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Injury Survey at Chris Hani Baragwanath Academic Hospital, Soweto, South Africa

January 10, 2020/in Jan. - Jun 2020 | Volume 6 | Issue 1

Vol 6 | Issue 1 | Jan-Jun 2020 | page:12-16 – Nazia Khan, Mabongo M, Kolisa Y Author: Nazia Khan[1], Mzubanzi Mabongo[1], Yoland Malele Kolisa[2] [1] Department of Maxillo-facial and oral surgery, School of Oral Health Sciences, University of the Witwatersrand, South Africa. [2]2Department of Community Dentistry, University of The Witwatersrand,South Africa. Address of CorrespondenceDr. […]

Bipolar Hemiarthroplasty by Using Cemented Calcar Replacement Stem for Unstable Inter-trochanteric Fractures in Old Age

January 10, 2020/in Jan. - Jun 2020 | Volume 6 | Issue 1

Vol 6 | Issue 1 | Jan-Jun 2020 | page:6-11 – Shriniwas R Yemul, Rushikesh Lonikar Author: Shriniwas R Yemul [1], Rushikesh Lonikar [1] [1] Department of Orthopaedics, Ashwini Rural Medical College, Kumbhari, Solapur, Maharashtra, India. Address of CorrespondenceDr. Rushikesh Lonikar,Associate Professor, Ashwini Rural Medical College, Kumbhari, Solapur, Maharashtra, IndiaE-mail: rushikeshlonikar1@gmail.com Abstract Background: Internal fixation […]

Injury Survey at Chris Hani Baragwanath Academic Hospital, Soweto, South Africa

January 10, 2020/in Jan. - Jun 2020 | Volume 6 | Issue 1

Bipolar Hemiarthroplasty by Using Cemented Calcar Replacement Stem for Unstable Inter-trochanteric Fractures in Old Age

January 10, 2020/in Jan. - Jun 2020 | Volume 6 | Issue 1

Full Sized Blog Element (Big Preview Pic)

Injury Survey at Chris Hani Baragwanath Academic Hospital, Soweto, South Africa

January 10, 2020/in Jan. - Jun 2020 | Volume 6 | Issue 1

Vol 6 | Issue 1 | Jan-Jun 2020 | page:12-16 – Nazia Khan, Mabongo M, Kolisa Y

Author: Nazia Khan[1], Mzubanzi Mabongo[1], Yoland Malele Kolisa[2]

[1] Department of Maxillo-facial and oral surgery, School of Oral Health Sciences, University of the Witwatersrand, South Africa.

[2]2Department of Community Dentistry, University of The Witwatersrand,
South Africa.

Address of Correspondence
Dr. Nazia Khan,
Department of Maxillo-facial and oral surgery, School of Oral Health Sciences, University of the Witwatersrand, South Africa
E-mail: nazia786092@gmail.com

Abstract

Introduction: Globally injuries constitute a major public health problem. In 2007, South Africa was listed as one of the most violent countries in the world, with more than 30 000 trauma-related deaths recorded annually.
Objective: Analysis of 5 371 trauma patients seen over a three-month period at Chris Hani Baragwanath Academic Hospital’s trauma unit was conducted. Objectives of the survey were to: Describe the patients socio-demographic profile ; Assess the frequency, distribution and types of injuries sustained; Determine the severity of injuries; Determine patient outcomes after initial treatment; and Determine factors related to traumatic injuries.
Methods: A cross-sectional study. Patients were admitted assessed and records were reviewed.
Results: A male to female ratio of 2:1 was recorded. Only 22.69% of the patients reported been employed. The median age was 28 years (interquartile range 14-40 years). The predominant mechanism of injury was due to falls (32.37%), followed by assault (27.44%). Transport-related injuries accounted 22.52%, while burn injuries accounted for 8.01%. Males were more likely to suffer any form of injury compared to females (p<0.05). Assault injuries were 4.23 times more likely to result in head and neck injuries compared to any other mechanism of injury (OR:4.23, CI 3.52-5.08, p <0.00). Upon initial admission to the unit, 43.04% of patients were discharged home after initial treatment, while 41.54% were transferred to the orthopedic unit.
Conclusion: Sex, employment status, age and area of residence influenced the pattern of traumatic injuries. Falls injuries and assault were the predominant mechanisms of injury. Males were more likely to suffer from any form of injury than females. Assault injuries were more than four times more likely to result in head and neck injuries than any other mechanism of injury. Therefore, ongoing surveillance and education campaigns are recommended.

