COMPOUND DEPRESSED FRACTURES;

Abstract

Background: It is defined as fracture in which fractured fragment is elevatedabove the level of the intact skull. Objectives: To assess the outcome of patients with delayedrepair of compound depressed fractures. Study Design: Retrospective comparative crosssectional study. Setting: Civil Hospital, Karachi, Pakistan. Period: 01-01-2015 to 31-12-2016.Methodology: Sample size was calculated and sampling technique was non probability. Datawas recorded from patients files to computer and analyzed on SPSS version 21. Results: Themean age of study participants was 21 years ± 5. There were 14 (77.7%) male and 4 (22.2%)female patients in our study. The maximum time from injury to intervention was 84 hours. Mostpatients presented to the emergency department with compound depressed fractures due to fallor hit by blunt object (40%) followed by road traffic accidents (33.3%) and assault (26.7%). Mostcommon location of the compound depressed fracture was frontal bone involving right sideof the skull. All the patients were successfully managed with satisfactory outcome without anymajor complications. Conclusion: The authors conclude that repair of depressed compoundfractures in adults, if managed properly shows good outcome with less complications even withdelay of 6 hours to 84 hours from injury to intervention.