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Epidemiology of inpatient tibia fractures in Singapore -- A single centre experience

Chinese Journal of Traumatology 2019年第2期22卷 99-102页

作者： Joshua Decruz Rex Premchand Antony Rex suheal ali khan Department of Orthopaedic Surgery Khoo Teck Puat Hospital Singapore

Purpose:There are no previous epidemiological studies to represent the trends of tibia fractures in the urban *** purpose of our study was to provide unique epidemiological information on the incidence of tibia fractures requiring admission in the urban population of ***:This is a retrospective review of clinical and radiological records encompassing three years period from 2012 to 2014 in a tertiary hospital in Northern Singapore,which covers an adult population of 550,*** information included demographics,mechanism of injury,and Gustillo-Anderson *** records were evaluated by two of the authors and fractures were classified using the AO classification after consensus was ***:There were 214 cases of tibia fractures with a population incidence of 13 in 100,*** the tibia fractures,47% were diaphyseal,43% proximal and 10% *** of patients were males with a male to female ratio of 3 to *** mean age of females was 64 years while that of males was 40 *** commonest mechanism of injury was road traffic accident,which contributed to 42% of cases,with motorcyclists making up 78% of all road traffic *** fractures made up 23% of all fractures,most of which were Gustillo-Anderson type Ⅲ;69% of patients underwent surgical ***:The incidence of tibia fractures is 13/100,000 with a male-to-female ratio of 3∶*** incidence is lower than other studies,but the proportion of open fractures were surprisingly high at 23%.Distribution of fractures was unimodal with a peak in younger men and older *** may signify a component of fragility among tibia fractures,especially proximal and distal fractures,which peaks above the age of 80 years old.

关键词： Tibia fractures Epidemiology Urban

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Lengthening of a below knee amputation stump with Ilizarov technique in a patient with a mangled leg

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Chinese Journal of Traumatology 2019年第6期22卷 364-367页

作者： Dong Hao Toon suheal ali khan Kevin Ho Yin Wong Limb Reconstruction Unit Khoo Teck Puat HospitalSingapore

A below knee amputation(BKA)requires sufficient stump length for the fitting of a modern *** cases of trauma where the levels of injury are unpredictable,achieving sufficient stump length can be a *** described a case report of using the Ilizarov technique for bone lengthening at the residual BKA stump for a patient who sustained a mangled limb following a road traffic *** this technique,we have successfully lengthened the tibial stump adequately for a functioning *** shown in this case,we believe that this technique could attain an excellent outcome for a selected group of patients with short residual BKA stump.

关键词： Below knee amputation Stump lengthening Ilizarov technique

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