Efficacy of Ligamentotaxis for Thoracic and Lumbar Traumatic Fractures and Factors Influence Outcome

Abstract Background Traumatic thoracic and lumbar fractures are very common specially in the thoracolumbar junction and the most common causes are road traffic accidents and falling from height. Aim of the Work to evaluate efficacy of ligamentotaxis in thoracic and lumbar compressed and burst spine fractures using intact posterior longitudinal ligament and factors affect its outcome without anterior vertebral decompression through repositioning retropulsed segments, restoring vertebral height. Patients and Methods This study was conducted on 20 patients (with Non-propability convenience sample) with traumatic thoracic and lumbar spine fractures with intact posterior longitudinal ligament in El-maadi military hospital, Ain Shams university hospital during the period of 2017-2018. Results The most common postoperative complication was infection in 5 % of patients and CSF leakage infection in 5 % of patients. Conclusion The outcome in the study were successful in 95% of patients as reduction of retropulsed part occurred by the intact posterior longitudinal ligament.

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Characteristics of Road Traffic Accident Cases Reported in a Tertiary Military Hospital

Journal of Armed Forces Medical College Bangladesh ◽

10.3329/jafmc.v15i2.50842 ◽

2020 ◽

Vol 15 (2) ◽

pp. 213-217

Author(s):

Md Moshiur Rahman ◽

Farzana Zafreen ◽

Abu Noman Mohammed Mosleh Uddin

Keyword(s):

Cause Of Death ◽

Road Safety ◽

Road Traffic Accident ◽

Traffic Accident ◽

Traffic Accidents ◽

Road Traffic ◽

Military Hospital ◽

Road Traffic Accidents ◽

Traffic Crashes ◽

Road Traffic Crashes

Introduction: Road traffic accidents (RTA) are the eighth leading cause of death globally, and the leading cause of death in Bangladesh. The road safety situation in Bangladesh has been deteriorating with increasing number of road accident deaths, largely as direct consequences of rapid growth in population, motorization, urbanization and lack of investment in road safety. Objectives: To describe the injury characteristics of road traffic accidents cases that reported at Combined Military Hospital (CMH), Dhaka. Materials and Methods: This descriptive cross-sectional hospital based study was conducted on all the RTA cases reported to medical inspection room CMH, Dhaka from 01 March to 30 June 2010. A total of 126 RTA victims irrespective of age and sex were included, data were collected by face to face interview using a pre-tested questionnaire. Results: A total of 126 road traffic accident victims both sexes were studied. The majority of the study subjects were men 103 (81.7%) and most of them were in 31-40 years group (27%), Muslims (98.41%) were the majority. In our study regarding educational qualification of RTA victims most of them were SSC qualified (44’4%) and primary level (15.1%). Military services holder (45.2%) was the majority of road traffic crash victims. Bus/Minibus (32.5%) was responsible for the majority of road traffic crashes and motor vehicle passengers (42.9%) were main victims. Laceration & cut injury were (38.1%) and multiple injury (18.3%) were the most common injury. Main roads (49.2%) were the commonest site of the accidents. Regarding place of occurrence main roads 62 (49.2%) was the most common site and noon 41 (32.5%) was the most common time of occurrence of accidents. Conclusion: Road traffic crashes constitute a major public health problem in our setting and contribute significantly to unacceptably high morbidity and mortality. Urgent preventive measures targeting at reducing the occurrence of road traffic crashes is necessary to reduce the morbidity and mortality resulting from these injuries. Early recognition and prompt treatment of road traffic injuries is essential for optimal patient outcome. JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 213-217

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Epistaxis: etiological profile and treatment outcome in a teaching hospital in South India

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20174099 ◽

2017 ◽

Vol 3 (4) ◽

pp. 878

Author(s):

Basheer N. K. ◽

Jaya C. ◽

Sabir V. T.

