DOI: http://dx.doi.org/10.18203/2349-2902.isj20220935

Pattern of orthopaedic case presentations at the rivers state university teaching hospital: a ten-year review

Friday E. Aaron, Rex Friday Ogoronte A. Ijah, Tonye Obene

Abstract


Background: Pattern of diseases help institutions and governments to know the dominant disease conditions and how to allocate scarce resources. Knowledge of the pattern of orthopedic disease conditions seen and treated in the Rivers State university teaching hospital will help in guiding the repositioning effort of the department/discipline, especially in the light of the new status of the institution as a teaching hospital for teaching, service delivery and research. The aim of this study therefore was to determine the pattern of orthopedic cases seen in the surgery department of the Rivers State university teaching hospital from January 2010 to January 2019.

Methods: A descriptive retrospective cross-sectional study was carried out at the emergency room, clinic, operating theatre, and wards of the surgery department of the Rivers State university teaching hospital, using hospital registers. The study was analyzed using the Microsoft excel spreadsheet.

Results: There were 2854 orthopedic emergency room cases seen, comprising 621 fractures, 463 lumbar spondylosis/ spondylolisthesis, 392-foot ulcer/sepsis, 375 dislocations, 310 acute osteomyelitis, and 864 osteoarthritis with other conditions. The common orthopedic cases seen in the out-patient clinics in descending order of occurrence were lumbar spondylitis / spondylolisthesis (881), osteoarthritis (655), fractures (560), dislocations (227), etc.

Conclusions: Trauma-related disease care constituted the bulk of work of the orthopedic surgeon in our environment in the emergency room, operating theatre and ward admissions, and younger males were more affected.

 


Keywords


Pattern, Orthopaedic cases, Ten-year review, RSUTH, Port Harcourt, Nigeria

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References


WHO. fact sheet: The global burden of disease: a comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020: summary, 1996. Available at: https://apps.who.int/iris/handle/10665/41864. Accessed on 1 February 2022.

Beveridge M, Howard A. The burden of orthopaedic disease in developing countries. JBJS. 2004;86(8):1819-22.

Ghani A, Ahmad MN, Hakak A, Nabi F, Ashraf U, Majeed M. An analytical study of pattern of orthopedic injuries among patients presenting to the emergency department in a tertiary care hospital at GMC Jammu. J Med Sci Clin Res. 2018;11:529-35.

Micheli LJ, Wood R. Back pain in young athletes: significant differences from adults in causes and patterns. Arch Pediatr Adolescent Med. 1995;149(1):15-8.

Loder RT. The demographics of equestrian-related injuries in the United States: injury patterns, orthopedic specific injuries, and avenues for injury prevention. J Trauma Acute Care Surg. 2008;65(2):447-60.

Chalya P, Gilyoma J, Mabula J, Simbila S, Ngayomela I, Chandika A et al. Incidence, causes and pattern of cancellation of elective surgical operations in a university teaching hospital in the Lake Zone, Tanzania. Afr Health Sci. 2011;11(3).

Ayana B, Ahmed E. Interpersonal violence related injury at St Luke hospital, Oromia Region, Ethiopia. East Central Afri J Surg. 2012;17(1):37-42.

Wolde A, Abdella K, Ahmed E, Tsegaye F, Babaniyi O, Kobusingye O et al. Pattern of injuries in Addis Ababa, Ethiopia: a one-year descriptive study. East Central Afr J Surg. 2008;13(2):14-22.

Elias A, Tezera C. Orthopedic and Major Limb Trauma at the Tikur Anbessa University Hospital, Addis Ababa-Ethiopia. East Central Afr J Surg. 2005;10(2):43-50.

Burch VC, Isaacs S, Kalla AA. Ethnicity and patterns of spondyloarthritis in South Africa-analysis of 100 patients. J Rheumatol. 1999;26(10):2195-200.

Kalisya LM, Nyavandu K, Machumu B, Kwiratuwe S, Rej PH. Patterns of congenital malformations and barriers to care in Eastern Democratic Republic of Congo. PLoS One. 2015;10(7):e0132362.

