PROMOTING ACCESS TO AFRICAN RESEARCH

Nigerian Journal of Surgical Sciences

Log in or Register to get access to full text downloads.

Remember me or Register



DOWNLOAD FULL TEXT Open Access  DOWNLOAD FULL TEXT Subscription or Fee Access

Epidemiology of open tibia fractures in Nigeria

Innocent C Ikem, Anthony A Olasinde, Lawrence M Oginni, Johnson D Ogunlusi, Adetunji O Olawoye

Abstract


A total of 120 patients aged 4-80 years with open tibia fractures were studied. Majority were Gustilo and Anderson type II, 39.2% and type I, 30.8%. The treatment modality was above knee cast in 74.2% and external fixator in 25.8%. Gram negative organisms were the most common isolates in 39.1% of wound infection and delayed union were the most commonly observed complications. All the patients had passive anti-tetanus immunoprophylaxis and active immunization was commenced. “Correlation existed between wound infection and (i) Gustilo and Anderson grading (F -0.352, P0.001); (ii) Injury to Debridement time (F -0.304, P 0.004); (iii) Osteomyelitis (F 0.397, P 0.001); and (iv) Delayed union (F 0.353, P 0.017); and (v) Union time (F -0.350, P 0.011). Also between; (i) Injury to Debridement time and the distance from the accident scene to the hospital (F 0.464, P 0.001); (ii) The fracture pattern and the union time (F 0.353, P 0.001); and (iii) The presence of osteomyelitis and delayed union (F.382, P.001). Road traffic injuries remained the commonest etiological agents.

Nigerian Journal of Surgical Sciences Vol.16(1) 2006: 1-6



http://dx.doi.org/10.4314/njssci.v16i1.38365
AJOL African Journals Online