Keyword(s):

Traffic Accidents ◽

Surgical Intervention ◽

Road Traffic ◽

Treatment Options ◽

Cost Benefit ◽

Minor Bleeding ◽

Older Individuals ◽

Bleeding Point ◽

Common Causes ◽

Nasal Bleed

Background: Epistaxis is the most common otorhinolaryngological emergency worldwide. Minor bleeding episodes occur more frequently in children and adolescents, whereas severe bleed requiring otolaryngologic intervention often occur in older individuals. Treatment options can be conservative or surgical, the selection of which should be made considering the parameters: efficiency, complications, and cost-benefit. Methods: This was a prospective study done in 131 patients with epistaxis, in the Department of ENT, Government Medical College, Trivandrum, with the aim to determine the etiology and the outcome of the conservative and surgical management. Results: The most common causes of epistaxis were trauma and hypertension. The age incidence increased after forty years and majority had unilateral, anterior nasal, mild-moderate bleed. 79% of the cases were managed by conservative measures as opposed to only 21% who required surgical intervention. Success rate of anterior nasal pack and cauterisation of bleeding point was nearly 84%. Conclusions: Majority of cases of epistaxis can be successfully managed by conservative measures and surgical intervention may not be necessary in most cases. Cauterization of bleeding point is the best conservative method which can be offered to the patient though anterior nasal packing still remains the most preferred method to control the bleed. The most common causes of epistaxis being trauma and hypertension, reducing road traffic accidents and lifestyle illness can reduce the incidence of nasal bleed.

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Epidemiology of Maxillofacial Injuries in “Heratsi” No 1 University Hospital in Yerevan, Armenia: A Retrospective Study

10.21203/rs.3.rs-828087/v1 ◽

2021 ◽

Author(s):

Lusine V. Aleksanyan ◽

Anna Yu Poghosyan ◽

Martin S. Misakyan ◽

Armen M. Minasyan ◽

Aren Yu Bablumyan ◽

...

Keyword(s):

Interpersonal Violence ◽

Traffic Accidents ◽

Road Traffic ◽

Nasal Bone ◽

Fracture Site ◽

University Hospital ◽

Maxillofacial Injuries ◽

Cross Sectional ◽

Injury Site ◽

Maxillofacial Fractures

Abstract Background: The aim of this study was to perform a retrospective analysis of the prevalence, etiologies, and types of maxillofacial injuries (MFI) and sites of maxillofacial fractures (MFF) and their management in Yerevan, Armenia.Methods: A retrospective cross-sectional study was conducted. Data including age, sex, date of referral, mode of injury, etiology, radiology records and treatment methods were extracted. Study outcomes were measured using percentages, means, standard deviations and tests of proportions. P <.05 was considered significant.Results: A total of 204 patients had a mean age of 36.26 ±1.08 years (156 males and 48 females), and a total of 259 MFIs were recorded between 2017 and 2020. Interpersonal violence (IV) was found to be the most common etiology of MFFs in this study (42.1%), followed by road traffic accidents (RTAs) (27.9%) and falls (18.6%). The nasal bone was the most common injury site (47.5%), followed by the mandible (31.4%) and zygomatic complex (11.7%). The most common fracture site was the mandibular angle (37.9%), followed by the symphysis/parasymphysis (28.1%) and body (12.6%). The majority of MFFs were treated by open reduction and internal fixation.Conclusion: Interpersonal violence, followed by RTAs and falls, was the most common cause of MFIs. The nasal bone was the most common injury site, followed by the mandible and zygomatic complex. Social education with the objective of reducing aggression and interpersonal conflict should be improved, and appropriate RTA prevention strategies should be strengthened and implemented.

