Study on Clinico-Demographic Characteristics of Orthopaedic Cases in a Tertiary Care Centre: A Descriptive Cross-sectional Study

Abstract

Introduction: Orthopedic conditions include a range of condition varying from traumatic injuries, congenital anomalies, chronic back-pain, arthritis, rheumatologic conditions, and other. In Nepal, approximately 2.35 million people are living with musculoskeletal conditions in which 175,000 people are suffering with MSD from non-traumatic causes. The aim of the study is to observe the clinical and demographic pattern of orthopedic problems presenting in the hospital.
 Methods: A descriptive cross-sectional study was done in All Nepal Hospital Private Limited in the month of November. The data from the medical record section was retrospectively collected. Sample size of 384 was included and convenience sampling technique was used. The descriptive statistical analysis was done.
 Results: Eight hundred forty four cases were included in the study. Implant removal was the main condition for admission in the hospital 105 (12.44%) followed by Forearm Bone Fracture 84 (9.95%) and Cut Injury 64 (7.58%). Most cases presented during the time 6 PM to 12 AM 312 (36.96%).
 Conclusions: Most of the orthopedic cases presented in the evening and night time. Implant removal, forearm bone fracture and cut injury form the major bulk of the cases.

Orthopaedic Fractures among Patients Attending a Tertiary Care Centre

“…Men (76.45%) were more likely to suffer fractures in this study than women (23.55%), similar to the findings in other Nepalese studies. 5 , 8 Our study found a 3.25:1 male-to-female ratio, while others found it varying from 1.82:1 to 1.52:1. 5 , 8 As per a study from Nepal, the ratio of males to females in India (6:1) and Singapore (2.25:1) differed.…”

“… 5 , 8 Our study found a 3.25:1 male-to-female ratio, while others found it varying from 1.82:1 to 1.52:1. 5 , 8 As per a study from Nepal, the ratio of males to females in India (6:1) and Singapore (2.25:1) differed. 9 , 10 A possible cause could be gender biases in work and educational opportunities and drunk-driving behaviours, particularly in developing countries, such as Nepal, which is dominated by men.…”

“… 6 , 7 Similar to our findings, a study reported 25.47% of fractures in people between 30 and 45 years of age, followed by 15% in people 15 to 30 years of age. 8 Similarly, the 10-39 age group represented over half of the traumas and fractures in another study. 5 Adults in this study suffered more fractures due to accidents, specifically with two-wheelers, when they commuted to work or school or did not follow traffic laws.…”

Orthopedic Implant Removal in the Department of Orthopedics of a Tertiary Care Centre of Nepal: A Descriptive Cross-sectional Study

“…A similar study conducted by Rijal et al in a tertiary care centre of Nepal reports that 12.44% of implant removal procedures were carried out of the total orthopedic cases admitted to the hospital. 1 Other studies also report a similar type of trend; 13.7% out of patients having prior open reduction and internal fixation operation in a study at a hospital of Ghana by Kuubiere CB et al 3 and 14.1% out of total major and intermediate orthopedic operations carried out three hospitals of Nigeria by Onche I, et al 5 Another study reports 7.83% 2 of implant removal procedures out of total orthopedic and trauma surgery, conducted at a tertiary care center in Nepal, which is relatively low than previously discussed studies. But, in resource-limited places like Nepal, implant removal surgery tends to occupy much of the workforce in day-to-day practice.…”

“…Orthopedic implant removal procedures are among the most carried out procedures in the department of orthopedics. 1 …”