Muhammad Imran, Atiq Ahmed Khan, Syed Ijlal Ahmed, Shiraz Ahmed Ghouri, Alizay Rashid Khan, Muhammad Osama Farooqui.
Compound Depressed Fractures; the Outcome of Delayed Repair of Compound Depressed Fractures; a Tertiary Care Experience from Karachi, Pakistan.
Professional Med J Jan ;25(5):633-8.

Background: It is defined as fracture in which fractured fragment is elevated above the level of the intact skull. Objectives: To assess the outcome of patients with delayed repair of compound depressed fractures. Study Design: Retrospective comparative cross sectional 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. Data was recorded from patients files to computer and analyzed on SPSS version 21. Results: The mean 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. Most patients presented to the emergency department with compound depressed fractures due to fall or hit by blunt object (40%) followed by road traffic accidents (33.3%) and assault (26.7%). Most common location of the compound depressed fracture was frontal bone involving right side of the skull. All the patients were successfully managed with satisfactory outcome without any major complications. Conclusion: The authors conclude that repair of depressed compound fractures in adults, if managed properly shows good outcome with less complications even with delay of 6 hours to 84 hours from injury to intervention.

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