David Odatuwa-Omagbemi - Academia.edu (original) (raw)

Papers by David Odatuwa-Omagbemi

East and Central African Journal of Surgery, 2018

Background: Injury is a leading cause of morbidity and mortality among people of various age grou... more Background: Injury is a leading cause of morbidity and mortality among people of various age groups globally. Its economic impact on victims and family is tremendous. Strengthening of legislation and enforcement of extant rules and regulations on prevention and treatment are crucial. The aim of this study as to determine the pattern of musculoskeletal injuries among patients as they present at

BACKGROUND: The scaphoid is the most prominent of the carpal bones in the first row and the most ... more BACKGROUND: The scaphoid is the most prominent of the carpal bones in the first row and the most frequently fractured of all the carpal bones. Bilateral simultaneous scaphoid fractures are uncommon. OBJECTIVE: To report bilateral simultaneous fractures of the carpal scaphoid bones and their successful treatment with bilateral thumb spacia casts METHODS: A 28-year-old medical practitioner presented with a day history of painful swollen wrists following a fall on both outstretched hands. He was fully examined and had both wrists X-rayed. He was subsequently treated with bilateral below elbowthumb spica POP cast. RESULTS: He had previously been healthy until this fall. Physical examination showed a healthy looking young man in pain. There were swelling and tenderness over both anatomical snuff boxes with assoociated limitation of movements at the wrists. X-rays revealed an undisplaced scaphoid wrist fracture and proximal pole fracture on the right and left respectively. He was successfully treated with bilateral below elbow thumb spica POP cast applied over a period of eight weeks. CONCLUSION: Although recent opinions tend to favour internal fixation for bilateral simultaneous fractures of the scaphoid bones to avoid prolonged cast immobilization and loss of man hours at work, they can be successfully treated with conservative cast immobilisation with comparatively early return to full activity. WAJM 2010; 29(6): 425-428.

$Research paper thumbnail of Management of type B2 and B3 post-operative proximal periprosthetic femoral fractures, Oghara experience$

Research Journal of Health Sciences, 2021

Objective: To report the outcome of treatment of Types B2 and B3 Post- operative Periprosthetic p... more Objective: To report the outcome of treatment of Types B2 and B3 Post- operative Periprosthetic proximal femoral fracture (PPFF) in four patients treated in Delta State University Teaching Hospital, Oghara, Delta State, using Vancouver classification of Duncan and Masri. Methodology: A retrospective study of four cases managed in this hospital. Information retrieved from case notes were sex, age, duration of prosthesis, treatment given, complications and outcome of treatment. Result: Atotal of 4 patients were reviewed in the study, 2 males and 2 females with a M: F of 1: 1. Duration of the implant before treatment was 5-12 years (mean of 8.3years). Age range was 60-83years (mean of 67.5 years). Two patients had Type B2 and two had Type B3. Average intraoperative blood loss was 1 litre. Duration of surgery was 3-4 hours. Duration of hospital stay was between 3 weeks and 5 months. The complications seen were primary haemorrhage, wound infection, hip dislocation and pulmonaryembolism. ...

Nigerian Journal of Plastic Surgery, 2020

Introduction: Parenteral opioid abuse is not uncommon amongst patients presenting for plastic sur... more Introduction: Parenteral opioid abuse is not uncommon amongst patients presenting for plastic surgery care, especially health workers. Pain is the commonest reason for initiating and sustaining the injections. Complications such as lymphedema, cellulitis, ulcers etc. are common sequelae of this psychosocial disorder. Aim: This is to review the pattern of pentazocine abuse; with the objectives of: reviewing the demographics, site, and complications of pentazocine abuse amongst patients presenting to the plastic surgery unit. Materials and Methods: Self-administered questionnaires were used to obtain information by direct interview of the patients. Pentazocine injections were specifically looked at while excluding oral opioids such as tramadol tablets. Results: Most patients (60%) are of SS genotype with pain from vaso-occlusive crisis as the inciting factor. Male: female ratio is 1:4. Forty percent (4 of 10 patients) are health professionals. Lymphedema was a complication in 50% (5 o...

Research Journal of Health Sciences, 2020

The periosteum is a composite tissue comprising an outer protective fibrovascular layer and an in... more The periosteum is a composite tissue comprising an outer protective fibrovascular layer and an inner cambium regenerative pluripotent layer. The regenerative function of periosteum has been put to clinical use by dental surgeons to manage alveolar ridge reduction and by tissue engineers to produce autologous micrograft and collagen used to manage complex wounds and scars. The essence of this study is to add to the body of knowledge on clinical use of periosteum to treat bone defects from the orthopaedic perspective. We highlight a case series to demonstrate the use of periosteum in managing bone defects caused by benign bone tumour, chronic osteomyelitis, tibial hemimelia and traumatic bone loss of the distal tibia in Delta State University Teaching Hospital, Oghara. Treatment of bone defects by this means is cost effective and the outcome is very satisfactory. Key words: Periosteum, mesenchymal stem cells, bone defects, distraction histiogenesis.

