An Epidemiological study of orthopaedic Trauma cases attending at Sub regional Hospital, Nepal

  • R Kushwaha Consultant Orthopaedic Surgeon.


Introduction: Physical trauma is one of the major causes of mortality and morbidity among young andactive age group and gradually trauma cases are increasing because of significant urbanization, motorization,industrialization and a change in the socioeconomic values. The aim of the study is to assess the variousepidemiological parameters that influence the cause of injury in the patient and there are only few studyconcerning the spectrum of physical trauma in Nepal.
Method: A retrospective study was done in Narayani Sub-Regional Hospital over a period of one year (January2016 to December 2016) in 2170 trauma cases attending to hospital and epidemiological information, mode,type and pattern of injury were recorded. Obtained data was analyzed in Spps..
Result: In a period of one year 2170 trauma cases presented to the hospital and maximum number ofcases (235) was in the month June. Injuries occurs predominantly in the age group of 15-49 year. Maleincurred more injury with male to female ratio of 5:1. Road traffic accident (RTA) was the commonest modeof injury(70%) followed by fall injury (15%). The lower limb were the most common body region injured (42%)followed by upper limb(38%).
Conclusion: RTA and fall related injuries are the most common mode of trauma involving young adultin their active period of life, so appropriate preventive measure through public health approach, improvedroad condition, proper traffic knowledge with comprehensive trauma management for reducing mortalityand morbidity rates related to physical trauma.
Key words: Orthopaedic, trauma, epidemiology, fractures.

Original Article