Individual Papers
-An Evaluation of the Initial Management of Patients with cervical Spine Injury in Mulago Hospital
-Prevalence and Patterns of Osseous Injuries of the Hand as Seen at Mulago Hospital
An Evaluation of the Initial Management of Patients with cervical Spine Injury in Mulago Hospital
Investigator:
Dr. Benjamin Mukulu Ndeleva M.B.CH.B. (UoN)
Supervisors:
Dr. Beyeza Titus M.MED (ORTHO) (CMU)
Consultant Orthopaedic Surgeon, Head of the Department of Orthopaedics, Mulago Hospital, Kampala, Uganda
Dr. Nyati Mallon M.MED (ORTHO) (MUK)
Consultant Orthopaedic Surgeon, Department of Orthopaedics, Mulago Hospital, Kampala, Uganda
A dissertation proposal submitted in partial fulfillment of the requirement for the award of a degree of master of medicine in orthopaedic surgery of Makarere University-Kampala, Uganda. September 2009.
Abstract
CSI occurs in 5-10% of major trauma patients. Interventions instituted immediately following injury are the greatest determinants of outcome. An initial survey of patients seen in Mulago Hospital showed that various aspects of the initial care afforded to the patients with CSI were suboptimal.
Cervical spine stabilization immediately following suspicion of CSI, appropriate resuscitation, evaluation and early reduction have been shown to be important in reducing morbidity and mortality. Use of steroids is controversial.
To improve the care of CSI patients, an evaluation of current practice and institution of corrective measures where needed is proposed. In this cross-sectional descriptive study targeting at least 61 patients, all trauma patients with suspected CSI who meet the inclusion criteria, admitted to Mulago Hospital during the study period will be recruited.
Diagnostic Knee Arthroscopy: Findings and their Correlation with Clinical Impressions at Mulago Hospital
Investigator:
Dr. Levis Nguku, M.B.CH.B. (UoN)
Supervisors:
Dr. Beyeza Titus M.MED (ORTHO) (CMU)
Consultant Orthopaedic Surgeon, Head of the Department of Orthopaedics, Mulago Hospital, Kampala, Uganda
Dr. Kajja Issac M.MED (ORTHO) (MAK)
Orthopaedic Surgeon, Lecturer Makarere University, Faculty of Medicine, Department of Orthopaedics
A dissertation proposal submitted in partial fulfillment of the requirement for the award of a degree of master of medicine in orthopaedic surgery of Makarere University-Kampala, Uganda. September 2008.
Abstract
A number of patients present to the orthopaedic surgeon with complaints of knee pain. Of the investigative modalities for knee pain, arthroscopy is considered to be the gold standard. The diagnosis of knee conditions based purely on clinical assessment has varying levels of sensitivity ranging from 21 to 83%. There are therefore conditions that are missed on clinical examination. There are no studies in Uganda documenting the commonly encountered pathologies of the knee to guide clinicians in making diagnoses. The study will define the most commonly encountered knee conditions at arthroscopy and therefore guide physicians in making diagnoses. It is hoped that this study will also generate information that will serve as a basis for future research in the field. The objectives of the study are to determine the clinical impressions in patients referred to the orthopaedic theatre of Mulago hospital for a diagnostic knee arthroscopy, their arthroscopic findings and to study the correlation of the two. This will be across sectional study conducted in the orthopaedic theatre of Mulago hospital. 31 patients will be recruited for a diagnostic knee arthroscopy procedure. The clinical impressions at referral and the diagnostic arthroscopy findings shall both be recorded. The data shall be analyzed using SPSS Ver. 11.0, GenStat Ver 3 and EPI INFO Ver 6 and thereafter be disseminated to the relevant bodies and institutions.
Prevalence and Presentation of Presentation of Spinal Injury in Patients with Major Trauma Admitted in Mulago Hospital
Investigator:
Dr. Okello Emmanuel, MB CHB (MUK)
Supervisors:
Dr. Naddumba E.K. M MED (MUK); FCS (ECSA)
Senior Consultant Orthopaedic Surgeon
Dr. Nyati Mallon M MED (MUK)
Consultant Orthopaedic Surgeon
A dissertation proposal submitted in partial fulfillment of the requirement for the award of a degree of master of medicine in orthopaedic surgery of Makarere University-Kampala, Uganda. November 2008
Abstract
Spinal injury is a major cause of morbidity, mortality and long bed occupancy in patients admitted at Mulago Hospital. Several studies have reported different incidence and different presentations of spinal injury.[1-4] At Mulago hospital, road traffic crashes (RTC) is one of the most common causes of these injuries.[5] However the magnitude of the problem is unknown and this impacts on planning of services. To determine the prevalence and presentation of spinal injury among patients with major trauma admitted in Mulago hospital. A Cross-sectional descriptive study will be done on patients admitted in the Accident and Emergency ward of Mulago Hospital. Newly admitted patients will be consecutively enrolled in the study. Data will be collected using questionnaires capturing information from relevant history, physical examination and X-ray interpretation. Data will be entered into the EPI info statistical programme and exported to SPSS statistical programme for analysis. Information obtained will enable the health planners plan adequately for the patients with spinal injury and thus improve on their outcome. The data will help policy makers create preventive measures for spinal injury. It is also expected to arouse interest for further research on the problem.
Prevalence and Patterns of Osseous Injuries of the Hand as Seen at Mulago Hospital
Investigator:
Dr. James W M Kigera M.B.CH.B. (UoN)
Supervisors:
Dr. Naddumba EK M.MED (MUK), FCS (ECSA)
Senior Consultant Orthopaedic Surgeon, Mulago Hospital, Kampala, Uganda
Dr. Kajja Isaac M.MED (ORTHO) (MUK), FCS (ECSA)
Lecturer, Department of Orthopaedics, Makerere University, College of Health Sciences
A dissertation proposal submitted in partial fulfillment of the requirement for the award of a degree of master of medicine in orthopaedic surgery of Makarere University-Kampala, Uganda. May 2009.November 2008
Abstract
The hand is an important part of the body responsible for communication and manipulating the environment. Injuries to the hand can have severe consequences to the individual and society as a whole. The prevalence of hand fractures and dislocations in Mulago is unknown. The majority of the injured hands seen at the Casualty Department are not managed by the orthopaedic surgeons and some are not followed up at the outpatient clinics. The management and outcome of these injuries is this difficult to assess. The study will determine the prevalence of hand fractures and dislocation and sensitize health workers to the possibility of missed injuries. Policy makers will benefit by using the results of this study to formulate better workplace safety protocols. This study may also form a basis for further research in upper limb traumatology. The objectives of the study are to determine the prevalence and patterns of osseus injuries of the hand seen at the Casualty Department of Mulago Hospital. This will be a cross-sectional descriptive study conducted at the Casualty Department of Mulago Hospital. 353 patients will be sequentially recruited and data on demographics, injuries and circumstance surrounding injuries recorded.