Abstract

PATTERN OF FRACTURES AND DISLOCATIONS IN A TERTIARY CARE HOSPITAL, NORTH EAST KARNATAKA

Background: Trauma including accidents are today’s world concern forming a major non-communicable epidemic accounting for mortality and morbidity. The aim of the study was to determine and account the types of fractures and dislocations presented to Bidar Institute of Medical Sciences (BRIMS), Bidar, Karnataka, India. Methods and Material: This study is of retrospective in nature with a review of hospital inpatient case sheets of orthopaedic department in our hospital presented between July 2011 to Dec 2011. The data gathered was analysed by percentages. Results: Out of 132 cases analysed males (82.56%), outnumbered female (17.42%); 67.42 % of cases were between 18-45 years age group; femur (22.17 %) was the most commonly involved bone followed by tibia (13.21%), foot (10.85%); tibia & fibular (8.96%) involvement. Less common were spine (0.47%), vertebra (0.94%) and scapula (0.94%). Fracture-dislocation was more common in lower limb (59.91% - ankle joint was most common-50%) compared to upper limb (30.66%- shoulder joint: 12.5%). Conclusions: Among of 132 cases admitted 212 fractures & dislocation was noted. Male (82.56%) was more common than females (17.42%). Age group most commonly involved was between 18-45 years (67.42%). Fracture was more common in femur (22.17%) & dislocation was common in hip (42.86%) because of high velocity injury. Approach towards the prevention of accidents by effective safety education, good roads and early intervention which is the need of the hour. Effective drugs should be made available in the casuality so that crush injuries are managed without complications like septicemia and tetanus.

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