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Objective: To describe the profile of congenital limb abnormalities in Calabar. Methodology: A retrospective descriptive study of all patients presenting to the orthopaedic department of our hospital over a three year period. Patient information was retrieved from case notes and theatre records. Information obtained included the patients' socio-demographics, type of limb anomaly, limb affected, associated non-musculoskeletal congenital anomalies, type and duration of treatment given and follow up. Data obtained was analysed using Statistical Package for Social Sciences (SPSS) version 17.0 and results were presented as frequency tables and means. Results: Seventy two patients presented in our unit with congenital limb anomalies over the study period, age ranged from 1 day to 21 years (mean age 15 months). There were 43 males and 29 females, with male to female ratio of 1.48:1. Most of the anomalies (95.83%) affected the lower limbs, with the bilateral lesions occurring in 45.83% of patients. Two patients had multiple limb anomalies affecting upper and lower limbs. The most common limb anomaly was clubfoot constituting 65.28% while congenital genu recurvatum, polydactyly and syndactyly each constituted 6.94% of the cases. Three patients (4.17%) had associated non-musculoskeletal congenital anomalies - ventricular septal defect, myelomeningocele and congenital inguinal hernia constituting one each. Most of the patients (75.41%) were treated non-operatively. Majority of the patients (52.78%) defaulted at various stages of treatment. Conclusion: Congenital clubfoot is the commonest congenital limb anomaly in our centre. Associated non-musculoskeletal anomalies are uncommon. Patient default at various stages of treatment is a major issue. [ABSTRACT FROM AUTHOR]

Introduction: The global burden of road traffic injury (RTI)-related trauma is enormous and has the highest impact in low income economies. Loss of lives in the most productive age groups and the socio-economic costs to these weak economies, coupled with poor infrastructure for management of the severely injured dictate that well executed preventive measures be instituted in these countries. Low and middle income economies account for 90% RTI-related deaths in the world, yet in these regions, public health regulations on road safety hardly exist and where they do, are hardly enforced., Aim: To document variations in injury frequency, severity and outcomes following the ban on the use of motorcycles as a means of public transportation in Calabar., Patients and Methods: A prospective study of RTI patients who presented in our Emergency center over a 12 month period. Information recorded included biodata, anatomic location of injury, injury-arrival time, mode of transportation to hospital and final disposition at discharge. Chest injuries were excluded as there were no data for comparison. Results were analyzed by SPSS version 20 and compared with the 2005 Trauma Study Group results., Results: There were 366 road traffic injuries out of 5612 emergency room presentations during the period. There were 237 males and 99 females (M: F= 2.4: 1), mean age of patients was 30.13±12.62 years. Businessmen were the most commonly involved occupational group (n= 138; 38.7%) and the mean injury-arrival interval was 16.57±56.14 hours. Only 12 (3.6%) patients arrived by ambulance and 108 (32.1%) left against medical advice., Conclusion: RTIs constitute a major socioeconomic burden in the developing world. Lack of research, high risk behaviors and lack of enforceable road use regulations contribute to high rates of RTI-related mortality and morbidity. Preventive interventions and appropriate research to identify risk factors will reduce the burden of RTIs in low and middle income economies.

Background: A survey of the attitude and perception of a cross- section of residents of Calabar to therapeutic limb amputation was done to determine the level of knowledge and understanding of the indications, advantages as well as the prospects for the amputees in our environment., Patients and Methods: Structured questionnaires were administered to adults at the Orthopaedic Unit of the University of Calabar Teaching Hospital, Calabar. Data obtained from the study was analyzed using EPI Info software version 2002., Results: One hundred and fifty-five respondents participated in this study. There were 88 (57%) males. One hundred and forty respondents (90%) had knowledge of amputation as a treatment method; 134 (86%) knew that amputation is beneficial. Fifty participants (32%) indicated that they had no alternative to amputation when indicated while 36 (36%) of those who would refuse believed in divine and traditional treatment. Eight six regard amputees as normal people with potentials while 14 (9%) regard them as .invalids.. One hundred and five (68%) were aware of the importance of artificial limb while 38 (25%) had no knowledge. One hundred and thirty-one (85%) of respondents regard physicians who do amputation as life savers while 3 (2%) and 9 (6%) regard them as people who take pleasure in amputating limbs and as people who are indifferent to patients' plight respectively., Conclusion: Though majority of respondents have a fair knowledge of amputation and would accept or advice others to accept it, there is still need to create more awareness on the importance of amputation and it indications.