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ORIGINAL ARTICLE
Year : 2019  |  Volume : 14  |  Issue : 3  |  Page : 206-209

Distribution of diseases in orthopedic indoor patients in a rural tertiary care center in central India


1 Department of Orthopedics, JNMC and AVBRH, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India
2 Department of Orthopedics, Rajawadi Hospital, Ghatkopar, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Nareshkumar Dhaniwala
Department of Orthopedics, JNMC and AVBRH, Datta Meghe Institute of Medical Sciences, Sawangi, Wardha - 442 107, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jdmimsu.jdmimsu_103_19

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Introduction: Orthopedic diseases can be grouped in two broad categories, one consisting of various traumatic fractures and associated injuries and the other consisting of cold orthopedic diseases including infection, congenital and developmental conditions, tumors, degenerative disorders, and nutritional disorders, etc., involving bones, joints, muscles, and other soft tissues. Distribution of these in outpatient department and emergency department vary and has been studied by some authors. The distribution of orthopedic diseases in admitted/inpatients has not been studied much. The present article is an analysis of orthopedic indoor patients to find out the distribution of diseases in admitted orthopedic patients. Materials and Methods: Indoor patients of orthopedic wards admitted under a particular unit during 2 months were analyzed for the age, sex, rural/urban background, hospital stay, diagnosis, and treatment given. This analysis was performed retrospectively from the discharge records. Observations and Results: The total number of cases studied was 62. Males (47) admission was three times more common than females (15). The maximum admitted patients were in the age group of 20–40 years (37.09%), and > than 40–60 years (32.25%) together making about 70% of admissions. About 62.90% of patients were from rural background. Hospital stay less than a week was noted in 38.70% of patients, between 1 and 2 weeks in 22.58% of patients, between 2 and 4 weeks in 29.03% cases and more than 4 weeks in 9.67%. Trauma cases (58.06%) exceeded nontraumatic cases (41.93%). Fifty-five (88.70%) patients were admitted as new cases, whereas seven (11.29%) were admitted as follow-up cases. Treatment with anti-inflammatory drugs, reduction of fracture with closed manipulation, cast or open reduction, and internal fixation were the most common methods of treatment done. Tumor excision, debridement of wound, and decompression of the spine were the common methods to treat orthopedic nontraumatic disorders. Conclusion: Tumor excision, debridement of wound, and decompression of the spine were the common methods to treat orthopedic nontraumatic disorders.


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