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Biomedical subjects

W W Ebong

Publications and source records attributed to W W Ebong.

11 recordsLinked to original sources
PubMed1978

The pattern of fractures and dislocations in western Nigeria.

A consecutive series of 2579 patients with 2571 fractures and 189 dislocations was studied prospectively. Males and children, especially under 10 years of age, predominated. The majority of the injuries resulted from falls either in the home or outdoors and from road traffic accidents. Fractures occurred more commonly in the upper limb than in the lower limb or the axial skeleton. Fractures of the shaft of the femur were three times more common, while fractures of the neck of the femur were less common by the same factor, in Africans than in Caucasians. Dislocations were commonest at the shoulder and elbow. Only 11.4 per cent of the patients had open operations. The prognosis as regards survival and functional results was very good, but malunion was the most common complication.

Adolescent↗
PubMed1978

False aneurysm of the profunda femoris artery following internal fixation of an intertrochanteric femoral fracture.

A case is presented of traumatic aneurysm of the profunda femoris artery following spontaneous unscrewing of the nut at the nail--plate junction of a two-piece nail plate which was used for internal fixation of an intertrochanteric femoral fracture. Methods of avoiding this complication during hip operations are described, together with a short review of the literature.

Aneurysm↗
PubMed1978

Pattern of bone injury in Ibadan.

A series of 1,329 patients with 1,327 fractures and 100 dislocations has been studied. Boys under 10 years of age predominated. The majority of the injuries resulted from falls or road traffic accidents. Upper limb fractures occurred more commonly than those of the lower limbs or axial skeleton. Femoral shaft fractures were 2-1/2 to 5 times more common while femoral neck fractures were three to five times less common than in Americans. Dislocations were most common at the elbow, followed by the shoulder. Only 11.5% of the patients had open operations; the others were treated conservatively. The prognosis as regards survival and functional results was very good, but malunion was the most common complication.

Adolescent↗
PubMed1978

Falls from trees.

A prospective review of sixty consecutive patients who fell out of trees in a year was made. Fall from tree is an occupational hazard of traditional farmers, a rare cause of trauma, but a common cause of severe, crippling and often multiple injuries. It frequently resulted in spinal injury, and was the commonest cause of traumatic quadriplegia and paraplegia. The risk of fall and of sustaining spinal injury increased with age. Some school children also fell from fruit trees but they generally stood a better chance of getting away with relatively minor injuries. Methods of preventing or minimising the risk of this injury in farmers are highlighted.

Accident Prevention↗
PubMed1978

Acute haematogenous osteomyelitis in Nigeria.

Acute haematogenous osteomyelitis formed less than a quarter of the 125 consecutive cases of osteomyelitis seen by the authors and followed up for a minimum of six months and an average of one year and four months. Of the twenty-nine cases of acute osteomyelitis a third occurred in patients with normal haemoglobin genotype (AA); a third of homozygous S disease (SS disease) and sickle cell haemoglobin C disease (SC disease); a quarter in sickle cell trait (AS) and haemoglobin AC trait, while in the remaining cases the haemoglobin genotype was not known. The sex incidence was equal, and children aged 1 to 15 years predominated. Most patients presented late with florid disease. Gram negative bone infection and multiple, entire diaphysial involvement were significantly commoner in SS and SC disease than in the other haemoglobin genotype. There was a high incidence of resistance of the infecting organisms to the commonly available antibiotics. Treatment was mostly conservative. There were no deaths, but the incidence and severity of complications were quite high. The significance of these results are discussed and the need for establishing the sensitivity of the infecting organism in every case and for early surgical exploration in non-sicklers are stressed.

Adolescent↗
PubMed1977

Legg-Calvé-Perthes disease in Nigerians.

Ten new patients with Legg-Calvé-Perthes disease were seen in the University College Hospital, Ibadan, in ten years, out of a hospital pediatric population of 550,000, giving an incidence of 1:55,000. This result is consistent with previous reports that Legg-Calvé-Perthes disease is less common in Negroes than in Caucasians but Negroes are not immune.

Black People↗
PubMed1977

Avascular necrosis of the femoral head associated with haemoglobinopathy.

The clinical and X-ray records of 22 patients with avascular necrosis of the femoral head associated with haemoglobinopathy seen at the University College Hospital, Ibadan over the period 1968-1973 were analysed retrospectively. There were 14 cases of necrosis of the femoral head in sickle cell haemoglobin C disease (SC disease) and four cases each in homozygous S disease (SS disease) and sickle cell trait (AS trait). The sex incidence was nearly equal. The mean age of the patients when first seen was 13.7 years (range 7-27 years). Radiologically, two types of lesions were seen: Perthes-like necrosis and severe hip deformity. No case of osteochondritis dissecans type of lesion was encountered. All patients were treated conservatively with analgesics and no weight bearing, with symptomatic improvement in all but generally unsatisfactory results as regards reconstitution of the femoral head.

Adolescent↗