Background
Unstable pelvic fractures are severe and life-threatening injuries with high morbi-mortality rates. Management of these fractures is a major challenge in orthopaedic practice in limited resource communities. The aim of this study is to evaluate the functional outcome of unstable pelvic fractures managed in a hospital with limited diagnostic and therapeutic facilities.
Methodology
This was a hospital-based prospective observational study carried out from 1st of January 2009 to 31st of December 2018 at the Limbe Regional Hospital, a level III health institution in the South-West region of Cameroon.
Results
A total of 68 patients were included in the study. The ages ranged from 18 to 80 years with a mean age of 39 ± 5 years. The average follow-up duration at the latest visit was 36 months (range 3–84 months). There were 59 cases that were evaluated. The overall average Majeed score was fair. Poor outcomes were noted in patients aged 60 years and above, those with co-morbidities, and those managed conservatively.
Conclusion
Although the functional outcomes following unstable pelvic fractures have improved with modernised diagnostic and therapeutic modalities, it is not the case in poor resource settings where the lack of these modalities makes the management challenging, consequently affecting the functional outcome.
Background: Amputation is considered the last resort when a limb is no longer salvageable, a limb is dead or dying, is viable but non-functional, or is endangering the patient’s life. Limb amputation is associated with profound economic, social, and psychological effects on patients. The aim of this study is to evaluate quality of life following major limb amputation in a rural setting in west Cameroon.Methods: This was a cross-sectional descriptive, analytical study. Participants were interviewed and data collected using a pre-defined accredited questionnaire of the WHOQOL-BREF to assess quality of life.Results: There were 63 participants, and a majority (60.32% ) reported trauma as the cause of amputation. Participants with a prosthesis had better quality of life.Conclusion: Quality of life of people following major limb amputation in this study was generally fair according to the World Health Organization (WHO) quality of life tool.
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