Keywords: Surveillance; Trauma; Injuries.

References

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How to Cite this article: Khan N, Mabongo M, Kolisa YM | Injury Survey at Chris Hani Baragwanath Academic Hospital, Soweto, South Africa | Trauma International | January-June 2020; 6(1):12-16.

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Bipolar Hemiarthroplasty by Using Cemented Calcar Replacement Stem for Unstable Inter-trochanteric Fractures in Old Age

January 10, 2020/in Jan. - Jun 2020 | Volume 6 | Issue 1

Vol 6 | Issue 1 | Jan-Jun 2020 | page:6-11 – Shriniwas R Yemul, Rushikesh Lonikar

Author: Shriniwas R Yemul [1], Rushikesh Lonikar [1]

[1] Department of Orthopaedics, Ashwini Rural Medical College, Kumbhari, Solapur, Maharashtra, India.

Address of Correspondence
Dr. Rushikesh Lonikar,
Associate Professor, Ashwini Rural Medical College, Kumbhari, Solapur, Maharashtra, India
E-mail: rushikeshlonikar1@gmail.com

Abstract

Background: Internal fixation of unstable inter-trochanteric is challenging and most of the morbidity is associated with prolonged immobilization and implant cut outs. Aim of this study is to evaluate clinical outcomes of bipolar hemiarthroplasty in old age patients with unstable inter-trochanteric fractures by using cemented calcar replacement stem.
Methods: 80 hips of inter-trochanteric fractures (AO/OTA type 31-A2.2 and 31-A2.3) in 80 patients, 49 females and 31 male patients from Aug 2016 to Sept 2019. All the patients were operated by posterolateral approach, and hemi-replacement done using cemented modular calcar replacement stem, greater trochanter also reconstructed in all the patients. Patients were followed at 6 wks, 3 months, 6 months and 1 year. Primary outcome included Harris hip score and secondary outcome includes functional walking ability (kovals), thigh pain, dislocation, trendelenberg test and infection, mortality.
Results: No dislocation, No e/o infection, only two patients complained of anterior thigh pain. One patient developed pulmonary embolism treated and recovered, limb length discrepancy seen in 4 patients (lengthening 4, no shortening) range 0-20 mm, Perioperative mortality during hospitalization is seen in two patients due to cardiac complications. 5 patients died from discharge to within one year. 3 patients lost to follow up. Fifty five patients (78.57%) regained preinjury ambulation status at final follow up. At final follow up, Average Harris hip score (HSS) was 80 (Range 70 to 95) , poor (<70)-3, fair(70-79)-12, Good (80-89)-50, Excellent (90-100)-5.
Conclusion: Hemiarthroplasty using calcar replacement stem in unstable inter-trochanteric fracture in old age patients helps in early mobilization of patients and early regaining of preinjury ambulation status.
keyword: Unstable inter-tochanteric fracture; Cemented bipolar; Calcar stem bipolar.
Level of evidence: Therapeutic level II.

References

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How to Cite this article: Yemul SR, Lonikar R | Bipolar Hemiarthroplasty by Using Cemented Calcar Replacement Stem for Unstable Inter-trochanteric Fractures in Old Age | Trauma International | January-June 2020; 6(1):6-11.

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Injury Survey at Chris Hani Baragwanath Academic Hospital, Soweto, South Africa

Bipolar Hemiarthroplasty by Using Cemented Calcar Replacement Stem for Unstable Inter-trochanteric Fractures in Old Age

Injury Survey at Chris Hani Baragwanath Academic Hospital, Soweto, South Africa

Bipolar Hemiarthroplasty by Using Cemented Calcar Replacement Stem for Unstable Inter-trochanteric Fractures in Old Age

Full Sized Blog Element (Big Preview Pic)

Injury Survey at Chris Hani Baragwanath Academic Hospital, Soweto, South Africa

Author: Nazia Khan[1], Mzubanzi Mabongo[1], Yoland Malele Kolisa[2]

Abstract

References

(Abstract)(Full Text HTML) (Download PDF)

Bipolar Hemiarthroplasty by Using Cemented Calcar Replacement Stem for Unstable Inter-trochanteric Fractures in Old Age

Author: Shriniwas R Yemul [1], Rushikesh Lonikar [1]

Abstract

References

(Abstract)(Full Text HTML) (Download PDF)

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