29. Frequency and Presentation of Wheel Spoke Injury of Heel at Plastic Surgery Department of Allama Iqbal Memorial Teaching Hospital, Sialkot
Sarfaraz Ahmad1, Omair Muhammad Siddique2, Nimra Ikram3 and Kamran Hamid2
ABSTRACT
Objective: The purpose of this study was to assess demographic distribution and presentation of spoke wheel injury at Sialkot.
Study Design: Retrospective / Cross sectional study
Place and Duration of Study: This study was conducted at the Plastic Surgery Department of Allama Iqbal Memorial Teaching Hospital Sialkot from December 2015 to December 2016.
Materials and Methods: This was a case control study based on retrospective record review of 400 patients presenting in Emergency Department of Allama Iqbal Memorial Teaching Hospital Sialkot. Patients were selected on basis of wheel spoke injury involving foot and ankle while riding bicycle or motorc cle. Management of patients was done according to Oestern and Tscherne classification for soft tissue injury. Performa was designed to record Demographic data and severity of injuries according to above mentioned classification. Permission of record review was granted by Departmental Review committee of Plastic Surgery Departement Allama Iqbal Memorial Hospital, Khawaja Muhammad Safdar Medical College, Sialkot.Sanctity of data was maintained by all authors and persons concerned. Data was analyzed for results by SPSS 10.
Results: In this study the frequency of motorcycle spoke wheel injury was 67% (n=268) and bicycle spoke wheel injury was 33% (n=132). The frequency of spoke wheel injury was maximum (61.5%) n=246 at the age of 15-25 years. The patients of spoke wheel injury were (72.5%) n=289 n male and (27.75%) n= 111 in female as the ratio of female riders was less. The frequency of spoke wheel njury was maximum (42.25%) n=69 of grade 1 injury and minimum (04%) n=16 in case of grade 0 injury. The frequen y of spoke wheel injury was maximum (62.25%) n=249 in case of Postero lateral side of foot involveme t a d minimum (5.75%) n= 23 in case of Toe Amputation. The spoke wheel injury of right foot was higher (72.25%) = 289 as compared to left foot (17.25%) n= 69 and both feet (10.5%) n= 42.
Conclusion: Wheel spoke injuries may esult in severe soft tissue damage and bony trauma. Poor prognostic factors included high-energy injury, contamina ion and infection, and delayed treatment.
Key Words: Motorcycle/ Bicy le wheel spoke injury, Oestern and Tscherne classification.
Citation of articles: Ahmad S, Siddique OM, Ikram N, Hamid K. Frequency and Presentation of Wheel Spoke Injury of Heel at P astic Surg ry Department of Allama Iqbal Memorial Teaching Hospital, Sialkot. Med Forum 2017;28(7):119-122.