SOCIO-DEMOGRAPHIC AND CLINICAL CHARACTERISTICS OF THE PATIENTS SUFFERING FROM DISTAL FEMORAL FRACTURE

Background: Distal femoral fractures are the fractures which occurs in distal femur involving the intercondylar and supracondylar region. Currently they account for less than 1% of all fractures whereas among femoral fractures they account for 3% to 6%.These fractures are difficult to treat and notorious for the complications. Aim: To find the socio-demographic and clinical characteristics of the patients suffering from distal femoral fracture. Methodology: The present observational and prospective study was conducted in theDepartment of Orthopaedic, Govt. Medical College, Jammu, J&K for period of 1 year on 27 patients. General information including age, sex, residence, religion, marital status, side of fracture etc. were noted on separate sheet. All fractures were classified as per AO/Müller’s classification. Results: Majority of patients i.e. 40.8% were between 18-30 years age group. 66.6% patients were males and only 33.4% were females. 63% patients were from rural area and 37% patients from urban area. Maximum percentage of patients i.e. 59.3% from Hindu community and 66.7% were married. RTA was the most common mode of injury involving 74.1% patients whereas, right limb fractures were most commonly involving 66.7% patients. As per AO/Muller’s classification B3 and C1 were most common fractures affecting 18.6% patients each. Conclusion: From present study we conclude that the distal femoral fractures were more common in young age group and RTA is the most common cause. Hence it is recommended to the authorities to implement strict traffic rules so that over speeding of vehicle can be prevented which may lead to decrease in incidence of high velocity trauma. Key words: Fractures, Road traffic accidents, Injury.

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Outcome of Distal Femoral Fracture Treated with Locking Plate

10.53350/pjmhs211562142 ◽

2021 ◽

Vol 15 (6) ◽

pp. 2142-2144

Author(s):

Muhammad Shoaib Zardad ◽

Abdus S. Awan ◽

Muhammad Younas ◽

Shahkeel A. Shah ◽

S. Sohail Akhtar ◽

...

Keyword(s):

Femoral Fracture ◽

Traffic Accidents ◽

Locking Plate ◽

Road Traffic ◽

Femoral Fractures ◽

Delayed Union ◽

Distal Femoral Fracture ◽

Non Union ◽

One Year

Objective: The aim of this study is to determine the outcome of distal femoral fracture treated with locking plate. Study Design:Prospective study Place and Duration: Conducted at Orthopaedic Unit Ayub Medical Teaching Institute, Abbottabad for one year duration from 1stJanuary 2020 to 31st December 2020. Methods: Total 90 patients of both genders were presented in this study.Patients were aged between 18-80 years of age. Patients’ detailed demographics including age, sex and body mass index were recorded after taking informed written consent. All the patients had distal femoral fracture treated with locking plate. Radiological assessment was done. Mean union time and complications associated to procedure were examined.Functional outcomes were analyzed according to the Flyn’s criteria. Follow-up was taken at 6 months postoperatively. Complete data was analyzed by SPSS 24.0 version. Results:There were 58 (64.4%) patients were males and 32 (35.6%) were females. Mean age of the patients were 42.61±12.88 years with mean BMI 27.65±9.56 kg/m2. According AO/OTA classification 55 (61.1%) had A1, A2 fracture was among 18 (20%) cases and the rest were 17 (18.9%) had A3. 62 (68.9%) fractures were caused due road traffic accidents, falling from height were among 17 (18.9%) cases and 11 (12.2%) cases were due to sports. Right side fracture was the most common side of fracture among 54 (60%). Mean union time among patients was 5.16±1.27 months.According to Flyn’s criteria, 38 (42.2%) cases had excellent results, 32 (35.6%) patients had good, fair results were among 16 (17.8%) cases and poor results were among 4 (4.4%) cases. Complications were delayed union, stiffness, varus deformityand non union observed among all cases. Conclusion: We concluded in this study that the locking plate for the treatment of distal femoral fractures was effective in terms of good results with fewer complications. Keywords:Distal femoral fracture, Locking plate, RTA, Complications

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Pattern of unnatural deaths among children: An autopsy study

Medico-Legal Journal ◽

10.1177/0025817216679353 ◽

2016 ◽

Vol 85 (2) ◽

pp. 90-92 ◽

Cited By ~ 1

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.

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

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v4i8.1364 ◽

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.