Mbembati N, Museru L, Leshabari M. Childhood burn injuries in children in Dar es Salaam: patterns and perceptions of prevention: short research article. African Safety Promotion. 2002;1(1):42-5.

Dafiewhare OR, Ajibade A. Pattern of hand injuries seen in the accident and emergency unit of an urban orthopedic hospital. Nig J Plastic Surg. 2015;11(1):8.

Omoke N, Amaraegbulam P. Low back pain as seen in orthopedic clinics of a Nigerian Teaching Hospital. Nig J Clin Practice. 2016;19(2):212-7.

Omololu B, Ogunlade S, Alonge T. Pattern of congenital orthopeadic malformations in an African teaching hospital. West Afr J Med. 2005;24(2):92-5.

Mkandawire N, Kaunda E. Incidence and patterns of congenital talipes equinovarus (clubfoot) deformity at Queen Elizabeth Central Hospital, Banter, Malawi. East Central Afr J Surg. 2004;9(2):28-31.

Opara K, Chukwuanukwu T, Ogbonnaya I, Nwadinigwe C. Pattern of severe electrical injuries in a Nigerian regional burn centre. Nig J Clin Practice. 2006;9(2):124-7.

Abdulkareem F, Eyesan S, Akinde O, Ezembakwe M, Nnodu O. Pathological study of bone tumours at the National Orthopaedic Hospital, Lagos, Nigeria. West Afr J Med. 2007;26(4):306-11.

Obalum D, Giwa S, Banjo A, Akinsulire A. Primary bone tumours in a tertiary hospital in Nigeria: 25 year review. Nige J Clin Practice. 2009;12(2).

Obalum D, Eyesan S, Ezembakwe M, Abdulkareem F. Pattern of osteochondromas in Lagos, Nigeria. Nig Quarterly J Hospital Med. 2008;18(2):69-71.

Lasebikan OA, Nwadinigwe CU, Onyegbule EC. Pattern of bone tumours seen in a regional orthopaedic hospital in Nigeria. Nig J Med. 2014;23(1):46-50.

Onuminya J, Ohwowhiagbese E. Pattern of civilian gunshot injuries in Irrua, Nigeria. South Afr J Surg. 2005;43(4):170-2.

Eyichukwu G, Anyaehie U, Moghalu O. Pattern and Outcome of Management for Traumatic Closed Cervical Spine Injuries at The National Orthopaedic Hospital, Enugu, Nigeria. Nig Health J. 2011;11(1):27-31.

Anyaehie U, Ejimofor O, Akpuaka F, Nwadinigwe C. Pattern of femoral fractures and associated injuries in a Nigerian tertiary trauma centre. Nig J Clin Practice. 2015;18(4):462-6.

Ifesanya AO, Alonge TO, Ogunlade SO, Omololu AB, ROA TEN. Changing trends in the pattern of tibial fractures in Nigeria: A review of 70 cases. J Orthop. 2008;5(2):e4.

Musa A. Diabetic foot leasions as seen in NIgerian teaching hospital: pattern and a simple classification. East Afr J Public Health. 2012;9(1):51-3.

Abbas A, Musa A. Changing pattern for extremity amputations in University of Maiduguri Teaching Hospital, Nigeria. Niger J Med. 2007;16(4):330-3.

Boiadjiev G, Boiadjiev T, Delchev K, Kastelov R, Chavdarov I, editors. Basic Characteristics of Handheld Robotized Systems in Orthopedic Surgery. 2020 International Conference on Software, Telecommunications and Computer Networks (SoftCOM). 2020;IEEE.

Melcher C, Korge A, Cunningham M, Foley KT, Härtl R. Metrics Development for Minimal Invasive Unilateral Laminotomy for Bilateral Decompression of Lumbar Spinal Stenosis With and Without Spondylolisthesis by an International Expert Panel. Global Spine J. 2020;10(2):168S-75.

