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Traumatic injury is a growing public health concern globally, and is a major cause of death and disability worldwide. The purpose of this study was to quantify the socioeconomic impact of lower extremity fractures in Uganda.All adult patients presenting acutely to Uganda's national referral hospital with a single long bone lower extremity fracture in October 2013 were recruited. Consenting patients...
Traumatic periprosthetic fractures adjacent a hip resurfacing prosthesis are rare. When proximal fractures are encountered the obvious surgical solution is to revise to a large head stemmed femoral component. A previously well functioning implant may however be retained as various non-operative and operative treatment options exist. This paper reports the case history of a traumatic periprosthetic...
We reviewed 49 patients following plate osteosynthesis of humeral shaft fractures. There were no complications as a result of surgery. Union occurred in 47 patients (96%) at a mean of 9 weeks. Two patients required secondary procedures to achieve union. All patients had full range of motion in the elbow and shoulder joints following union.In the light of the popularisation of intramedullary nailing...
Ladder fall injuries are associated with a wide spectrum of injury patterns. However, the healthcare cost of these injuries is unknown. The aim of this study was to determine the healthcare cost and duration of the morbidity associated with ladder fall injuries. A retrospective observational study involving patients with ladder injuries who presented to a Level 1 Trauma Centre over a 3-year period...
From February 1995 until December 1997 we treated 48 patients aged between 26 and 79 years for distal radial fractures with external fixation. They were treated in an Arbeitsgemeinschaft fur Osteosynthestragen (A.O.) construct for periods of 5-10 weeks, the mean being 6 weeks. Forty patients were available for follow up. Our indications for this procedure were: severe comminuted displaced intra-articular...
Seventeen consecutive patients with Grade IIIB open tibial fractures had definitive treatment of both the fracture and soft tissues performed within 72 h of injury. Free tissue transfer was used for cover in each case. There were no cases of deep infection. Flap survival was 100 per cent. The mean time to fracture healing was 10 months, and mean time to walking unaided was 12 months. The average...
Gustilo Grade III open fractures of the tibia continue to provide a real challenge to the surgeon to achieve bony union, an intact soft tissue envelope and a functioning limb. There is no consensus on the initial management of the soft tissues. In particular, the indications for primary or delayed closure or serial debridement remains controversial.We present a consecutive series of 17 Grade IIIb...
Management of the open tibial fracture remains a challenge for the trauma surgeon. With more severe open injuries, the ideal treatment should combine adequate reduction and stable fixation with a low infection rate, particularly if treatment entails insertion of foreign materials. There is general consensus that these patients should have antibiotics and early referral to a plastic surgery service...
Fourteen patients with painful knees caused by a direct blow to the front of the knee have been studied. The exact diagnosis was often delayed. Apart from pain, all patients had one common feature which they may not have been aware of, namely, marked tenderness localized towards the middle of the outer border of the patella. Surgical treatment in 11 patients, by excision of the subcutaneous tissue...
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