Pattern of Orthopaedic Injuries Among Patients Attending the Emergency Department in a Tertiary Care Hospital – An Analytical Study

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Acta Medica International,2014,1,1,10-14.
Published:January 2014
Type:Original Article

Pattern of Orthopaedic Injuries Among Patients Attending the Emergency Department in a Tertiary Care Hospital – An Analytical Study

Najmul Huda1, Pankaj Gupta2, Ajay Pant3, Asif Iqbal4, M Julfiqar5, Mohd Zahid Khan6, Nitin Kumar Agrawal7

1Associate Professor, 2Senior Resident, 3Professor and Head, 4Assistant Professor, 5Assistant Professor, 6Senior Resident, 7Assistant Professor, Department of Orthopaedics, Teerthanker Mahaveer Medical College and Research Centre, Moradabad, U.P., India

Abstract:

Introduction: This study was aimed at analyzing the pattern of Orthopaedic injuries among patients attending the Emergency department in a tertiary care hospital. Retrospective study was conducted in the Department of Orthopaedics, Teerthanker Mahaveer Medical College & Research Centre. Methods: The record analysis of injured patients seen at the emergency department over a 12 months period from June 2012 to May 2013 was done. The data was analyzed with special reference tothepattern of Orthopaedic injuries. Results: A total of 1110 records of injured patients that attended the emergency department were analyzed. Study showed that the majority of victims were in the age group of 11-44 years (n=909, 81.89 percent). 71.09 percent (n=789) were males and 28.9 percent (n=321) were females. Road traffic accident was the most common cause of injuries being responsible for 59.72 percent, (n=663) followed by fall from height (22.5 percent, n=247). Study revealed that the most common presentation of injuries was fracture (68.64 percent, n=762) and the most common site was lower limbs in 48.16 percent cases, (n=367). Next most common site was upper limbs (28.08 percent, n=214) followed by pelvic fracture (10.01 percent, n=77), spine fractures (8.26 percent, n=63), facial fracture (2.88 percent, n=22) & Ribs fracture (2.49 percent, n=19). There were 71.65 percent cases (n=546) of simple fracture and 28.34 percent cases (n=216) of the compound fracture. There were 3.87 percent cases (n=43), of various dislocations, shoulder dislocation being the most common. Crush injury was seen in 7.5 percent cases. Most commonly associated visceral injury wasthehead injury in 17.20 percent cases (n=191). Conclusion: Fractures were the most common pattern of Orthopaedic injuries, frequently associated with head injuries. Research in to appropriate strategies for prevention of injuries, especially RTA is required in tertiary care hospitals.