‫فريق العمل‬
‫‪1‬‬
Fractures of extremities...
epidemiological analysis
and evaluation of results
of treatment.
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Dr Abdullah Taha Al-Toiti
Introduction
Fractures of extremities
are the most common of
human injuries.
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Aims of study
I. Analysis of results of study
about circumstance of pt.’s
injuries.
a.pt.’s => gender.
b.Pt.’s => age.
c. causes of trauma.
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Aims of study
I. Analysis of results about
circumstance of pt.’s injuries.
d. Kind of #.
e. Localization of #.
f. .
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Aims of study
II. Analysis of results about
character of fractures.
1. % of Fractures of extremities to all
orthopedics' cases.
2. % of # of upper limbs to lower limbs.
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Aims of study
II. Analysis of results about
character of fractures.
3. Analysis of the results of treatment.
4. % kind of treatment of #.
5. Evaluation of results of treatment.
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Aims of study
III. Evaluation of performance of
orthopedic department.
1. % of orthopedic cases to other
surgical dep.
2. Kind of treatment of fractures.
3. Results of
complications
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treatment
and
Material and method
Upper
limb
Lower
limb
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Material for
study was
Humerus Fractures of
Bones
Ulna–Radius
Of
Extremities
Femur
since
May 2005
Tibia
To
May 2010
Material and method
1. Collection of all cases of extremities
# which were admitted to Ortho.
Dep. By OT.
2. Sort of cases of extremities #.
3. Study of pt.’s files with ext. # .
= (849 files)
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Material and method
4. Extraction of
information
from pt.’s
files
depending
on special
form.
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Material and method
6. Extraction of information to the PC.
7. Epidemiology and analysis of results.
8. Create of conclusion depending on
epidemiology and analysis of these
information
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Material and method
Demonstration of results
about I. aim ( circumstance
of pt.’s injuries).
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% of total of all surgical cases
to orthopedic cases.
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% of total orthopedic cases to
Cases of extremities #.
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Gender of patients
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Age of patients
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Gender & Age of patients
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Housing of patients
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Causes of frctures
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Material and method
Demonstration of results
about II. aim ( Analysis of
results about character of
fractures).
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% of side of fractures
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% of Kind of fractures
695
700
600
500
400
269
300
200
65%
100
35%
0
Close Fractures
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Open Fractures
Bone - Fracture
400
360
350
300
300
250
200
152
150
144
105
100
50
34%
29%
14%
13%
10%
0
Femure
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Tibia
Humerus
Radius
Ulna
Fractures of Upper limb to
Lower Limb
403
661
Frctures of Lower Limbs
Frctures of Upper Limbs
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% of associated Injuries with #
988
1000
800
600
400
200
0
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93%
69
6.50%
7
0.50%
Material and method
Demonstration of results
about III. aim ( Evaluation of
performance of orthopedic
department).
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Types and % of treatment of #
1000
896
500
84%
0
141
Surgical
treatment
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13%
Conservative
Treatment
2%
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Mixture
Types of treatment
800
700
707
600
500
400
163
300
200
100
66%
194%
19
15
0
Internal fixation
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External fixation
Conservative
% of complications
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Types and % of complications
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Conclusion
1. The fractures of extremities are big
social and economic problem.
2. In Yemen we have bad tradition
regarding to carrying of gun.
3. RTA is the most common cause of #.
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Conclusion
4. The work in orthopedic Dep. During
last 5 yrs was Accepted, depending on :
-Total cases of orthopedic dep.
- Number of complications,
- Types of treatment and
instrumentation.
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Thank you
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