Anthony Ezekiel | Abubakar Tafawa Balewa University, Bauchi (original) (raw)
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Papers by Anthony Ezekiel
PriMera Scientific Surgical Research and Practice , 2024
Background: The hand is an important part of the body that helps man express his thought and skil... more Background: The hand is an important part of the body that helps man express his thought and skills to the physical world. It is very essential to both function and cosmesis. Loss of this important body part can be devastating to the victim. We defined near total hand amputation as injury between the wrist and musculotendinous junction of extrinsic muscles of the hand transecting extensor and flexor compartment structures either passing through the wrist joint or transecting the two bones of the forearm leaving the hand attached to strip(s) of soft tissue. There are few reported cases of this type of injuries and most often completion amputation is done with loss of the hand. This study reports the outcome of near total hand amputation repair without revascularization in four patients seen and managed in Abubakar Tafawa Balewa University Teaching Hospital (ATBUTH) in 2020. This shows that with basic surgical equipment, hand salvage surgeries can be done with very good outcome. Methods: Consecutive Patients with near total hand amputation seen and managed in ATBUTH in 2020 were recruited for this case series report. Results: Four patients with such injury were seen and managed within four months in 2020. Three had their hands repaired with very good outcome while one had a completion amputation. Three out of the four had injury to their right hand, all four were right-handed males in their third decade of life and injuries commenced from ulnar borders. Majority had transection of virtually all structures except branches of major vessels. Conclusion: The study shows that a number of near hand amputation can be salvaged with basic equipment with significant functional and cosmetic outcome.
PriMera Scientific Surgical Research and Practice , 2024
Context: Burns has remained one of the severest forms of trauma a man suffers. All ages and sexes... more Context: Burns has remained one of the severest forms of trauma a man suffers. All ages and sexes are affected however, different studies have shown predilection for certain age groups and sexes due to activities and environments such individuals are exposed to. These injuries are best managed in a dedicated burn centres or units. There is a paucity of data on such emanating centres in the Northeastern Nigeria. Materials and Methods: The study is a retrospective one looking at the pattern of burn injury among patients seen and treated in Abubakar Tafawa Balewa University Teaching Hospital, Bauchi (ATBUTH). Folders of burns patients seen and managed with major acute burns between January 2018 and December 2021 in the institution were collected and data was obtained using a proforma. Statistical package for social sciences version 25 was used to analyse the data and the result depicted in tables and charts. Result: A total of 77 patients were studied among which 68.8% were less or equal to 10 years of age, 64.9% were males, and scald was responsible for 57.1% of injury followed by flame (32.5%). Seventy-four point zero percent sustained superficial partial thickness injury and the most commonly affected body part is the back followed by the right upper limb seen in 57% and 50% of cases respectively. The majority, (72.1%), were managed with wound dressing only while 1.3% had skin grafting. A mortality rate of 9.1% was recorded. Trimodal peak was seen in the months of February/March, July and October. Conclusion: The paediatric age group was the most affected by scald burns which was largely due to domestic accidents. This shows that adults need to do more in order to protect these youngsters from the danger of burns.
PriMera Scientific Surgical Research and Practice , 2024
Background: The hand is an important part of the body that helps man express his thought and skil... more Background: The hand is an important part of the body that helps man express his thought and skills to the physical world. It is very essential to both function and cosmesis. Loss of this important body part can be devastating to the victim. We defined near total hand amputation as injury between the wrist and musculotendinous junction of extrinsic muscles of the hand transecting extensor and flexor compartment structures either passing through the wrist joint or transecting the two bones of the forearm leaving the hand attached to strip(s) of soft tissue. There are few reported cases of this type of injuries and most often completion amputation is done with loss of the hand. This study reports the outcome of near total hand amputation repair without revascularization in four patients seen and managed in Abubakar Tafawa Balewa University Teaching Hospital (ATBUTH) in 2020. This shows that with basic surgical equipment, hand salvage surgeries can be done with very good outcome. Methods: Consecutive Patients with near total hand amputation seen and managed in ATBUTH in 2020 were recruited for this case series report. Results: Four patients with such injury were seen and managed within four months in 2020. Three had their hands repaired with very good outcome while one had a completion amputation. Three out of the four had injury to their right hand, all four were right-handed males in their third decade of life and injuries commenced from ulnar borders. Majority had transection of virtually all structures except branches of major vessels. Conclusion: The study shows that a number of near hand amputation can be salvaged with basic equipment with significant functional and cosmetic outcome.
PriMera Scientific Surgical Research and Practice , 2024
Context: Burns has remained one of the severest forms of trauma a man suffers. All ages and sexes... more Context: Burns has remained one of the severest forms of trauma a man suffers. All ages and sexes are affected however, different studies have shown predilection for certain age groups and sexes due to activities and environments such individuals are exposed to. These injuries are best managed in a dedicated burn centres or units. There is a paucity of data on such emanating centres in the Northeastern Nigeria. Materials and Methods: The study is a retrospective one looking at the pattern of burn injury among patients seen and treated in Abubakar Tafawa Balewa University Teaching Hospital, Bauchi (ATBUTH). Folders of burns patients seen and managed with major acute burns between January 2018 and December 2021 in the institution were collected and data was obtained using a proforma. Statistical package for social sciences version 25 was used to analyse the data and the result depicted in tables and charts. Result: A total of 77 patients were studied among which 68.8% were less or equal to 10 years of age, 64.9% were males, and scald was responsible for 57.1% of injury followed by flame (32.5%). Seventy-four point zero percent sustained superficial partial thickness injury and the most commonly affected body part is the back followed by the right upper limb seen in 57% and 50% of cases respectively. The majority, (72.1%), were managed with wound dressing only while 1.3% had skin grafting. A mortality rate of 9.1% was recorded. Trimodal peak was seen in the months of February/March, July and October. Conclusion: The paediatric age group was the most affected by scald burns which was largely due to domestic accidents. This shows that adults need to do more in order to protect these youngsters from the danger of burns.