Edorium Journal of

Orthopedics

 
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Original Article
 
A 15-year personal experience in managing orthopedic and hip fracture cases in Ninawa (Iraq)
Husham A. Salih1, Bara H. Abdulkareem2, Riyadh K. Lafta3
1Assistant Professor Department of Surgery, Mosul Medical College/ Teaching Hospital Iraq.
2Registrar, Mosul Medical College/ Teaching Hospital Iraq.
3MD, PhD, Professor, College of Medicine/ Mustansiriya University, Iraq, Affiliated Professor, Global Health, University of Washington, USA.

Article ID: 100003O03HS2016
doi:10.5348/O03-2016-3-OA-1

Address correspondence to:
Husham A. Salih
Assistant Professor Department of Surgery
Mosul Medical College/ Teaching Hospital
Iraq

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How to cite this article
Salih HA, Abdulkareem BH, Lafta RK. A 15-year personal experience in managing orthopedic and hip fracture cases in Ninawa (Iraq). Edorium J Orthop 2016;2:1–8.


Abstract
Aims: Iraq is an example of the conflict-affected countries as it has been exposed to large-scale traumatic events since 1980 in addition to the economic sanction and continuous acts of violence which resulted in increasing numbers of injuries to summarize a 15-year experience and workload of an orthopedic surgeon during a period of conflict in the second largest governorate in Iraq.
Methods: This is a case series hospital-based study that was conducted in department of orthopedics of three major hospitals in Mosul city, the center of Ninawa (the second largest Governorate in Iraq). The data included all the records of the patients that have had orthopedic surgical operations of different types through the period from 1999 to 2014.
Results: The results showed that more than 80% of the cases age below ten years with an obvious difference between females and males (68% versus 32%). Developmental hip dysplasia forms the highest percentage of the cases (78.6%), fractures around hip (intracapsular, extracapsular, acetabulum and subtrochanteric) form 11.5%, while the lowest percentages registered in avascular necrosis and tumor were 0.8, and 0.7% respectively.
Conclusion: The achievement of such a large number of surgical operations represents a real challenge considering the disastrous situation that Iraq has passed through during the last two decades in all aspects especially security threats and the rapid deterioration in health services.

Keywords: Acetabulum, Extracapsular, Hip fracture, Intracapsular, Orthopedic, Personal experience, Subtrochanteric


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Author Contributions:
Husham A. Salih – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Bara H. Abdulkareem – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Riyadh K. Lafta – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Husham A. Salih et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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