THE PREVALENCE OF MISMANAGED TRAUMA IN DHQ TEACHING HOSPITAL ABBOTTABAD
AbstractABSTRACTA prospective study was conducted to determine the prevalence of mismanaged traumafrom Jan, 1990 to December, 1990.One Thousand and Fifty patients were admitted in Orthopaedics Department during theperiod out of which 665 patients came in with trauma, 210 of whom were with complications ofmismanagement.251 patients (37.74%) reported after one week of the injury and 278 (41.8%) came afterreceiving treatment from one or more bone setters.The common complications of mismanagement were malunion, unreduced dislocations,contractures, gangrene and infections.
Gross, S.D. A system pathological diagnostic therapeutic and operative, Ed: 6 Philadelphia, Henryc,
Lea’s Son and Co 1882, vol-2, p.894.
Tsuge, K: Treatment of established Volkman’s contracture, J. Bone and Joint Surg. 57-A, 925, 1975.
Scully, R.E., Artz C.R. Soko Y: An evaluation of surgeon’s criteria for determining the viability of
muscle during debridement. Archives of Surge: 73:1031, 1959.
Thuresby, F.P., Darlow H.M: The mechanism of primary infection of bullet wounds Bril: J. of Surg
Hopkinson, D.A.W., Marshall, T.K., Fire arm injuries Brit Jr. of Surg: 54:344, 1967.
Gustillo, R.B. Anderson J.T. Prevention of infection in the treatment of one thousand and twentyfive open fractures of long bones. Retrospective and prospective analysis. J. Bones and Joint Surg:
-A: 453, 1976.
Patazakis, M.J., Harvey, J.P.and Ivler. D.: The role of antibiotics in the management of open fractures
J. Bone and joint Surg: 56-A:532, 1974.
Kanzora, J.E., and Burgess, A.R. The neglected foot and ankle in poly trauma. Adv: Orthop: Surg:
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