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Alcohol in Medicolegal Cases Seen at Jordan University Hospital

Medicine Science and the Law ◽

10.1177/002580249803800111 ◽

1998 ◽

Vol 38 (1) ◽

pp. 70-73 ◽

Cited By ~ 8

Author(s):

K A Hadidi ◽

A H Battah ◽

S Hinnawi

Keyword(s):

Traffic Accidents ◽

Alcohol Intake ◽

Road Traffic ◽

The Other ◽

University Hospital ◽

Blood Alcohol ◽

Road Traffic Accidents

The magnitude of alcohol-associated incidents in relation to medicolegal cases, including road traffic accidents and acts of violence, has not been evaluated in Jordan. Between 1993 and 1995, 825 such cases received at Jordan University Hospital were screened for the presence of alcohol. Blood alcohol was positive in 9.1% of vehicle passengers, 9.6% of pedestrians, 12.4% of cases involving violence, 13.6% of drivers, 65% of cases brought by police and in 12.5% of other cases. Blood alcohol concentrations (BAC) ranged from 10–350 mg/dL. BAC of more than 50 mg/dL was found in 65% and 55% of driver and violence cases respectively, and in 33% to 69% of the other categories. Alcohol may have contributed to some of these incidents. In cases with positive BAC, prior alcohol intake was frequently denied. There was no association between cases with positive BAC and a particular time, date or occasion.

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Ensuring Operators-Drivers Transport of Agricultural Machinery Safety in the Context of Sustainable Development

Visegrad Journal on Bioeconomy and Sustainable Development ◽

10.2478/vjbsd-2014-0006 ◽

2014 ◽

Vol 3 (1) ◽

pp. 30-32

Author(s):

Marina Ovcharenko ◽

Andrey Ovcharenko ◽

Elena Ovchinnikova ◽

Alexey Arefiev

Keyword(s):

Experimental Data ◽

Reaction Time ◽

Traffic Accidents ◽

Road Traffic ◽

Road Traffic Accidents ◽

Agricultural Machinery ◽

Work Shift ◽

Common Causes ◽

The Russian Federation ◽

The Common

Abstract The number and severity of road traffic accidents in the Russian Federation is not reduced from year to year. It is established that one of the common causes of traffic accidents is sleep at the wheel, it is especially typical for operators-drivers of transport agricultural machinery. According to the experimental data were derived mathematical dependences of operator reaction time of the driver at the beginning and end of the work shift by his age, which proved that with increasing age operator reaction time in an emergency increases

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Incidence of emergency neurosurgical TBI procedures: a population-based study

BMC Emergency Medicine ◽

10.1186/s12873-021-00561-w ◽

2022 ◽

Vol 22 (1) ◽

Author(s):

Cathrine Tverdal ◽

Mads Aarhus ◽

Pål Rønning ◽

Ola Skaansar ◽

Karoline Skogen ◽

...

Keyword(s):

Traffic Accidents ◽

Road Traffic ◽

Incidence Rates ◽

University Hospital ◽

Neurosurgical Procedures ◽

Trauma Centers ◽

Pressure Monitor ◽

Severe Injuries ◽

Neurosurgical Procedure ◽

Standard Population

Abstract Background The rates of emergency neurosurgery in traumatic brain injury (TBI) patients vary between populations and trauma centers. In planning acute TBI treatment, knowledge about rates and incidence of emergency neurosurgery at the population level is of importance for organization and planning of specialized health care services. This study aimed to present incidence rates and patient characteristics for the most common TBI-related emergency neurosurgical procedures. Methods Oslo University Hospital is the only trauma center with neurosurgical services in Southeast Norway, which has a population of 3 million. We extracted prospectively collected registry data from the Oslo TBI Registry – Neurosurgery over a five-year period (2015–2019). Incidence was calculated in person-pears (crude) and age-adjusted for standard population. We conducted multivariate multivariable logistic regression models to assess variables associated with emergency neurosurgical procedures. Results A total of 2151 patients with pathological head CT scans were included. One or more emergency neurosurgical procedure was performed in 27% of patients. The crude incidence was 3.9/100,000 person-years. The age-adjusted incidences in the standard population for Europe and the world were 4.0/100,000 and 3.3/100,000, respectively. The most frequent emergency neurosurgical procedure was the insertion of an intracranial pressure monitor, followed by evacuation of the mass lesion. Male sex, road traffic accidents, severe injury (low Glasgow coma score) and CT characteristics such as midline shift and compressed/absent basal cisterns were significantly associated with an increased probability of emergency neurosurgery, while older age was associated with a decreased probability. Conclusions The incidence of emergency neurosurgery in the general population is low and reflects neurosurgery procedures performed in patients with severe injuries. Hence, emergency neurosurgery for TBIs should be centralized to major trauma centers.

