BOMB BLAST INJURIES OF ORTHOPEDICS AND ITS ASSOCIATED MORBIDITY AND MORTALITY AT DISTRICT HEADQUARTER HOSPITAL MIRANSHAH

ABSTRACT
Objective: To determine the morbidity and mortality in bomb blast orthopedics injuries at a district headquarters hospital.
Methodology: This descriptive study was done at department of Orthopaedic & Traumatology, District Headquarters
Hospital, Miranshah, North Waziristan Agency, KPK during one year period. A total of 83 patients injured in bomb
blast having orthopedic related injuries were selected. Those cases having orthopedics injuries other than bomb blast
were excluded from the study.
Results: Out of 83 patients, majority 67.46% were males and 32.54% were females. Maximum cases 40.96% were in
the age range of 41-50 years with a mean age of 28+03.00 years. In these patients, lower extremities injuries were
65%, and upper extremities injuries were 35%. Among lower extremities; feet fractures were 22%, tibia/fibula fractures
16%, femur fractures 14%, pelvic bone injuries 07% and multiple lower extremities sites fractures were 06%. In upper
extremities; ulna/radius fractures were 16%, humerus fractures 11%, hand fractures 05% and multiple upper extremities
sites fractures were 03%. Amputation done in 10% cases and mortality was 12% in multiple injured cases