scholarly journals Analysis of displaced acetabular fractures in adults treated with open reduction and internal fixation

2016 ◽  
Vol 2 (3) ◽  
pp. 99 ◽  
Author(s):  
Khazi Syed Asif Hussain ◽  
Nageswara Rao Kancherla ◽  
Sandeep Kumar Kanugula ◽  
Chandrasekhar Patnala
Keyword(s):  
High Velocity ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Posterior Wall ◽  
Long Term Results ◽  
Acetabular Fractures ◽  
Age Group ◽  
Rapid Rate ◽  
Road Traffic Accidents ◽  
Fracture Reduction And Fixation

<p class="abstract"><strong><span lang="EN-US">Background: </span></strong>The incidence of acetabular fractures is increasing worldwide at a rapid rate due to increase in rail and road traffic accidents and high velocity injuries. The incidence of acetabular fractures is increasing worldwide at a rapid rate due to increase in rail and road traffic accidents and high velocity injuries.</p><p class="abstract"><strong><span lang="EN-US">Methods:</span></strong><span lang="EN-US"> 30 patients aged between 18 to 60 years with closed displaced acetabular fractures were included into the study. A single surgical approach such as the Kocher-Langenbeck, the ilioinguinal, and the extended iliofemoral approach was selected depending on the type of fracture, with the expectation that the fracture reduction and fixation can be completely performed through the one approach.<strong></strong></span></p><p class="abstract"><strong><span lang="EN-US">Results: </span></strong>Out of the 30 patients, 12 patients were between the 21-30 age group and 10 were between 31-40 age group with most of them being males involved in road traffic accidents. Predominance of right side was seen in 22 (73, 33%) and 8 (26.66%) persons had left sided fractures. Posterior wall fractures were seen in 5 cases while transverse was seen in 4 cases. Combinations of both were seen in 8 patients. The outcomes were good in more than 56% of the cases and good in more than 30% of them.</p><p class="abstract"><strong><span lang="EN-US">Conclusions: </span></strong>Present study needs further follow up for better understanding of long term results.</p>

scholarly journals The multi-modality approach in a case of fracture of the humerus with an ipsilateral floating knee: A case report

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 1088-1092
Author(s):  
Hitendra Wamborikar ◽  
Priyank Bhatt ◽  
Swapnil Date ◽  
Naresh Dhaniwala ◽  
Khizar Khan
Keyword(s):  
High Velocity ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Excellent Result ◽  
Full Range ◽  
Skin Grafting ◽  
Complex Nature ◽  
Road Traffic Accidents ◽  
Multiple Fractures ◽  
Modality Approach

Ipsilateral fractures of humerus, femur and tibia is a rare entity. The number of fractures resulting due to road traffic accidents is on the rise. These Type of injuries usually occur due to high-velocity road traffic accidents. High-velocity road traffic accidents are associated with multiple bony injuries as well as injuries to various internal organs. These injuries are often difficult to manage due to their complex nature. Mostly multiple fractures are produced in ipsilateral limbs. This condition makes the management even more difficult. Hence a multi-modality approach is often required. A 55-year-old male sustained floating knee with ipsilateral shaft humerus fracture. After a three-staged surgical approach with three modalities for treating the compound injury, the patient had an excellent result with the full range of motion in the knee and complete coverage of wound. Compound floating injuries should be treated with simultaneous fixation of femur and tibia fractures to achieve early full range of knee motion with Vacuum-assisted closure followed by skin grafting for complete wound coverage.

