2. FREQUENCY OF DIFFERENT PATTERNS OF SCIATIC NERVE INJURY WITH OPEN COMMINUTED FRACTURE OF FEMUR DUE TO FIRE ARM

Umar Hayat1, Abdus Samad Khan1, Waqas Raza2, Syed Dilbagh1

1Department of Orthopaedic, Khyber Teaching Hospital, Peshawar - Pakistan
2Department of Orthopaedic, Mercy Teaching Hospital, Peshawar - Pakistan

Abstract

Objective: To determine frequency of different patterns of sciatic nerve injury with open comminuted fracture of femur
due to fire-arm.
Material and Methods: This study was conducted at Department of Orthopedics, Khyber Teaching Hospital, Peshawar,
Pakistan from January 2016 to June 2016. Study design was cross sectional study and the duration of the study was 6
months in which according to W.H.O sample size software sample size was 171 using 20% prevalence of tibial component
with 95% confidence interval and absolute precision/margin of error to be 6%. Moreover Consecutive (Non-Probability)
sampling technique was used for sample collection. Written informed consent was taken from the patients with firearm
injuries having femur fracture included in the study. All patients were treated according to the standard protocol.
Results: In this study 30% patients were in age range 21-30 years, 38% patients were in age range 31-40 years, 27%
patients were in age range 41-50 years and 5% patients were in age range 51-60 years. Seventy two percent patients
were male and 28% patients were female. Moreover 62% patients had completer sciatic nerve injury, 28% patients had
peroneal component injury and 10% patients had tibial component injury.
Conclusion: Majority of patients with firm injury to their femur suffer from sciatic nerve injury concomitantly.

Keywords: Sciatic nerve injury, comminuted fracture of femur, fire-arm.

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