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A Comparison of Mortality following Distal Femoral Fractures and Hip Fractures in an Elderly Population

Advances in Orthopedic Surgery ◽

10.1155/2014/873785 ◽

2014 ◽

Vol 2014 ◽

pp. 1-4 ◽

Cited By ~ 7

Author(s):

R. W. Jordan ◽

G. S. Chahal ◽

M. Davies ◽

K. Srinivas

Keyword(s):

Mortality Rate ◽

Hip Fractures ◽

Femoral Fracture ◽

Elderly Population ◽

Surgical Intervention ◽

Femoral Fractures ◽

Mortality Rates ◽

Distal Femoral Fracture ◽

Distal Femoral Fractures ◽

One Year

Introduction. Patients suffering a distal femoral fracture are at a high risk of morbidity and mortality. Currently this cohort is not afforded the same resources as those with hip fractures. This study aims to compare their mortality rates and assess whether surgical intervention improves either outcome or mortality following distal femoral fractures. Methods. Patients over sixty-five admitted with a distal femoral fracture between June 2007 and 2012 were retrospectively identified. Patients mobility was categorised as unaided, walking aid, zimmer frame, or immobile. The 30-day, six-month, and one-year mortality rates were recorded for this group as well as for hip fractures during the same period. Results. 68 patients were included in the study. The mortality rate for all patients with distal femoral fractures was 7% at 30 days, 26% at six months, and 38% at one year, higher than hip fractures during the same period by 8%, 13%, and 18%, respectively. Patients managed surgically had lower mortality rates and higher mobility levels. Conclusion. Patients suffering a distal femoral fracture have a high mortality rate and surgical intervention seems to improve both mobility and mortality.

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A CROSS SECTIONAL STUDY OF CLINICO-DEMOGRAPHIC PROFILE OF PATIENTS WITH COMPLEX PROXIMAL FEMORAL FRACTURES

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v4i8.1445 ◽

2020 ◽

Vol 4 (8) ◽

Author(s):

Chetan Laljibhai Rathod ◽

Gopal Yadav

Keyword(s):

Traffic Accidents ◽

Road Traffic ◽

Femoral Fractures ◽

Proximal Femoral Fracture ◽

Cross Sectional Study ◽

Age Group ◽

Road Traffic Accidents ◽

Proximal Femoral Fractures ◽

Cross Sectional ◽

Demographic Profile

Background: Fractures of femoral bone is very commonly seen in geriatric age group but is also getting common in young population up-to some extent. Such kind of fractures are a result of road traffic accidents or any kind of trauma in young and healthy individuals but in geriatric age group, most of them are due to a trivial fall but aggravated by osteoporosis. Aim: To study clinico-demographic profile of patients with complex proximal femoral fractures. Material and Methods: In our study, 40 cases with complex proximal femoral fractures with osteoporosis & communition were examined. Results: Majority of the cases were in the age group of 41-60 years & 61-80 years i.e., 16 patients each (40% each). Most of the patients were male i.e., 24 (60%) and 16 (40%) were female. The commonest mode of injury was road traffic accidents in 20 patients (50%) followed by fall from height in 14 (35%) patients. Both sides were equally affected. Conclusion: The complex proximal femoral fractures were more common in geriatric age and in case of females which could be attributed by underlying osteoporosis which is prevalent more in females. Keywords: road traffic accident, geriatric age group, osteoporosis, proximal femoral fracture.

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A study of surgical management of distal femoral fractures in adults using locking compression plate

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20170783 ◽

2017 ◽

Vol 3 (2) ◽

pp. 253

Author(s):

Srinivas Bachu ◽

Ramulu L

Keyword(s):

Surgical Management ◽

Fracture Fixation ◽

Traffic Accidents ◽

Road Traffic ◽

Femoral Fractures ◽

Knee Extensor ◽

Locking Compression Plate ◽

Non Union ◽

Distal Femoral Fractures ◽

Compression Plate

Background: The introduction of locking compression plates with option of locked screws has provided the means to increase the stability of fracture fixation.Methods: In this study, 30 distal femoral fractures were treated using the distal femoral locking compression plate. All fractures were fresh, closed and operated within 12 days. Follow up duration ranged from 6 to 18 months.Results: In this study, 20 patients were males and 10 were females. The 23 of the fractures (76.66%), were caused by road traffic accidents, 3 were due to accidental falls (10%), one was due to assault and 3 were due to fall from height.9 patients had associated injuries. All patients were treated with open reduction and internal fixation using Locking Compression Plate. 6 to 9 holed plates were used. Out of 30 patients 2 went for delayed union and 3 went for non-union. Average knee flexion was 109o having knee range of motion more than 100 with 50% patients. Average knee extensor lag was 2.4 degrees with only 4 patients with lag more than 5. 2 patients developed 2 cm shortening. 4 patients had less than 5 degrees of malalignment. 2 patients had deep infection. Functional outcome was measured using NEER's scoring system and was done at the end of 5- 7 months (average of 6 months). Excellent results- 17 (56.66%) good results-8 (26.66%) fair results-2 (6.66%) poor results-3 (10%).Conclusions: LCP condylar plate represents an evolutionary approach to the surgical management and is an important armamentarium in distal femur fracture fixation, especially when fracture is severely comminuted and in situations of osteoporosis.