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Novel Classification of Posttraumatic Ear Deformities and its Surgical Management

Indian Journal of Plastic Surgery ◽

10.1055/s-0040-1715187 ◽

2020 ◽

Vol 53 (02) ◽

pp. 280-286

Author(s):

Umesh Kumar ◽

P. Jain

Keyword(s):

Traffic Accidents ◽

Road Traffic ◽

Skin Flap ◽

Costal Cartilage ◽

Ear Deformity ◽

Common Causes ◽

The Common ◽

Split Skin ◽

Surrounding Skin

Abstract Background Classification of posttraumatic ear deformities and its reconstruction is an uphill task for a reconstructive surgeon as they present in various combinations. In our study, we have described ear deformity as per a new classification and reconstructed the ear accordingly. Method Posttraumatic ear deformity was described under the following four headings: (a) zone of defect, (b) size of defect, (c) missing components, and (d) condition of surrounding skin. Twenty-six posttraumatic ear deformities were operated using postauricular skin flap (14), temporoparietal fascial (TPF) flaps (8), preauricular skin flap (1), intralesional excision (2), and primary closure with chondrocutaneous advancement in one patient. Costal cartilage was used for reconstruction of framework wherever required. Framework elevation was done 4 to 6 months postoperatively. Results Posttraumatic ear deformity was more common in males. Bite injury and road traffic accidents were the common causes. Zones I, II and III were most frequently involved. Four patients complained about size, contour, and projection of reconstructed ear. Three patients were not satisfied by the appearance of junction between reconstructed and residual ear. Four patients in whom the reconstruction was done with TPF, costal cartilage, and thin (SSG) split skin grafts complained of hyperpigmentation of reconstructed ear. Conclusion Classification of posttraumatic ear deformity and its reconstruction is a surgical challenge. Unscarred postauricular skin and TPF flaps are the workhorse flaps for reconstruction of acquired ear deformities. Our classification helps in describing the defect, documenting it, planning reconstruction, and aiding in assessing postoperative outcomes.

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Maxillofacial Fractures in the Province of Pescara, Italy: A Retrospective Study

ISRN Otolaryngology ◽

10.1155/2014/101370 ◽

2014 ◽

Vol 2014 ◽

pp. 1-4 ◽

Cited By ~ 9

Author(s):

Giuliano Ascani ◽

Francesca Di Cosimo ◽

Michele Costa ◽

Paolo Mancini ◽

Claudio Caporale

Keyword(s):

Interpersonal Violence ◽

Traffic Accidents ◽

Road Traffic ◽

Central Italy ◽

Maxillofacial Surgery ◽

Close Correlation ◽

Maxillofacial Fractures ◽

Common Causes ◽

Monthly Distribution ◽

Future Plans

The aim of the present study was to assess the etiology and pattern of maxillofacial fractures in the Province of Pescara, Abruzzo, Central Italy. Was performed a retrospective review of patients treated at the Department of Maxillofacial Surgery of Spirito Santo Hospital from January 2010 to December 2012. Data collected and analyzed included sex, age, cause of injury, site of fracture, monthly distribution, and alcohol misuse. A total of 306 patients sustaining 401 maxillofacial fractures were treated. There were 173 males (56.5%) and 133 females (43.5%). Most of the patients (36.9%) were in the age group of 18–44 years. The most common causes of injuries were road traffic accidents (26.4%); the second leading cause was interpersonal violence (23.2%), followed by injuries associated with falls (19.2%). Fractures of the mandible (31%) and zygoma (23%) were the most common maxillofacial fractures in our study. The monthly distribution peaked in the summer (July and August, 30.4%) and in October (13.1%). In conclusion, this study confirms the close correlation between the incidence and etiology of facial fractures and the geographical, cultural, and socioeconomic features of a population. The data obtained provide important information for the design of future plans for injury prevention and for education of citizens.

