Burden of cases with large joints bony ankylosis following open injuries in rural region: A hospital based cross-Sectional observation

G. Dharmshaktu
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Abstract

Background: Normal large joint anatomy is important for mobility, function and overall quality of life. Trauma or diseases like various forms of arthritis may alter normal joint architecture and physiology leading to secondary arthritis. Infection within the joint leading to septic arthritis is another catastrophic disorder that may irreversibly damage the human articular cartilage. The resultant bony ankylosis in certain cases is a serious complication of septic arthritis. There has been limited data regarding the burden of people living with post-infective ankylosis of one or more major joint and its other variables. Materials and Methods: Details of all consecutive cases coming to hospital out-patient department for the related or other complaints with one or more major joint found completely ankylosed in the radiographs were noted in separate file. The clinical complaints for which they present either related with the condition or other were also noted. Key demographic details like age, sex, laterality, history of causative factor, time living with the deformity, other co-morbidities were also recorded. The relevant details of the ankylosed joint following confirmation on radiographs were clinically confirmed with presence of no apparent movement of the affected joint. Results: A total of 21 (17 males and 3 females) patients with mean age of 32.1 years were part of the study. The ankle joint was most commonly involved followed by hip, knee and elbow in 13, 6, 2 and 1 case respectively. Our study attempts to know the burden of people living with ankylosed joint as a result of open injuries in the past. Conclusion: Relevant demographic data and the type of joint involvement in adults living in rural areas with one or more major ankylosed joints shall help draft preventive and treatment strategy in this regard.
农村地区开放性损伤后大关节骨性强直病例负担:基于医院的横断面观察
背景:正常的大关节解剖对活动、功能和整体生活质量很重要。创伤或疾病,如各种形式的关节炎,可能会改变正常的关节结构和生理,导致继发性关节炎。导致脓毒性关节炎的关节感染是另一种可能对人体关节软骨造成不可逆转损害的灾难性疾病。在某些情况下产生的骨强直是脓毒性关节炎的严重并发症。关于一个或多个主要关节感染后强直患者的负担及其其他变量的数据有限。材料和方法:所有在x线片上发现一个或多个主要关节完全僵硬的连续到医院门诊部就诊或其他投诉的病例的详细信息记录在单独的档案中。他们所表现出的与疾病或其他疾病相关的临床症状也被记录下来。关键的人口统计学细节,如年龄、性别、侧边、病因史、畸形生活时间、其他合并症也被记录下来。在x线片确认后,临床证实了关节僵硬的相关细节,受影响的关节没有明显的运动。结果:共有21例患者(男性17例,女性3例),平均年龄32.1岁。以踝关节最常见,其次为髋关节13例,膝关节6例,肘关节2例,肘关节1例。我们的研究试图了解过去开放性损伤导致的关节强直患者的负担。结论:农村成人一个或多个主要关节强直的相关人口统计数据和关节累及类型有助于制定预防和治疗策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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