بررسی اپیدمیولوژی 1000 مورد ترومای عضلانی- اسکلتی در شهرستان ساری طی سال های 77-78

Background and purpose : Trauma always has been a social, economic and medical problems, which not only cause mortality, but also expenses due to long term medical services. Hence, considering the prevalence of musculo-skeletal trauma, and lack of epidemiological knowledge, this study was designed and performed. Materials and Methods : This research was a descriptive study done on 1004 referred patients to orthopedic ward of hospital in sari town ship, the selection was done randomly once a week. For each patient a separate questionnair was filled. Results : Ôut of 1004 fractured patients comprised of, 705 males and 299 females. 547 cases were injured in the left side, 433 cases in the right side and in 24 cases on the middle portion of the body. Ïn 98 cases open fracture was observed in long bones and the rest was closed. Dislocation of shoulder joint was the most prevalent, dislication of large joints and the factures of radios and ulna were the most prevalent fractures (30.4%). 70.5% of the pelvic fractures were due to driving, 26.5% due to falling, etc. 75.6% of the proximal femur fractures occurred in the age groups of more than 50 years old. Ând the most proximal femur fractures and enter tro cantric fractures was observed in 56% of the cases. The treated patients were as follow. Çlose treatment, open surgery, internal fixation and external fixation were, 688, 291, 25 cases respectively. Çonclusion : Results of this study recommend for the more and specifies study in the field of treatment and the complication of injuries in order to active better treatment and to reduce injuries.