Pattern of unnatural deaths among children: An autopsy study

2016 ◽  
Vol 85 (2) ◽  
pp. 90-92 ◽  
Author(s):  
Praveen Athani ◽  
Basappa S Hugar ◽  
S Harish ◽  
YP Girishchandra
Keyword(s):  
Traffic Accidents ◽  
Sexually Abused ◽  
Road Traffic ◽  
Academic Failure ◽  
Age Group ◽  
Road Traffic Accidents ◽  
Sex Distribution ◽  
Autopsy Study ◽  
Manner Of Death ◽  
Medical College

This study was conducted at the M. S. Ramaiah Medical College, Bangalore, between October 2007 and September 2009 to analyse the age and sex distribution of unnatural deaths in children, patterns and manner of death. Detailed information regarding the circumstances of death was sought from the relatives, friends and police. The scene of occurrence was visited, and photographs of the scene of occurrence were examined in relevant cases. Unnatural deaths in children constituted 6.62% of the total autopsies conducted. The majority of childhood deaths were in the age group of 15–18 years of both sexes constituting 46.88%. Males constituted 55.22% of cases. Suicide accounted for 40.63% of the cases. Most children committed suicide by hanging (82.05%). The main reason was academic failure and some of the cases were accidental (48.96%). Road traffic accidents accounted for 26.04% of the cases, where most children were pedestrians (56%). Drowning accounted for 15.63% of the cases. Most of the children drowned while playing near ponds (83.33%). Homicide accounted for 9.36% of the cases – either killed by their mother as part of a pedicide–suicide event or by the father, and in two cases the children were sexually abused before being killed.

scholarly journals Comprehensive study of blunt injury abdomen in single center

2020 ◽  
Vol 7 (3) ◽  
pp. 710
Author(s):  
Vinod Bhandari ◽  
Mahak Bhandari
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Age Groups ◽  
Penetrating Trauma ◽  
Blunt Injury ◽  
Age Group ◽  
Road Traffic Accidents ◽  
Common Mode ◽  
Ileal Perforation ◽  
Male Patients

Background: Blunt injury abdomen is the leading cause of morbidity and mortality in all age groups. Blunt trauma differs from penetrating trauma as different organs are characteristically injured by compression from blunt straining. Focused assessment with sonography for trauma (FAST) and computed tomography (CT) abdomen are very beneficial to detect those patients with minimal and clinically undetectable signs of abdominal injury. Objective of the study was to evaluate the incidence of blunt injury abdomen, mode of injury, organs involved in patients.Methods: A retrospective study was done on blunt injury abdomen. 48 patients were enrolled in this study.Results: Out of 48, 35 (72.9%) male patients more commonly encountered blunt injury to the abdomen. 28 (58.3%) was the highest incidence for age group 21-40 years. The most common mode of injury was road traffic accidents 36 (75.0%). Grade III splenic injuries were encountered in majority 19 cases and 13 cases involved laceration of parenchyma >3 cm depth and 6 cases were subcapsular hematoma (>50%). Spleen was the most common injured organ accounting for 25 (52.0%) and second most common injury was Ileal perforation 6 (12.5%), liver injury 6 (12.5%) of the cases.Conclusions: Blunt injury abdomen mainly affected male and the younger population between the age group 21-40 years. The most common mode of injury is road traffic accidents. In this study the spleen was found to be the most common organ injured in blunt injury abdomen.

scholarly journals DEMOGRAPHIC STUDY OF DEATHS DUE TO ROAD TRAFFIC ACCIDENTS, EXAMINED IN DR. S.N. MEDICAL COLLEGE, JODHPUR (RAJ.)

2020 ◽  
Vol 4 (8) ◽  
Author(s):  
Kana Ram Patel ◽  
Jagdish Jugtawat ◽  
Shalender Kumar ◽  
P.C. Vyas
Keyword(s):  
Head Injury ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Head Injuries ◽  
Subdural Hemorrhage ◽  
Age Group ◽  
Road Traffic Accidents ◽  
Female Ratio ◽  
Medical College ◽  
Male To Female