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PATTERN OF MEDICOLEGAL AUTOPSIES CONDUCTED AT TIRUPATI, ANDHRA PRADESH: A 3-YEAR RETROSPECTIVE STUDY

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2021.v14i12.43304 ◽

2021 ◽

pp. 123-125

Author(s):

K. JYOTI PRASAD ◽

B. VENKATESULU ◽

M. ABDUL KHALID

Keyword(s):

Retrospective Study ◽

Cause Of Death ◽

Rural Areas ◽

Traffic Accidents ◽

Road Traffic ◽

Age Group ◽

Manner Of Death ◽

Female Ratio ◽

Common Cause ◽

Medical College

Objectives: Death of an individual is a grave loss to the family and community at large. Death may be natural or unnatural. Analysis of unnatural deaths helps in understanding the causes, manner, and modes of deaths, thereby formulate and implement a proper policy to reduce incidence. Methods: This is a retrospective study of autopsies conducted over 3 years (2018–2020) in the mortuary of Sri Venkateshwara Medical College, Tirupati. During this period, 2579 autopsies were performed. Required data were collected from the requisitions of police, inquest reports, case sheets, medicolegal register, and postmortem reports in a preformed pro forma. Results: Out of the 2579 cases, majority were in the age group of 21–30 years (34.62%) followed by 41–50 years (18.06%). Male-to-female ratio was 2.5:1. Majority were Hindus (83.52%) and most of the subjects belonged to the rural areas (62.89%). Majority were married (78.40%). The most common cause of death was road traffic accident (48.04%) followed by poisoning (15.82%). Accidental deaths were the most common manner of death (60.56%) followed by suicides (33.96%). Conclusion: The present study reveals that the most cases were in 21–30 years age group. Males outnumbered females and the subjects were mostly married and were from rural areas. Road traffic accidents were common cause of death in males and poisoning was the common cause of death in females.

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Abundance of Road Traffic Accidents among Medicolegal Postmortem Cases

Faridpur Medical College Journal ◽

10.3329/fmcj.v6i1.7407 ◽

1970 ◽

Vol 6 (1) ◽

pp. 28-31 ◽

Cited By ~ 1

Author(s):

MZ Rahman ◽

M Ahmad ◽

FN Rahman ◽

SMK Islam ◽

KGM Rahman ◽

...

Keyword(s):

Retrospective Study ◽

Traffic Accidents ◽

Road Traffic ◽

Present Situation ◽

Postmortem Examination ◽

Age Group ◽

Post Mortem ◽

Road Traffic Accidents ◽

Medical College ◽

Cranial Injury

This retrospective study was conducted at the Dhaka Medical College (DMC) morgue during the period of Jan 2008 to Dec 2008. The objective of this study was to find out the abundance of Road Traffic Accidents (RTA) cases among medicolegal post mortem examinations performed at DMC morgue and in this relation to evaluate the present situation of RTA in our country. It has been observed that RTA cases are the most common cases among various types of medicolegal post mortems. A total of 2714 postmortems were conducted during the study period and out of which 813 (29.95%) cases were of RTA, among the victims 545 (67.03%) were male and 268 (32.96%) were female. Highest incidence (30.38 %) of RTA was observed among the age group 21 to 30 yrs. Most accidents occurred at daytime 282 (34.68%), followed by night 233 (28.66%). Greater number of accidents occurred during September 90 (11.07%), followed by January 85 (10.45%) and December 83 (10.20%). Commonest victims were pedestrians 564 (69.37%). Most accidents took place on highways 650 (79.95%) and buses were the most dangerous vehicle causing highest number of accidents 307 (37.76%), followed by truck 141 (17.34%). Among the cases 100% victims had multiple abrasion and bruise, laceration were present in 654 (80.44%), and intra cranial injury 527 (64.82 %). Key words: Road Traffic Accidents; Postmortem Examination DOI: 10.3329/fmcj.v6i1.7407 Faridpur Med. Coll. J. 2011;6(1): 28-31

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Road traffic accidents, the leading cause of death: A retrospective study

Z H Sikder Women’s Medical College Journal ◽

10.47648/zhswmcj.2021.v0302.06 ◽

2021 ◽

Vol 3 (Number 2) ◽

pp. 26-29

Author(s):

Farzana Islam ◽

Nashid Tabassum Khan ◽

Sohel Mahmud ◽

Farhana Shahid ◽

Mahbub Alam Mondal ◽

...