Sah SK, Sinkemani A, Li Y. Current Trends in Clinical Practice for the Minimal Invasive Medial Unicondylar Knee Arthroplasty. Open J Orthop. 2020;10(09):252.

De Prado M. Complications in minimally invasive foot surgery. Fuß Sprunggelenk. 2013;11(2):83-94.

Spoor A, Öner F. Minimally invasive spine surgery in chronic low back pain patients. J Neurosurg Sci. 2013;57(3):203-18.

Mahaisavariya B. Minimal Invasive Orthopaedic Surgery. Siriraj Med J. 2006;58(12):1227-8.

Nwankwo O, Katchy A. Surgical limb amputation: A five-year experience at Hilltop Orthopedic Hospital Enugu, Nigeria. Nig J Orthop Trauma. 2004;3(2):139-49.

Mock C. Guidelines for essential trauma care: World Health Organization, 2004. Available at: https://www.who.int/violence_injury_prevention/publications/services/en/guidelines_traumacare.pdf. Accessed on 1 February 2022.

Obalum D, Eyesan S, Kolawole H, Ogo C. Challenges in trauma management in a developing economy. OA Orthop. 2013;1(3):22.

Curtis EM, Van der Velde R, Moon RJ, Van den Bergh JP, Geusens P, de Vries F et al. Epidemiology of fractures in the United Kingdom 1988-2012: variation with age, sex, geography, ethnicity and socioeconomic status. Bone. 2016;87:19-26.

Marcano A, Taormina D, Egol KA, Peck V, Tejwani NC. Are race and sex associated with the occurrence of atypical femoral fractures? Clin Orthop Related Res. 2014;472(3):1020-7.

O'neill T, Varlow J, Silman A, Reeve J, Reid D, Todd C et al. Age and sex influences on fall characteristics. Ann Rheumatic Dis. 1994;53(11):773-5.

Odatuwa-Omagbemi DO. Open fractures: epidemiological pattern, initial management and challenges in a sub-urban teaching hospital in Nigeria. Pan Afr Med J. 2019;33.

Wang YXJ, Kaplar Z, Deng M, Leung JC. Lumbar degenerative spondylolisthesis epidemiology: a systematic review with a focus on gender-specific and age-specific prevalence. J Orthop Translation. 2017;11:39-52.

Ishimoto Y, Yoshimura N, Muraki S, Yamada H, Nagata K, Hashizume H et al. Association of lumbar spondylolisthesis with low back pain and symptomatic lumbar spinal stenosis in a population-based cohort: the Wakayama Spine Study. Spine. 2017;42(11):E666-71.

Manchikanti L. Epidemiology of low back pain. Pain Physician. 2000;3(2):167-92.

Neogi T, Zhang Y. Epidemiology of osteoarthritis. Rheumatic Dis Clin. 2013;39(1):1-19.

Vina ER, Kwoh CK. Epidemiology of osteoarthritis: literature update. Curr Opinion Rheumatol. 2018;30(2):160.

March LM, Bagga H. Epidemiology of osteoarthritis in Australia. Med J Australia. 2004;180(5):S6.

Bija MD, Luma HN, Temfack E, Gueleko ET, Kemta F, Ngandeu M. Patterns of knee osteoarthritis in a hospital setting in sub-Saharan Africa. Clinical Rheumatol. 2015;34(11):1949-53.

Akinpelu AO, Alonge TO, Adekanla BA, Odole AC. Prevalence and pattern of symptomatic knee osteoarthritis in Nigeria: A community-based study. Int J Alli Health Sci Pract. 2009;7(3):10.

Oboirien M, Agbo SP, Ajiboye LO. Risk Factors in the Development of Knee Osteoarthritis. Int J Orthop. 2018;5(2):905-9.

Odole A, Ekediegwu E, Ekechukwu E, Uchenwoke C. Correlates and predictors of pain intensity and physical function among individuals with chronic knee osteoarthritis in Nigeria. Musculoskeletal Sci Pract. 2019;39:150-6.