Accidents are not due to external factors all the time but often they occur due to failure of control of self-conscience and free thoughts. Road Traffic Accidents is still the major cause of death worldwide including India. A retrospective study has been conducted in Dr. S.N. Medical College, Jodhpur (Raj.), in the year 2019 to study the pattern and distribution of Head Injuries of fatal road traffic accidents and to prepare the demographic profile of it. Out of total 901 cases, male to female ratio was 9:1, and commonest age group affected was 21-30 years (39.8%). Among total victims, Hindus were 748 (83%) and rests were Muslims 103 (11.4%) and other religions. Head injury was the most common injury, present alone in 509 cases (56.4%) and in 392 (43.6) cases along with other injuries. Skull fractures were found in 451 (50.5), in which linear/fissure fracture (32.9%) was most common. Most common bone fractured was temporal bone. The commonest variety of intracranial hemorrhage was subdural hemorrhage and craniotomy was done in 29 (3.2%) cases. Keywords: Accidents, Road traffic, Head injury, Fractures.

scholarly journals A 5 year retrospective study on epidemiological pattern of ocular trauma

2019 ◽  
Vol 7 (7) ◽  
pp. 2785
Author(s):  
Angli Manhas ◽  
Rameshwar S. Manhas ◽  
Gaurav S. Manhas ◽  
Rishabh Sharma ◽  
Dinesh Gupta
Keyword(s):  
Retrospective Study ◽  
Traffic Accidents ◽  
Ocular Trauma ◽  
Road Traffic ◽  
Trauma Patients ◽  
Age Group ◽  
Road Traffic Accidents ◽  
Common Cause ◽  
Department Of Ophthalmology ◽  
Epidemiological Pattern

Background: One of the delicate structure in the human body is eye and trauma to the eye is essentially a very grave matter. Major cause of preventable monocular blindness and visual impairment in the world is ocular trauma. So any injury to the eye must be deemed to be an ocular emergency and should be handled with utmost care. Despite its public health importance, there is relatively less population based data on the magnitude and risk factors for ocular trauma specially from developing countries. The objective of the study was to find out the epidemiological pattern of ocular trauma.Methods: The present study was 5 year retrospective study of all the patients who reported directly with ocular injury or referred from the casualty to the department of ophthalmology from January 2013 to January 2018. Various parameters like age, sex, mode of injury, type of injury etc. of all patients seen during this period were analyzed.Results: Total of 4192 ocular trauma patients were seen during study period. Maximum number of ocular trauma patients i.e. 1146 were seen in age group of 21-30 years. Males i.e. 3490 outnumbered females in the present study. Road traffic accidents were the most common cause of ocular trauma and accounts for 1760 cases. Most common reported ocular trauma was periorbital oedema/ecchymosis followed by laceration. Surgical intervention was done in 1660 cases whereas 2532 were managed medically.Conclusions: From present study, we may conclude that the maximum number of ocular trauma patients were seen in the age group of 21-30 years with more preponderance in males. Road traffic accidents were the most common cause of ocular trauma. The fact that the lifetime prevalence of ocular trauma is higher than that of eye diseases, which can be decreased by implementing the traffic rules with strict force and imposing heavy fine and license cancellation for drunken driving.

scholarly journals Fatal road traffic accidents in Yazd province, Iran during 2011-2015

2019 ◽  
Vol 5 (2) ◽  
pp. 51-55
Author(s):  
Mohammad Hasan Lotfi ◽  
Hossein Lashkardoost ◽  
Andishe Hamedi
Keyword(s):  
Elementary Education ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Head Injuries ◽  
Fisher Exact Test ◽  
Age Group ◽  
Road Traffic Accidents ◽  
Preventive Action ◽  
Fatal Accidents ◽  
Exact Test

Objective: The rate of road traffic accidents in Iran per capita and for the number of vehicles is much higher than the average in the world. The present study was conducted to investigate road traffic accidents in Yazd province during 2011-2015. Methods: The present study is a descriptive-analytic study in which data were obtained from data collection forms related to deaths from driving accidents of forensic medicine organizations. Data were entered into SPSS version 23. We calculated the frequency, percentage, and mean indices. We used Fisher exact test for data analysis. Results: In this research, 1437 individuals were studied. The number of deaths in men was three times more than women. Most fatal accidents occurred in the age group of 20-30 years. The most common accident which occurred during these years was the collision of vehicles with each other and in terms of the final cause of death, 1045 people died due to head injuries. In this study, we showed that the incidence decreased from 29.03 in 2011 to 22.03 in 2015. Conclusion: According to the results of this study, the most cases of fatal accidents occurred in the age group of 20-30 years, in people with elementary education and in the summer. Therefore, preventive action is necessary by raising awareness.

