Original ArticleOpen Access

Pattern and Outcome Analysis of Orthopaedic Injuries and Fractures: A Tertiary Care Hospital-Based Study

ยทยทยทยทยท
DOI: 10.23958/ijirms/vol03-i08/10ยท Pages: 2169 to 2176ยท Vol. 3, No. 08, (2018)ยท Published: August 28, 2018
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Abstract

Background: Management of a patient who has sustained multiple injuries requires specific and reliable methods of evaluation and treatment. The aim of the present study was to assess the functional outcomes of all traumatic (closed)fractures and how all the variables in our study affect the ultimate functional outcome. Materials & Methods: One hundred and thirty five patients were followed up for duration of 24 weeks at 6 weekly intervals with a proper radiograph of the involved region, with requisite number of views for the assessment of fracture union during each visit. Results: The distribution of the age of the study population was, mean 32.06 (SE 1.442) years. Injury to admission interval mean is 9.56 days (SE 0.635), and injury to definitive management interval mean is 19.43days (SE0.999). Most of the fracture sustained was in the shaft of long bones of lower limbs (22.3%) and fractures around the elbow were second most common (21.5%). Most of the patients had no complications (51.9%) but amongst others, stiffness was the most common complication (21.5%). The distribution of fractures is shaft of femur, tibia and fibula is22.3% and hind foot and proximal humerus fractures accounted for 1.5% respectively. Conclusion: Comparing the Injury to definitive management interval, Analysis of Variance (ANOVA) study showed that lesser the interval, the better the outcome and is statistically significant (P < 0.05,F stat=20.273 ).Similar comparison and ANOVA study also revealed excellent outcome in mean of 6.66(95% CI) days of admission to injury interval and poor outcome in mean14.45(95% CI) of the same.

Keywords

Orthopaedic injuriesFractures PatternOutcome analysis
Author details
Dr Subhankar Mukherjee
Assistant Professor, Department of Orthopaedics, KPC Medical College & Hospital, 1F, Raja Subodh Chandra Mullick Road, Jadavpur, Kolkata, West Bengal 700032
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Dr Partha Pratim Pal
Assistant Professor, Department of Community Medicine, IPGME&R/SSKM Hospital, 244, A.J.C. Bose Road, Bhowanipore, Kolkata, West Bengal 734012
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Dr Gautam Bhattacharya
Professor & Head, Department of Orthopaedics, Nil Ratan Sircar Medical College and Hospital, 138, Acharya Jagadish Chandra Bose Rd, Sealdah, Raja Bazar, Kolkata, West Bengal 700014
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Dr Sandip Kr Roy
Professor & Head, Department of Orthopaedics, R. G. Kar Medical College and Hospital, 1, Khudiram Bose Sarani, Kolkata, West Bengal 700004
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Dr Rajiv Roy
Associate Professor, Department of Orthopaedics, Calcutta National Medical College and Hospital, 32, Gorachand Rd, Beniapukur, Kolkata, West Bengal 700014
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Mrs Deboti Mukherjee
Ex-HOD, Department of Dietetics and Clinical Nutrition, Narayana Superspeciality Hospital, 120/1, Andul Rd, Near Nabanna, Shibpur, Howrah, West Bengal 711103
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