Introduction: Road traffic accidents are one of leading causes of death in India. The steadily increasing incidence of road traffic accidents has become a major public health issue. alcohol consumption is one of the most common cause for road traffic accidents according to the World Health Organization (WHO), road traffic injuries are the sixth leading cause of death in India with a greater share of hospitalization, deaths, disabilities and socio-economic losses in the young and middle-aged population. India reported 35.1 accidents per 10000 motor vehicle in 2011, Karnataka is the fourth ranking state in road traffic accidents in India. Methodology:The study was conducted in victims of road traffic accident brought to tertiary care centre of Adichunchanagiri medical sciences, bg nagara between September 2016 and may 2017 The datas were collected regarding age, sex, nature of injury, educational status, type of vehicle, type of road user, time of incidence, history of alcohol intake, place of consumption. Results: Totally 1164 victims reported to casualty due to RTA and 442 of them were under the influence of alcohol, of which 33% of accidents were sustained in the age group 21-30 years,31.2% of the subjects had lower limb injury and 24.7% suffered from head injury,18.3% sustained upper limb trauma, 10.8% suffered chest injury, 8.6% were affected by faciomaxillary trauma. It was also observed that 99.09% of the victims were males. Majority of the victims were under educated, (33.03%) were agriculturists, most of the incidents occurred in the evenings 6pm-12 midnight. Conclusion:This study was carried out to know the involvement of alcohol consumption in road traffic accidents reporting to a tertiary care centre. It showed that most of the victims were males. Majority of the cases (38.2%) belong to the age group 21-30 years. Among the victims 39% were two wheeler drivers, 19% were three wheeler drivers followed by pedestrians (15.4%), four wheeler drivers (13.6%) and pillon riders (13%). Majority of the cases suffered lower limb injury This study clearly correlates the effect of alcohol and drug consumption in road traffic accident.
Background: Treatment of ipsilateral supracondylar fractures of humerus and distal fractures of forearm bones in children with closed reduction and k-wire fixation along with management of two Gustilo-Anderson 2 open supracondylar fractures with wound debridement and subsequent open reduction. For this reason, percutaneous pinning technique is the treatment of choice for ipsilateral supracondylar humerus with distal forearm fractures. By this procedure even displaced fractures can be treated successfully with minimal incidence of complications. The purpose of study is to determine the efficacy of management of ipsilateral supracondylar fractures with distal forearm fractures, imaging of forearm bones with fractures of supracondylar humerus. Methods: 20 cases of supracondylar humerus fractures with distal forearm fractures in children aged between 5-12 years treated with closed reduction and percutaneous pinning except in cases with open fracture of supracondylar humerus treated with wound debridement and open reduction and were studied prospectively for functional outcome. Results: 90% of patients observed excellent results, while 10% have fair outcome. Pin site infection was seen in patients with open fractures which resolved with k-wire removal and antibiotic coverage. While 2 case were seen with recovering radial nerve palsy at 6 months follow up. Conclusion:The results obtained in study shows anatomic reduction by closed method and stabilization with k-wire fixation hence is treatment of choice for Ipsilateral supracondylar humerus and forearm distal fractures.
The present study was conducted from September 2017 to October 2019 over a period of two years consisting of 30 patients to compare the results in terms of functional outcome, rate of union and complications of plating versus nailing in treatment of diaphyseal fractures of humerus. 12 patients had undergone nailing and 18 patients had undergone plating. The youngest patient was 21 years old and eldest patient was 75 years old. Maximum number of patients belonged to the age group of 21 to 40 years (46.66%). Most of the patients were male (70%). Road traffic accident was the most common mode of injury (53.33%). Right sided injury was more than left. Majority of the patient's sustained closed injury (90%) compared to open injury (30%). A total of 3(10%) patients had 12A1 type, 5(16.66%) patients had 12A2 type, 8(26.66%) patients had 12A3 type, 7(23.33%) patients had 12B2 type, 5(16.66%) patients had 12B3 type and 2(6.66%) patients had 12C3 type. The minimum follow up among nailing patients were minimum of 10 months and maximum of 20 months with a mean of 16 months the minimum follow up was for 8 months and maximum of 20 months with a mean of 16 months. Two (6.66%) patients came with concomitant radial nerve palsy which was recovered completely within 6 months after surgery. The average time taken for union is 13.8 weeks and 15.1 weeks for nailing and plating respectively. There were 2 cases (16.66%) of delayed union among the nailing category and 4 cases (22.22%) of delayed union among the plating group. There were 2 case (11.11%) of non-union among the plating group and no non-union was seen among the nailing group. Functional outcome was assessed using DASH score analysis. The mean DASH score in nailing group is 30.20 and for plating group is 26.71which is a good functional outcome in both case. 2 (16.66%) patients had shoulder impingement among the nailing group. 1 (5.55%) patient had implant failure among the plating group. 2 (11.11%) patient among the nailing group had post op radial nerve palsy. 2 (11.11%) patients had superficial infection and 1 (5.55%) patient had deep infection among the plating group. There was no case of infection among the nailing group. 2 (11.11%) patents had non-union among the plating group.
This study was done to determine frequency of post-operative iatrogenic radial nerve palsy in open reduction and internal fixation of humerus fracture by anterolateral approach. It is a Cross sectional study was done on 20 humerus shaft fractures were treated at adichunchanagiri hospital and research centre, nagamangala, Karnataka over a period of 12 months from septemeber 2019 to august 2020. Among these patients post operatively iatrogenic radial nerve palsy were noted. Among 20 patients, 16 were male and 4 were female. Median age was 32.5 years. Out of these 17 patients were has been treated with dynamic compression plate and 2 with locking compression plate. All the fractures were diaphyseal, at distal / middle third level. Among 20 patients 2 patients developed iatrogenic radial nerve palsy. In these patients there was no macroscopic lesion and nerve was in continuity and beginning of clinical recovery was seen in within 3 months. The incidence of secondary nerve palsy after surgey is 10%. Secondary nerve palsy is always transient recovers with time with dynamic splint in extent position of wrist and fingers. Open reduction and internal fixation provide greater patient comfort and better alternative to conservative treatment.
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