dc.contributor.author | Odwongo, Simon P | |
dc.date.accessioned | 2016-06-23T11:53:44Z | |
dc.date.available | 2016-06-23T11:53:44Z | |
dc.date.issued | 1991 | |
dc.identifier.uri | http://hdl.handle.net/11295/96315 | |
dc.description.abstract | A retrospective study of 100 patients with orthopaedic aspects of sickle-cell disease was carried out. Males and females were almost equally affected in a ratio of 1.3:1.2. A half of the patients (50%) were below 5 years of age and the least number was after 20 years of age. Most patients originated from Nyanza province (76%) followed by Western province (19%) with a few from Rift Valley and Coast provinces (1% and 2% respectively). Most patients presented generally with pain (87%) and swelling (82%) while nearly a half had fever (49%) and limping or loss of function of the affected limb (41%). Swelling, tenderness and warmth were the predominant local signs in percentages of 83, 68 and 31 respectively. The mean haemoglobin level was 7.8 g/dl in the 86 patients who had results in the file. The majority of patients were HbSF (55%) and followed by sickle-cell anaemia (HbSS - 35%). Blood culture and pus swab specimens taken from patients with osteomyelitis and septic arthritis had no growth demonstrated in 31 patients (57.4%) while isolation was done in the remainder of patients. Bacterial isolates revealed Salmonella typhirr\urium to be the predominant organism (8patients (14.8%) and 4 patients (30.8%)) in osteomyelitis and septic arthritis respectively. Radiologically the limbs (appendicular skeleton) was dorminantly affected (99.5%). 119 lesions were diagnosed in the study group. Osteomyelitis ranked first (45.4%) followed by hand and foot syndrome (dactylitis) (24.4%) in the clinical diagnosis. Entities of respective orthopaedic aspects of sickle-cell disease such as haemoglobin electrophoresis, anatomical sites, treatment, results and complications are discussed. | en_US |
dc.language.iso | en | en_US |
dc.publisher | University of Nairobi | en_US |
dc.rights | Attribution-NonCommercial-NoDerivs 3.0 United States | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/us/ | * |
dc.subject | Orthopedic Aspects of Sickle-cell Disease | en_US |
dc.title | Orthopaedic aspects of sickle-cell disease at Kenyatta National Hospital | en_US |
dc.type | Thesis | en_US |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |