TITLE:
Management of Traumatic Joint Dislocations in Irrua
AUTHORS:
Edwin Omon Edomwonyi, Osita Chizoba Nwokike, John Enekele Onuminya
KEYWORDS:
Presentation Pattern, Trauma, Joint Dislocation, Treatment, Effect
JOURNAL NAME:
Surgical Science,
Vol.6 No.3,
March
11,
2015
ABSTRACT: Aim:To elucidate the pattern of
presentation and management of traumatic major joint dislocations as seen in
Irrua Specialist Teaching Hospital. Method: A five-year retrospective review of
44 cases in 43 patients. Data were retrieved from the Medical Records Department
of the hospital. Results:Forty-four cases of traumatic
dislocations were reviewed in 43 patients. Male to female ratio was 7.6:1.
Median age was 33 years. The majority of patients were in the 3rddecade
of life. Patients below 40 years accounted for 62.79% of cases. Twenty-four
(55.81%) patients had hip dislocation. Knee dislocations were the least,
accounting for 2.32% of cases. All cases except three resulted from road
traffic accidents (RTAs). None had neurologic deficits. Nineteen (44.23%) patients
had isolated injuries. 76.7% cases presented in less than 6 hours. All shoulder
dislocations were anterior while all elbow dislocations were posterior. All
except 3 cases were managed by closed manipulation under general anaesthesia.
Two patients died from associated head injury. Fourteen patients discharged
against medical advice while recuperating in the ward. Follow-up was however
difficult as a significant number did not turn up. Conclusion: Hip dislocation
is the commonest variety of traumatic dislocation in our setting. A majority of
cases were amenable to closed manipulation and immobilization. Road traffic
accidents accounted for the majority.