الفهرس | Only 14 pages are availabe for public view |
Abstract Trauma is the sixth leading cause of death worldwide resulting in five million or 10% of all deaths. In Egypt, injuries are a significant source of morbidity and mortality. They are the 5th leading cause of death and the leading cause of hospitalization and account for at least one quarter of all inpatients. Orthopedic trauma represent the commonest form of injury involved in RTA (Road Traffic Accidents).it is a common problem for the physically active and such injuries may result in diminished performance, reduced participation and, in the longer term, loss of function, chronic joint disease, and disability. This study had been designed to evaluate some medico-legal aspects of cases of orthopedic trauma arrived to Beni-Suef university hospital as regard demographic data, types, causes and radiological pattern. The total patients’ number during the period of the study was 207 patients. The most common age group is (31-60) years old (30.4%). It was found that orthopedic trauma is common in males (68.6%) Many of injured cases came from urban areas (54.1%) The most common cause of trauma is motorcycle accidents (25.6%) followed by fall on ground (25.1%). The most common site of orthopedic trauma was lower extremities (53.1%) followed by upper extremities (32.3%). The most common type of fractures is simple fractures (50.3%). X-ray is the main investigation done in case of orthopedic trauma (71%). Early complication is the most common complication happened after orthopedic trauma (95.1%). Most of patients admitted at the same day of trauma (197%). Most of cases require operative treatment (68.1%), followed by intervention treatment (27.1%). Most of cases had no other injuries (84.0%), wounds were the most common associated injuries (5.7%). There were great significant relation between age and sex. As In all age groups males were more than females except age group (>60y) as females (73.9%). There were significant relation between age and cause of injury. As most common age group came due to motorcycle accident was age group (31-60y) (41.51%) and least number in age group (>60y) (5.66%). There were great significant relation between sex and cause of injury. As in all causes of orthopedic trauma males were more common than females except in fall on ground females were (51.92%) while males were (48.08%), fall down stairs females were (73.33%) while males were (26.67%) and in pedestrian trauma female were (75%) while males were (25%). There were significant relation between site and cause of injury. As in skull trauma, the most common cause is car accidents (41.8%). In spine trauma, it affected mainly in fall down stairs (13.3%) and fall from height (11.7%). In thoracic cage trauma, it affected by fall from height (5.8%) and gunshot (50%). In upper extremities trauma, it caused by fall on ground (46.1%), followed by motorcycle accidents (33.9%) then by direct trauma (31.25%). In lower extremities trauma, it affected mainly by motorcycle accidents (75.4%). There were a great significant relation between age and type of fracture. As in all age groups the simple fracture is more common than other types of fractures followed by comminuted fractures. Simple depressed occurred mainly in age group (0-18y). There were a significant relation between age of patients and treatments. As cases who need operative treatment are more in age group (31-60y) (22.2%). While cases who need intervention are more in age group (0-18y) (6.7%) and they are also more in conservative treatment (2.4%). There were a significant relation between site of fractures and treatments as operative treatments is more common in all sites of fractures as in skull fractures (82.1%) of patients was treated operatively. In lower extremities (74.5%) of patients was treated operatively. There were no significant relation between age and residence. There were no significant relation between age and number of fracture. There were no significant relation between age and complications. There were no significant relation between sex and site of trauma. There were no significant relation between sex and number of fractures. There were no significant relation between residence and number of fractures. There were no significant relation between site of fractures and complications. |