British Journal of Medicine and Medical Research, 2016

Background: Head injury (HI) is a common condition presenting to Emergency Departments (EDs), acc... more Background: Head injury (HI) is a common condition presenting to Emergency Departments (EDs), accounting for a significant proportion of morbidity and mortality of the productive age of the world’s population. Aim: This study aims to highlight head injured patients’ epidemiological pattern as seen in the Emergency Department of the Delta State University Teaching Hospital (DELSUTH), Oghara, Nigeria. Methodology: This was a prospective study of all consecutive head injured adult patients seen in the ED of DELSUTH from January to December, 2014. The variables assessed included age, gender, aetiology, severity of injury and mortality. Glasgow Coma Scale (GCS) was used to assess the severity of head injury. Results: Eighty-eight head injured patients were seen in the ED in the period under review. The

Journal of the West African College of Surgeons, 2012

Amputation is one of the most common procedures in the practice of Orthopaedics and Traumatology ... more Amputation is one of the most common procedures in the practice of Orthopaedics and Traumatology in Nigeria. Many previous studies and reports from different centres show variations in the indications for this surgical procedure. The aim of this study is to find the most important indications for amputation in our immediate environment and make possible suggestions towards reducing the incidence. This is a retrospective study of consecutive patients who had limb amputations at the Central Hospital, Warri between January, 2009 and December, 2011. Case notes of patients were retrieved, relevant information extracted and analysed. A total of 44 patients had 46 amputations within the study period. The age range of patients was between 8-88 years. Amputation in 63.6% of the patients was due to diabetic foot disease, followed by trauma in 20.5% of cases. About (62.5%) of the amputations were below knee amputations while toe amputations made up 17.4% of cases. The lower limb was involved i...

PubMed, 2012

Background: Amputation is one of the most common procedures in the practice of Orthopaedics and T... more Background: Amputation is one of the most common procedures in the practice of Orthopaedics and Traumatology in Nigeria. Many previous studies and reports from different centres show variations in the indications for this surgical procedure. Aims & objectives: The aim of this study is to find the most important indications for amputation in our immediate environment and make possible suggestions towards reducing the incidence. Patients and method: This is a retrospective study of consecutive patients who had limb amputations at the Central Hospital, Warri between January, 2009 and December, 2011. Case notes of patients were retrieved, relevant information extracted and analysed. Results: A total of 44 patients had 46 amputations within the study period. The age range of patients was between 8-88 years. Amputation in 63.6% of the patients was due to diabetic foot disease, followed by trauma in 20.5% of cases. About (62.5%) of the amputations were below knee amputations while toe amputations made up 17.4% of cases. The lower limb was involved in 91% of cases and upper limbs in 9% of cases. Complication rate was about 39.1% which was mostly as a result of wound infections. Conclusion: Diabetic foot disease was the most important indication for amputation in this study. Rigorous public enlightenment on the prevention and effective treatment of diabetes will reduce the incidence of lower limb amputations in this environment.

Research Journal of Health Sciences

Objective: To present our experience in the use of various types of external fixators in two gove... more Objective: To present our experience in the use of various types of external fixators in two government owned hospitals in Delta State, Nigeria.Methods: A retrospective review of patients managed with external fixators over a period of 8 years – January 2012 to December 2019, in two government owned hospitals in Delta State, Nigeria. Relevant information including bio-data, indications for external fixation, types of external fixator applied, length of time fixators were applied, etc were collected and analysed using IBM SPSS version 22.Results: A total of 94 patients (56 males and 38 females) were included in this study giving a male: female ratio of 1.5 : 1. The mean age of patients was 33.7+ 15.9 years. Four types / designs of external fixators were used, the mono-planar AO design were the ones most commonly used (67.7%), followed by the linear rail system (LRS) type (17.2%). The most common indication for external fixator application was open fractures in 67.7% of cases, followe...

The Pan African medical journal, 2022

IOSR Journal of Dental and Medical Sciences, 2014

Introduction: Most amputation surgeries worldwide are carried out in male patients. This negative... more Introduction: Most amputation surgeries worldwide are carried out in male patients. This negatively affects the socioeconomic fortunes of the individual, family and society especially in places were rehabilitative and prosthetic facilities are lacking. The aim of this study is to highlight the pattern of limb amputation surgeries in male patients in our centre with a view to suggesting possible ways of prevention and improvement in the functionality and quality of life of amputees. Patients and Methods: Case notes of male patients who had amputation surgeries during the study period in the centre were retrieved from the records department and relevant information extracted. The extracted data were analysed accordingly. Results: Sixty three male patients had 69 limb amputation surgeries in the centre during the study period. The mean age of the patients was 48.7 + 20.6 years. The most frequent level of amputation was at below knee level in 46% of cases followed by above knee in 17.4% of cases. The lower limb was involved in 74.5% of cases, the rest 25.5% involving the upper limb. Diabetic foot disease was the commonest indication for amputation in 37.7% of cases followed by trauma in 30.4% of cases. Wound infection was the most frequent post-operative complication occurring in 43.5% of wounds in this study. Conclusion: Limb amputation surgeries frequently involve male patients with diabetic foot disease and trauma ranking as the most common indications here. Preventive measures such education of diabetic patients on foot car and, public enlightenment on accident and trauma prevention strategies will go a long way in reducing the burden of amputation. Making prosthesis available and affordable to amputees is also suggested as a way of improving on the quality of life and functionality of amputees.