scholarly journals Study of cases of head injury in a government hospital in rural Indian setting

2018 ◽  
Vol 5 (10) ◽  
pp. 3252
Author(s):  
Vinod Pusdekar ◽  
Sandeep Ambedkar ◽  
Ritesh Bodade
Keyword(s):  
Head Injury ◽  
Ct Scan ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Head Injuries ◽  
Age Group ◽  
Road Traffic Accidents ◽  
Government Hospital ◽  
History Of ◽  
Gcs Score

Background: Head injury can be defined as trauma in which the head is struck or moves violently, resulting in transient or permanent alteration of consciousness of an individual. We profiled and analyzed the cases of head injuries reporting to a government hospital a rural Indian setting.Methods: All the patients with history of antecedent head injury were firstly assessed by detailed history, with emphasis on history of unconsciousness/vomiting/convulsions/ENT bleed. Then a thorough clinical examination was undertaken, including Glasgow Coma Scale (GCS) scoring. Further, all the patients were subjected to CT scan of head for correlation of clinical findings, confirmation of diagnosis, delineation of extent of disease and suitability of operative intervention etc.Results: Majority of the patients belonged to 15-44 years age group (30, 60%) and were males (38, 76%). Road traffic accidents accounted for majority (38, 76%) of the cases. GCS score was found to range between 13-15 (mild) in 18 (36%) patients, 9-12 (moderate) in 21 (42%) patients and 3-8 (severe) in 11 (22%) patients. Best recovery (88%) was shown by patients of GCS score between 13-15. Among the critical symptoms and signs, unconsciousness and abnormal plantar reflex were the commonest ones. Generalized cerebral edema without associated lesion (50%) was the commonest finding followed by extradural hematoma (EDH) (40%) on CT scan of head. As for recovery w.r.t. CT scan findings, highest rate of recovery (100%) was reported in patients with fracture without intracranial pathology, while highest mortality was reported in those having mixed lesion (90%).Conclusions: Road traffic accidents in young age group is the commonest mode of head injury and GCS score is a good predictor of recovery in head injury cases.

scholarly journals A study on ocular injuries following road traffic accidents

2017 ◽  
Vol 5 (2) ◽  
pp. 627
Author(s):  
B. S. Puzari ◽  
R. K. Das ◽  
Indira Pegu
Keyword(s):  
Risk Factors ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care ◽  
Visual Outcome ◽  
Care Hospital ◽  
Age Group ◽  
Road Traffic Accidents ◽  
Public Health Importance ◽  
Ocular Injuries

Background: Ocular injuries in road traffic accidents (RTA) constitute a major but preventable cause of visual morbidity worldwide and so it is of public health importance. Aim of the study was to assess the visual outcome in patients attending tertiary care hospital with ocular injuries following RTA and compare various associated risk factors.Methods: A prospective study was done with 60 cases of ocular injuries following road traffic accidents in Assam Medical College and Hospital to find out the visual outcome and compare various risk factors .Detailed history and clinical evaluation was done with follow up at 1st and 3rd week.Results: Maximum cases were seen in the age group of 30-40 years, more in males (76.66%); with 78.33% in two wheelers. Out of the 60 cases, 38.33% occurred at night, 21.66% was under the influence of alcohol. 15.27% of patients presented with diminished vision, out of which 15% cases reported with severe ocular morbidity like vitreous haemorrhage, lens dislocation, sclera-corneal tear etc.Conclusions: Younger age group was mostly affected with male preponderance, alcohol and two wheelers being quite important risk factors. Early treatment of ocular injuries and use of protective wear result in better visual outcomes.

