CLINICAL PATTERN AND OUTCOME OF MANAGEMENT OF OPEN FRACTURES OF LONG BONES OF THE LOWER LIMB
Abstract
Background: An open fracture is a type of injury in which the fracture site and/or hematoma connect with the outside world. They are linked with severe morbidity and impairment, and they provide a challenge to the surgical team since the protective skin barrier is compromised and contamination is possible.
When compared to other anatomical portions of the body, the lower extremities are the most often exposed. The pattern of open fractures varies depending on the type of damage and the section of the long bone affected.
Correct and prompt therapy of open fractures benefits patients and leads to a better prognosis. This study aimed at describing the clinical pattern and the outcome of management of open fractures of long bones of the lower limb.
Methodology: This is a retrospective research conducted in a hospital. We analyzed the records of patients with open fractures of long bones of the lower leg treated at three secondary health institutions in Cameroon’s South-West region.
The socio-demographics, clinical presentation, treatment strategies, and results were all documented. Epi info version 7.0 and SPSS version 23.0 were used to store and analyze the data, respectively.
Results: A total of 195 patient files ranging in age from 8 to 80 years were examined. The majority of those afflicted were between the ages of 20 and 40. There were 147 (75.4%) men and 48 (24.6%) females, for a 3.1:1 sex ratio.
The most prevalent cause (142/72.8%) was traffic accidents. The left side was more engaged in 98 instances (50.3%). The tibia was the most often damaged long bone, accounting for 75 (38.5%) of all cases. In 126 instances (64.6%), the most prevalent fracture pattern was comminuted fracture. Gustilo-Anderson IIIA was assigned to 76 fractures (39%).
External fixator was used in 112 cases (57.1%) and internal fixator in 86 cases (42.9%). We recorded 127 (65.1%) cases of wound infection and 143 (73.3%) cases of limb shortening as the most common complications.
Other complications includes; 20 cases (17.1%) of mal-union, 27 cases (22.5%) of delayed union, 18 cases (15.1%) of non-union and 50 cases (38.5%) chronic osteomyelitis. We recorded a mortality of 2.1%. Gustilo IIIB and IIIC were associated to chronic osteomyelitis (P=0.02) and external fixators were associated to non-union (P=0.03) among others.
Conclusion: The active age group of the population is disproportionately affected by open fractures of long bones of the lower leg, with road traffic accidents being the most prevalent cause. It usually affects the left side, with the tibia being the most often shattered long bone.
A significant majority of these fractures are of severe severity, and the most prevalent fracture pattern is comminuted fracture. When an external fixator is employed as a definitive technique of fixation, there is a substantial complication rate.
Check out: Health Science Project Topics with Materials
| Project Details | |
| Department | Health Science |
| Project ID | HS0058 |
| Price | Cameroonian: 5000 Frs |
| International: $15 | |
| No of pages | 60 |
| Methodology | Descriptive |
| Reference | yes |
| Format | MS word & PDF |
| Chapters | 1-5 |
| Extra Content | table of content, questionnaire |
This is a premium project material, to get the complete research project make payment of 5,000FRS (for Cameroonian base clients) and $15 for international base clients. See details on payment page
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CLINICAL PATTERN AND OUTCOME OF MANAGEMENT OF OPEN FRACTURES OF LONG BONES OF THE LOWER LIMB
| Project Details | |
| Department | Health Science |
| Project ID | HS0058 |
| Price | Cameroonian: 5000 Frs |
| International: $15 | |
| No of pages | 60 |
| Methodology | Descriptive |
| Reference | yes |
| Format | MS word & PDF |
| Chapters | 1-5 |
| Extra Content | table of content, questionnaire |
Abstract
Background: An open fracture is a type of injury in which the fracture site and/or hematoma connect with the outside world. They are linked with severe morbidity and impairment, and they provide a challenge to the surgical team since the protective skin barrier is compromised and contamination is possible.
When compared to other anatomical portions of the body, the lower extremities are the most often exposed. The pattern of open fractures varies depending on the type of damage and the section of the long bone affected.
Correct and prompt therapy of open fractures benefits patients and leads to a better prognosis. This study aimed at describing the clinical pattern and the outcome of management of open fractures of long bones of the lower limb.
Methodology: This is a retrospective research conducted in a hospital. We analyzed the records of patients with open fractures of long bones of the lower leg treated at three secondary health institutions in Cameroon’s South-West region.
The socio-demographics, clinical presentation, treatment strategies, and results were all documented. Epi info version 7.0 and SPSS version 23.0 were used to store and analyze the data, respectively.
Results: A total of 195 patient files ranging in age from 8 to 80 years were examined. The majority of those afflicted were between the ages of 20 and 40. There were 147 (75.4%) men and 48 (24.6%) females, for a 3.1:1 sex ratio.
The most prevalent cause (142/72.8%) was traffic accidents. The left side was more engaged in 98 instances (50.3%). The tibia was the most often damaged long bone, accounting for 75 (38.5%) of all cases. In 126 instances (64.6%), the most prevalent fracture pattern was comminuted fracture. Gustilo-Anderson IIIA was assigned to 76 fractures (39%).
External fixator was used in 112 cases (57.1%) and internal fixator in 86 cases (42.9%). We recorded 127 (65.1%) cases of wound infection and 143 (73.3%) cases of limb shortening as the most common complications.
Other complications includes; 20 cases (17.1%) of mal-union, 27 cases (22.5%) of delayed union, 18 cases (15.1%) of non-union and 50 cases (38.5%) chronic osteomyelitis. We recorded a mortality of 2.1%. Gustilo IIIB and IIIC were associated to chronic osteomyelitis (P=0.02) and external fixators were associated to non-union (P=0.03) among others.
Conclusion: The active age group of the population is disproportionately affected by open fractures of long bones of the lower leg, with road traffic accidents being the most prevalent cause. It usually affects the left side, with the tibia being the most often shattered long bone.
A significant majority of these fractures are of severe severity, and the most prevalent fracture pattern is comminuted fracture. When an external fixator is employed as a definitive technique of fixation, there is a substantial complication rate.
Check out: Health Science Project Topics with Materials
This is a premium project material, to get the complete research project make payment of 5,000FRS (for Cameroonian base clients) and $15 for international base clients. See details on payment page
NB: It’s advisable to contact us before making any form of payment
Our Fair use policy
Using our service is LEGAL and IS NOT prohibited by any university/college policies. For more details click here
We’ve been providing support to students, helping them make the most out of their academics, since 2014. The custom academic work that we provide is a powerful tool that will facilitate and boost your coursework, grades, and examination results. Professionalism is at the core of our dealings with clients.
For more project materials and info!
Contact us here
OR
Click on the WhatsApp Button at the bottom left
Email: info@project-house.net
