Shaukat Hayat Khan, Muhammad Shahbaz Raza, Iffat Ara, Rehan Wani, Khalid Mehmood, Ishtiaq Anwar.
Pattern of musculoskeletal trauma presenting in Combined Military Hospital, Muzaffarabad, Azad Kashmir: Trauma registry need of time.
Pak J Surg Jan ;36(2):130-4.

Objective: To determine frequency patterns of musculoskeletal injuries and its associated risk factors in CMH Muzaffarabad, Azad Kashmir. Study design: Retrospective study Study duration: Study duration was 12-months ( January 2018 to December 2018). Study settings: Study was conducted at Department of Orthopedics, CMH Muzaffarabad Material and Methods: Data of 650-patients with musculoskeletal injuries was reviewed from January 2018 to December 2018. Ethical permission was taken from research approval board. Patient`s data was reviewed for musculoskeletal injuries. Data was analyzed using SPSS version 24. Chi-square test was applied for measuring association between different variables. We consider results <=0.05 as statistically significant. Results: Total 650-patients were included in our study. Th ere were 291(44.8%) male and 359(55.2%) female. Mean age of patients was 36.1+-9.2SD. Among all the patients 650(100%), 432(66.5%) had bony injury and 218(33.5%) had soft tissue injury. Injury site was spine in 18(12.2%), upper limb 35(23.8%), lower limb in 51(34.7%), ankle 26(17.7%) and knee in 17(11.6%). Injury site was spine in 56(8.6%), upper limb 140(21.5%), lower limb in 330(50.8%), ankle 70(10.8%) and knee in 54(8.3%). There were 214(32.9%) tibia/fibula fractures and 116(17.8%) femur fractures. Out of all upper limb injuries, 35(5.4%) were dislocation, clavicle fractures in 32(4.9%), fracture dislocation 28(4.3%), spine fracture 20(3.1%), pelvic injury 12(1.8%) and traumatic amputation/crush injury 13(2%). Soft tissue injuries include 70(10.8%), tendon injury 56(8.6%), lacerated wound 40(6.2%), blood vessel injury 27(4.2%) and nerve injury 25(3.8%). Injury was significantly associated with injury site (p=0.00), occupation (0.000), smoking (p=0.00), injury site (0.000), associated injuries (p=0.000) and time to reach hospital (p=0.000) Conclusion: Significantly high musculoskeletal injuries were found in CMH, Muzaffarabad. Lower limb is most common site of injury following upper limb and Ankle. Study recommend active registry of musculoskeletal injuries is need of time for proper management and development of treatment guidelines

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