scholarly journals ROAD TRAFFIC ACCIDENTS

2007 ◽  
Vol 14 (02) ◽  
pp. 323-327 ◽  
Author(s):  
MOHAMMAD HUSSAIN KHAN ◽  
Tariq Sohail Babar ◽  
IFTIKHAR AHMED ◽  
Khalid Shakeel Babar ◽  
NIAMATULLAH ZIA
Keyword(s):  
Developing Countries ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Cost Effective ◽  
Cross Sectional Study ◽  
Vehicle Speed ◽  
Age Group ◽  
Road Traffic Accidents ◽  
Cross Sectional ◽  
Safety Interventions

Context : Road traffic accidents are a major yet neglected publichealth problem in developing countries. Trends in motorization indicate an increase in road traffic injuries;furthermore, by 2020, they could rank third in the order of burden of disease Road traffic accidents are an importantyet preventable cause of death and disability in developing countries, like Pakistan. Objective: To explorepreventable aspects of the road traffic accidents. Design: Cross sectional study Setting: Casualty department ofDistrict Head Quarter Teaching hospital Dera Ismail Khan. Patients & Methods: All non-fatal and non-comatosecases of road traffic accidents victims reporting to casualty department were included in the study. The victims ofthe accidents were interviewed to obtain information about circumstances leading to accidents. The informationcollected comprised: time of accidents, nature of injury, narcotic consumption of driver, condition of road andvehicle, safety belts, road signs and vehicle speed beside demographic characteristics of respondents. Results:Age revealed that age group 21-25 years were highly affected 18 % while age group 51-55 years were leastaffected 2 %. Among them were male 76 % and were female 24%. 93 victims belong to rural area ( 62%) while 57were from urban (38%). Among victims, 37% were motorcyclist, 23% bicyclist , 22% motorized two-wheelers and18% bus users. The accidents were more common during the daytime in 100 cases (66%). Fractures of bones wascommon injury in 90 cases (60%) afflicted to the victims followed by multiple injuries like blunt injuries, abrasionsand lacerations. Among victims , only 2% used protective helmets. All helmet users were motorcyclists. No seatbelts were found to have been used by the victims. There was no evidence of any narcotics consumption by thedriver prior to accidents. Conclusion: Road traffic accidents are predictable and preventable but good data isimportant to understand the ways in which road safety interventions can be effective. Cost-effective preventivemeasures can be designed to address this global problem.

Prediction Mortality Rate Due to the Road-Traffic Accidents in Kazakhstan

2020 ◽  
Author(s):  
Nurbek IGISSINOV ◽  
Alma AUBAKIROVA ◽  
Galiya ORAZOVA ◽  
Gulnur Akpolatova ◽  
Saltanat URAZOVA ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Age Group ◽  
Road Traffic Accidents ◽  
The Road ◽  
Age Related ◽  
Working Age ◽  
The Republic ◽  
Population Mortality

Background: As a result of the road traffic accidents 1.25 mln. of working-age people die each year on the roads. Frequency of the RTA is 11 times higher in our country than in Europe, that influence on demographic and economic situation in the republic. Creation of the math modeling and prediction of traffic mortality rate in Kazakhstan will allow to develop measure on its decrease. Methods: Short-term dotted prediction of population mortality level of Kazakhstan was used, in particular – methods of regressive analysis. General prognosis throughout the country up to 2021 was made on the basis of data for 1999-2018. The more relevant method for prediction is exponential function taking into account the features of mortality rate level trend. Results: Prediction of traffic fatalities without division into the age-related groups for 2019 is 2132±181 case with a probability 2/3. Expected levels for 2020-2027 cases, for 2021-1927 cases. Annual mortality decrease rate according to the 0-19 age-related at an average is 6.4% among men and 5.8% among women, according to age group as a whole – by 6.2%; from 20 up to 64 age related group – 5.1 % on all population category; older 65 age –group is by 2.2 %, 3.7 % among men, 2.9% among women as a whole. Conclusion: In the foreseeable future the number of traffic deaths in Kazakhstan will tend to decrease at a slower pace. Mortality rates due to road traffic accidents among working-age men will be 3 times higher than women in this age group.

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