Tanveer Haider, Ansar Latif, Mahek Iftikhar, Faisal Shabbir, Muhammad Qasim Butt, Asif Sajjad, Zafar Ali Choudry.
Outcome of Management of patients with Trauma to Limbs Presenting to General Surgeon in Allama Iqbal Memorial Teaching Hospital, Sialkot.
Pak J Med Health Sci Jan ;12(2):634-6.

Aim: To study the nature of injuries and outcome of management of the patients with trauma to limbs presenting to general surgeon in Emergency department at Allama Iqbal Memorial Teaching Hospital, Sialkot. Study Design: Prospective study. Place & duration of study: Department of General Surgery, Khawaja Muhammad Safdar Medical College, Sialkot from January 2015 to Dec ember 2017. Methods: All patients serially presented in the surgery Department of Allama Iqbal Memorial hospital fulfilling the inclusion criteria were registered. The patients were classed in two groups: Group I patients having injuries to upper limb and Group II injuries to Lower limbs. All injuries and surgical procedures were recorded and complications were looked for. Minimum of three months of follow up was must for inclusion in the study. Results: There were 321 patients who presented with trauma to limbs in this study, 201 were male and 120 females (1.7:1) . In group I, brachial artery injuries were 7(3 %), axillary artery injuries 2(0.8 %), radial nerve injury 5(2.1 %) ulnar nerve injury 7(3 %), median nerve injury 3(1.2 %), fracture of clavicle 39(16.8 %), fracture of humerus 19(8.2 %), fracture of radius 28(12.1 %), fracture of ulna 9(3.8 %), fracture of wrist and hand bones 30(1 2.9 %), injury to muscle and tendons 76(32.9 %) and disruption of joints includes 6(2.5 %) injuries . In group II, popliteal artery injuries were 21(7 %), femoral artery injuries 12 (4.00 %), fracture of femur 32(10.8 %), fracture of tibia 49(16.6%), fracture of fibula 17(5.7 %), fracture of ankle and foot 51(17.3 %), injuries to muscle and tendons 108(36.7 %) and disruption of joints 4(1.3 %). Conclusion: Trauma to limbs is a significant part of the workload in emergency settings and adequate training of general surgeons is mandatory in this field.

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