological deficit
RESUMO
Background: With increasing number of motor vehicles and population, trauma patients are increasing day by day. Motorcycle accidents are one of the major causes of disabilities and deaths in young males
Objectives: To determine the pattern of orthopaedic injuries and outcome of its treatment in patients presented to Allied Hospital Faisalabad after motorcycle accidents and to provide the baseline data to policy makers and other stakeholders who want to undertake necessary measures to improve road safety in the country
Study design: Descriptive cross sectional
Setting: Accident and Emergency [A and E] and orthopaedic department of Allied Hospital Faisalabad
Duration of study: January 2012 to December 2012
Method: All patients were admitted through Accident and Emergency department. The data was collected in retrospective way and was analyzed using SPSS version 17
Results: Total 1003 patients were included in this study. 859 were male [85.6%] and 144 were female [14.4%]. The patient ages ranged from 3 to 90 years with peak frequency of 21-30 years 318 [31.7%]. Businessmen290 [28.9%], employee/public workers 224 [22.3%] and students 216 [21.5%] were the majority of victims. Collision of motorcycle with vehicles was the most common mechanism of injury 31.4% and Motorcycle riders 613 [61.1%] were the usual victims. Frequency of non-helmet use was 93.4% and of head injuries along with orthopaedic injuries were 33.1%. Most common orthopaedic injury pattern in motorcycle accidents was fracture of tibia and fibula 43.4%. Mean duration of hospitalization was 9.1days
Conclusion: Road traffic accidents constitute one of most important public health problem in our society. Disabilities and deaths in motorcycle crash are increasing day by day. Preventive programs must be launched by policy makers of concerned departments and stakeholder at national level as solely a medical approach is insufficient to save precious lives of many people