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CLAVICLE FRACTURES

The Professional Medical Journal ◽

10.29309/tpmj/2010.17.02.2442 ◽

2010 ◽

Vol 17 (02) ◽

pp. 325-327

Author(s):

IRFAN ZAFAR HAIDER ◽

TAHIR AHMAD KHAN ◽

TAHIR AHMAD KHAN

Keyword(s):

Traffic Accidents ◽

Road Traffic ◽

Clavicle Fracture ◽

Military Hospital ◽

Trauma Patients ◽

Road Traffic Accidents ◽

Military Conflict ◽

Non Union ◽

Clavicle Fractures ◽

Tribal Areas

Objective: To emphasize upon the frequency of fractures of clavicle due to indirect blunt trauma caused by road traffic accidents and falls from heights and their sequalae. Design: Observational descriptive study. Place and Duration of Study: Combined Military Hospital Bannu during a period of two years from June 2003 to May 2005. Patients and Methods: Patients included in the study were the trauma patients brought to Combined Military Hospital Bannu during a civil –military conflict in tribal areas of North and South aziristan . Patients had sustained multiple injuries mostly due to road traffic accidents in hilly terrain , falls from heights and combat scuffles. Out of these trauma victims, 746 patients fractures of the clavicle were grouped, analyzed, treated with standard treatment methods and patients were followed up for the varying periods of time. Results: Out of 746 patients treated at our hospital, 84 were having fracture of clavicle(10.8%). 53 patients (63.1%) with clavicle fracture had fracture involving middle third of the clavicle , 20 patients (23.8%)had fracture of lateral third, and 11patients (13.1%) had fractures involving medial third of the clavicle. Conclusion: Clavicle is a bone which is at risk of fracture in cases of indirect blunt traumabecause the first human reaction in any violence or assault is to protect oneself by using the upper limbs. Its peculiar development and anatomical shape makes it vulnerable to fracture in most physical insults. However , it usually unites by conservative methods and even considerable non-union does not significantly affect function.

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The Epidemiology of Injuries in Adults in Nepal: Findings from a Hospital-Based Injury Surveillance Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph182312701 ◽

2021 ◽

Vol 18 (23) ◽

pp. 12701

Author(s):

Santosh Bhatta ◽

Dan Magnus ◽

Julie Mytton ◽

Elisha Joshi ◽

Sumiksha Bhatta ◽

...

Keyword(s):

Traffic Accidents ◽

Road Traffic ◽

Injury Surveillance ◽

Prospective Surveillance ◽

Senior Managers ◽

Number Of Patients ◽

Common Causes ◽

Self Harm ◽

One Year ◽

Injured Patients

This study aimed to develop and evaluate a model of hospital-based injury surveillance and describe the epidemiology of injuries in adults. One-year prospective surveillance was conducted in two hospitals in Hetauda, Nepal. Data were collected electronically for patients presenting to emergency departments (EDs) with injuries between April 2019 and March 2020. To evaluate the model’s sustainability, clinical leaders, senior managers, data collectors, and study coordinators were interviewed. The total number of patients with injuries over one year was 10,154, representing 30.7% of all patients visiting the EDs. Of patients with injuries, 7458 (73.4%) were adults aged 18 years and over. Most injuries (6434, 86%) were unintentional, with smaller proportions due to assault (616, 8.2%) and self-harm (408, 5.5%). The median age of adult patients was 33 years (IQR 25–47). Males had twice the rate of ED presentation compared with females (40.4 vs. 20.9/1000). The most common causes were road traffic accidents (32.8%), falls (25.4%), and animal/insect related injuries (20.1%). Most injured patients were discharged after treatment (80%) with 9.1% admitted to hospital, 8.1% transferred to other hospitals, and 2.1% died. In Nepal, hospital-based injury surveillance is feasible, and rich injury data can be obtained by embedding data collectors in EDs.

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