Keyword(s):

Retrospective Study ◽

Forensic Medicine ◽

Traffic Safety ◽

Traffic Accidents ◽

Road Traffic ◽

Public Awareness ◽

Health Concern ◽

Age Group ◽

Road Traffic Accidents ◽

Medical College

Road traffic accidents (RTAs) has spiked over the past few years and has become a major public health concern in Bangladesh. Globally, RTA causes 1.35 million deaths annually. The consequences of road traffic accident not only affect the victim’s physical, psychological and financial hardship, but also has fatal impact on the functioning of the whole family. The objective of this study was to evaluate the present situation of RTA in Dhaka city, to find out the pattern of injuries, to identify the causes, frequency, socio- demographic characteristics of the victims and to identify the measures to minimize the incidence of RTAs. This retrospective study was conducted in the department of Forensic Medicine & Toxicology of Dhaka Medical College during January 2019 to December 2019. A total of 154 medico-legal cases of road traffic accidents were brought to the mortuary of Dhaka Medical College from 23 police stations and 1 railway Thana. Data was collected from inquest report, Challan and postmortem reports from the department of Forensic Medicine and Toxicology, Dhaka Medical College. This study shows that a total of 154 post mortems of RTA cases were conducted at DMC morgue during January 2019 to December 2019. Greater number of the accidents occurred during June 28 (18.18%) and August 25 (16.23%). Among the victims, 114 (74.03%) were male and 40 (25.97%)were female. Most of fatality was among the age group 22 to 27 years (48, 31.17%) followed by 28 to 33 years age group (32, 20.78%). By relidion, Muslims were 130 (84.41%), followed by Hindus (19, 12.34 %), and Christians (05, 3.25 %). Considering the injury patterns, all victims had multiple abrasion and bruise 154 (100%), fracture ribs 28 (18.18%), fracture hipbones 26(16.88 %), fracture skull bones 17 (11.04%), head injury 24 (15.58%) and intracranial haemorrhages 24 (15.58%). Road traffic accidents can be minimized by creating public awareness among all road users about traffic signals and traffic safety rules as far as private users of vehicles are concerned.

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Pattern and Etiology of Mandibular Fractures Reported at Nepalgunj Medical College: A Prospective Study

Journal of Nepalgunj Medical College ◽

10.3126/jngmc.v13i2.16540 ◽

2017 ◽

Vol 13 (2) ◽

pp. 21-24

Author(s):

Niva Kansakar ◽

Bikram Budhathoki ◽

Namdev Prabhu ◽

Anjani Kumar Yadav

Keyword(s):

Prospective Study ◽

Traffic Accidents ◽

Road Traffic ◽

College Teaching ◽

Mandibular Fracture ◽

Mandibular Fractures ◽

Age Group ◽

Road Traffic Accidents ◽

Medical College ◽

A Prospective Study

Background: Mandibular fracture is one of the most common fractures of the maxillofacial region. The pattern of mandibular fractures varies from country to country and these variations can be due to social, cultural, and environmental factors. Objectives: This study was conducted to evaluate the etiology, incidence and pattern of mandibular fractures in western region of Nepal, reported at Nepalgunj Medical College Teaching Hospital.Methodology: A prospective study of 130 patients with mandibular fractures was conducted in Department of Dentistry, Nepalgunj Medical College Teaching Hospital from November 2013 to November 2014. These patients were examined both using clinical and radiographic parameters for mandibular fracture. Data concerning age, gender, causes of fracture and sites of fracture were analyzed.Result: Out of 130 patients, 104(80%) were male patients and 26(20%) were female patients. Most common age group was between 21-30 years. Most common cause of mandibular fracture was road traffic accidents accounting for 66(50.77%) cases followed by fall injury in 30(23.08%) cases. Most common site involved was parasymphysis 46(30.47%) followed by angle 27(17.89%). Road traffic accidents due to alcohol consumption 40(68.97%) was the leading cause followed by assault 10(17.24%) and fall 8(13.79%).Conclusion: Mandibular fractures are more frequent in male than female with higher frequency in 21-30 years age group. The most commonly fractured site was the parasymphysis. Road traffic accidents were the most common etiology and significantly associated with alcoholism. JNGMC Vol. 13 No. 2 December 2015

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