Management of Traumatic Joint Dislocations in Irrua
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Date
2015-03
Journal Title
Journal ISSN
Volume Title
Publisher
Scientific Research
Abstract
Aim: To elucidate the pattern of presentation and management of traumatic major joint dislocations
as seen in Irrua Specialist Teaching Hospital. Method: A five-year retrospective review of 44
cases in 43 patients. Data were retrieved from the Medical Records Department of the hospital.
Results: Forty-four cases of traumatic dislocations were reviewed in 43 patients. Male to female
ratio was 7.6:1. Median age was 33 years. The majority of patients were in the 3rd decade of life.
Patients below 40 years accounted for 62.79% of cases. Twenty-four (55.81%) patients had hip
dislocation. Knee dislocations were the least, accounting for 2.32% of cases. All cases except three
resulted from road traffic accidents (RTAs). None had neurologic deficits. Nineteen (44.23%) patients
had isolated injuries. 76.7% cases presented in less than 6 hours. All shoulder dislocations
were anterior while all elbow dislocations were posterior. All except 3 cases were managed by
closed manipulation under general anaesthesia. Two patients died from associated head injury.
Fourteen patients discharged against medical advice while recuperating in the ward. Follow-up
was however difficult as a significant number did not turn up. Conclusion: Hip dislocation is the commonest variety of traumatic dislocation in our setting. A majority of cases were amenable to closed manipulation and immobilization. Road traffic accidents accounted for the majority.
Description
Keywords
Presentation Pattern, Trauma, Joint Dislocation, Treatment, Effect
Citation
Surgical Science, 2015, 6, 116-122