Pattern of Orthopaedic Injuries Among Patients Attending the Emergency Department in a Tertiary Care Hospital – An Analytical Study
Najmul Huda1, Pankaj Gupta2, Ajay Pant3, Asif Iqbal4, M Julfi qar5, Mohd Zahid Khan6, Nitin Kumar Agrawal7
1Associate Professor, 2Senior Resident, 3Professor and Head, 4Assistant Professor, 5Assistant Professor, 6Senior Resident,
7Assistant Professor, Department of Orthopaedics, Teerthanker Mahaveer Medical College and Research Centre, Moradabad, U.P., India
Journal Title:ACTA MEDICA INTERNATIONAL
Introduction: Th is study was aimed at analyzing the pattern of Orthopaedic injuries among patients attending the Emergency
department in a tertiary care hospital. Retrospective study was conducted in the Department of Orthopaedics, Teerthanker Mahaveer
Medical College & Research Centre. Methods: Th e record analysis of injured patients seen at the emergency department over a
12 months period from June 2012 to may 2013 was done. Th e data was analyzed with special reference tothepattern of Orthopaedic
injuries. Results: A total of 1110 records of injured patients that attended the emergency department were analyzed. Study showed that
themajority of victims were in the age group of 11-44 years (n=909, 81.89 percent). 71.09 percent (n=789) were males and 28.9 percent
(n=321) were females. Road traffi c accident was the most common cause of injuries being responsible for 59.72 percent, (n=663)
followed by fall from height (22.5 percent, n=247). Study revealed that the most common presentation of injuries was fracture (68.64
percent, n=762) and the most common site was lower limbs in 48.16 percent cases, (n=367). Next most common site was upper limbs
(28.08 percent, n=214) followed by pelvic fracture (10.01 percent, n=77), spine fractures (8.26 percent, n=63), facial fracture (2.88 percent,
n=22) & Ribs fracture (2.49 percent, n=19). Th ere were 71.65 percent cases (n=546) of simple fracture and 28.34 percent cases (n=216)
ofthecompound fracture. Th ere were 3.87 percent cases (n=43), of various dislocations, shoulder dislocation being the most common.
Crush injury was seen in 7.5 percent cases. Most commonly associated visceral injury wasthehead injury in 17.20 percent cases (n=191).
Conclusion: Fractures were the most common pattern of Orthopaedic injuries, frequently associated with head injuries. Research in
to appropriate strategies for prevention of injuries, especially RTA is required in tertiary care hospitals.
Keywords: Fracture, Orthopaedic injuries, Road traffi c accidents