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Double segmental tibial fractures-- an unusual fracture pattern

Chinese Journal of Traumatology 2011年第4期14卷 247-249页

作者： kamal baili vishal kumar sandeep patel sameer aggarwal Department of Orthopaedics Postgraduate Institute ofMedical Education and Research Sector 12 Chandigarh160012 India

A case of a 50-year-old pedestrian who was hit by a bike and suffered fractures of both bones of his right leg was presented. Complete clinical and radiographic assessment showed double segmental fractures of the tibia and multisegmental fractures of the fibula. Review of the literature revealed that this fracture pattern was unique and only a single case was reported so far. Moreover, we discussed the possible mechanisms which can lead to such an injury. We also discussed the management of segmental tibial fracture and the difficulties encountered with them. This case was managed by modern osteosynthesis technique with a pleasing outcome.

关键词： Fracture, bone Tibia Fibula Nails

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Epidemiology of pelvic fractures in adults: Our experience at a tertiary hospital

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Chinese Journal of Traumatology 2019年第3期22卷 138-141页

作者： Subhajit Ghosh sameer aggarwal vishal kumar sandeep patel Prasoon kumar Department of Orthopedics Post Graduate Institute of Medical Education and Research (PGIMER)ChandigarhIndia

Purpose: Pelvic fractures are severe injuries and are often associated with multiple system injuries, exacerbating the overall outcome. In India, the incidence of pelvic fractures is on a rise due to suboptimal roads and traffics but related literature regarding the overall epidemiology of these injuries is scarce and scanty. Our aim was to study the epidemiology of patients admitted with pelvic fractures at a level 1 trauma centre in India. Methods: A 16-month (between September 2015 and December 2016) prospective observational study was carried out on trauma patients with pelvic fractures at a level 1 trauma centre of a tertiary care hospital. Demography of patients, mechanism of injuries and complications were recorded prospectively. Results: We observed 75 patients who presented with pelvic fractures, where 56 were males and 19 were females. Mean age of the study populationwas 37.57 years. Road traffic accidents were the most common mode of injuries. Lateral compression injuries were the most common pattern. Associated injuries frequently encountered were lower extremities and acetabulum fractures, blunt abdominal trauma, urogenital injuries and head injuries. Out of the 75 patients, 52 were treated surgically and 23 were managed by conservative methods. Associated injuries of the extremities, head, abdomen and urogenital system indicated a longer hospital stay. Conclusion: Pelvic fractures, although belong to a relatively rare trauma subset, cause a high morbidity and mortality with considerable burden on the economy. Proper road safety training and driving etiquettes along with its strict implementation in true sense and spirit are the need of the hour.

关键词： Pelvic fractures Epidemiology Incidence

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