Clinical profile of patients with below knee soft tissue injuries
DOI:
https://doi.org/10.18203/2349-2902.isj20180335Keywords:
Contamination, RTA, Soft tissue injuriesAbstract
Background: In the recent era of trauma majority of people suffer from lower limb injuries, which cause functional disabilities and psychosocial consequences. Lower limb injury specially below knee generally involves young and productive people so it is the prime responsibility of the society to prevent such incidents. Our aim is to study clinical profile of various below knee soft tissue injuries to develop better prediction models for defining the most important target for prevention and to reduce morbidities and disabilities.
Methods: The study was conducted in the Department of Surgery, Himalayan Institute of Medical Sciences (HIMS), Swami Ram Nagar, Dehradun, over a period of 12 months. Subjects were recruited from patients presenting in Emergency/Surgery OPD, HIMS, Dehradun with a primary diagnosis of below knee soft tissue injuries. A total of 64 patients were included in the study.
Results: Maximum number of patients were in the age group of 20-40 years (46.88%), and were predominantly males (84.38%). The commonest mode of injury was RTA (75%) primarily involving 2 wheelers (72.91%). Most patients (42.18%) had late presentation to the hospital i.e. after 72 hours of injury which was found to be associated with contamination of wound in 66.6% of patients.
Conclusions: The study emphasizes the need for preventive strategies and protection mechanisms for lower limb injuries. Late presenting contaminated wounds leads to higher complication rates hence there is need for efficient ambulance services for ensuring timely intervention.
Metrics
References
He H, Kiguchi K, Horikawa E. A study on lower-limb muscle activities during daily lower-limb motions. Int J Bioelect. 2007;9(2):79-84.
Andruszkow A. Knee injuries in severe trauma patients: a trauma registry study in 3.458 patients. J Trauma Management and Outcomes. 2012;6(7):1-6.
Goel SA, Bhavsar NM, Makwana H, Lil NA, Patel PR. Epidemiology and patterns of lower limb injuries at a tertiary care hospital in Ahmedabad. Int J Med Res Rev. 2015 Jun 30;3(05).
Jha N, Srinivasa DK, Roy G, Jagdish S. Epidemiological study of road traffic accident case: A study from south India. Indian J Community Med. 2004;29(1):20-4.
Behera C, Col L, Rautji R, Lalwani S, Dogra TD. A comprehensive study of motorcycle fatalities in South Delhi. J Indian Acad Forensic Med. 2007;31(1):6-10.
World Health Organization. Global status report on road safety. Injury Prevention; 2009.
Miki N. Profile of trauma victims of motorcycle accidents treated at hospital são paulo. Acta Ortop Bras. 2014;22(4):219-22.
Ganveer GB, Tiwari RR. Injury pattern among nonfatal road traffic accident cases: A cross-sectional study in Central India. Indian J Med Sci. 2005;363:9-12.
Gopinathan NR, Santhanam SS, Saibaba B, Dhillon MS. Epidemiology of lower limb musculoskeletal trauma with associated vascular injuries in a tertiary care institute in India. Indian J Orthopaedics. 2017;51(2):199.
Dhillon MS, Aggarwal S, Dhatt S, Jain M. Epidemiological pattern of foot injuries in India. Preliminary assessment of data from a tertiary hospital. J Postgrad Med Edu Res. 2012;46(3):144-7.
Making a difference. The World Health Report 1999. Health Millions 1999;25:3-5. Available at: http://www.who.int/whr/1999/en/.
Dalvi Q. World report on road traffic injury prevention by World Health Organization and World Bank (WHO, Geneva, April 2004). Transport Reviews. 2004 May 1;24(3):365-76.
Jeffers RF, Tan HB, Nicolopoulos C, Kamath R, Giannoudis PV. Prevalence and patterns of foot injuries following motorcycle trauma. J Orthop Trauma. 2004;18(2):87-91.
Margaret J. Starnes-Roubaud. Microsurgical Lower Extremity Reconstruction in the Subacute Period: A Safe Alternative. Plast Reconstr Surg Glob Open. 2015;3:449;1-8.
Patil YB, Khamgaonkar M. Sociodemographic profile of non-fatal road traffic accident cases admitted in tertiary care hospital in Central India. Int J Community Med Public Health. 2016;3(12):3364-8.
McLean AJ, Holubowycz OT. Alcohol and the risk of accident involvement. Road accident Research Unit, University of Adelaide, Adelaide, Australia. 15-19 June 1980;113‑23.
Macedo JL, Rosa SC, Botelho DL, Santos CP, Queiroz MN, Gomes TG. Lower extremity reconstruction: epidemiology, management and outcomes of patients of the Federal District North Wing Regional Hospital. Revista do Colégio Brasileiro de Cirurgiões. 2017 Feb;44(1):9-16.
Motoki TH, Carvalho KC, Vendramin FS. A profile of patients with lower limb trauma treated by the Hospital Metropolitano de Urgência e Emergência reconstructive surgery team. Revista Brasileira de Cirurgia Plástica. 2013 Jun;28(2):276-81.
Lu-Ping Z, Rodriguez-Llanes JM, Qi W, van den Oever B, Westman L, Albela M, et al. Multiple injuries after earthquakes: a retrospective analysis on 1,871 injured patients from the 2008 Wenchuan earthquake. Critical Care. 2012;16(3):R87.
Koizumi MS. Injury patterns in motorcycle accident victims. Revista de saude publica. 1992 Oct;26(5):306-15.
Phalkey R, Reinhardt JD, Marx M. Injury epidemiology after the 2001 Gujarat earthquake in India: a retrospective analysis of injuries treated at a rural hospital in the Kutch district immediately after the disaster. Global health action. 2011;4(1):7196.
Downloads
Published
How to Cite
Issue
Section