British Journal of Medicine and Medical Research, 2017

Background/Objective: Road traffic crashes are an important source of frequent trauma with result... more Background/Objective: Road traffic crashes are an important source of frequent trauma with resultant morbidities and mortalities in Nigeria and worldwide. We aim to highlight important epidemiological characteristics and injury patterns in road traffic crash victims presenting at our centre and make suggestions on possible ways to alleviate the problem. Patients and Methods: Consecutive adult road traffic crash victims who presented with various injuries at the emergency room in our health facility within the study period and agreed to participate in the study were included. Data on age, sex, type of vehicle and circumstances of crash, types of injuries etc were collected on already prepared forms by attending emergency room

The Annals of African Surgery, 2020

Background: About 1–2% of neonates have congenital anomalies; of these, 10% affect the upper limb... more Background: About 1–2% of neonates have congenital anomalies; of these, 10% affect the upper limbs. Congenital anomalies are structural or metabolic defects present at birth. Objective: To review cases seen over a four-year period in a tertiary specialist hospital in Lagos and share our experience. Methodology: Case notes and theatre records of patients with congenital upper limb anomalies were retrieved and relevant data extracted. Data were analyzed with SPSS version 20. Results: 46 patients with 53 diagnoses of upper extremity congenital anomalies: 28 were males and 18 females between 5 weeks and 14 years. 17 patients (37%) presented within the first 12 months of life. Average ages of mothers and fathers were 34.1 and 37 years respectively. 26% of mothers had febrile illnesses and 28.3% used herbal products during the index pregnancies. Swanson's group 2 was the commonest (58.4). Syndactyly was the commonest descriptive individual diagnosis (49%). Treatments were individualiz...

Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria, 2014

BACKGROUND Traditional bone setting is an age long practice in African societies. It has flourish... more BACKGROUND Traditional bone setting is an age long practice in African societies. It has flourished in spite of the advent of orthodox fracture management in Nigeria and many other African countries. However, complications emanating from their practice have led to suggestions on the need for intervention and control of their activities. OBJECTIVE We aim to document the current practice of the traditional bone setting in the Niger-Delta region of Nigeria. METHODOLOGY A structured interview of two traditional bone setters in the surrounding villages of the Delta State University Teaching Hospital, Oghara, Delta State, Nigeria was carried out. In addition we visited their 'clinics' to make on the spot assessment of their practice. RESULTS/FINDINGS The two practitioners ('A' and 'B') interviewed were both males who inherited the trade from their parents. Practitioner 'A' has both out-patient and in-patient practices while 'B' only treat outpatient...

Gunshot injuries are a special category of trauma with a high potential for death and hospitaliza... more Gunshot injuries are a special category of trauma with a high potential for death and hospitalization. The objective of this study is to highlight their pattern and treatment outcome. This was a prospective study of all patients admitted through the Accident and Emergency Department of the Benue State University Teaching Hospital, Makurdi, Nigeria with gunshot injuries between July 2012 and June 2014. Data obtained were analyzed using the software Statistical Package for Social Sciences for Windows version 15.0 (SPSS, Inc; Chicago, Illinois).Sixty-two patients with gunshot injuries were included in the study. There were 49 males (79%) and a male-to-female ratio of 3.8:1. Their ages ranged from 4 to 65 years and the modal age group was 20-29 years. Communal clashes (n=29, 46.8%) were the predominant circumstances surrounding the injuries, followed by armed robbery attacks (n=18, 29%) and student cult violence (n=8, 12.9%). The most commonly involved body region was the upper limb (n=...

Introduction Patient satisfaction refers to the extent of the patient's experience compared t... more Introduction Patient satisfaction refers to the extent of the patient's experience compared to his expectations. Over the years, patients are getting more aware of their rights with increasing expectations. With more efficient and well equipped private hospitals springing up and the recent upsurge of medical tourism, the need for regular assessment of client satisfaction with public health care provider services in order to make improvements where necessary has become imperative. This study aims to assess patient satisfaction with services provided at the Surgical Out-patient Department of the Delta University Teaching Hospital, Oghara, Delta State Nigeria. Patients and Method A cross sectional study of the satisfaction of patients with the services provided at the Surgical Out-patient department of the Delta State University Teaching Hospital, Oghara. Delta State, Nigeria using the short form Patient Satisfaction Questionnaire-IS (PSQ-18). Completed questionnaires from 108 ...

$Research paper thumbnail of Open intramedullary nailing using ‘Greens Instrumentation’ in the treatment of femoral and tibial shaft fractures: a 5 years review of cases in a private health facility in the Niger Delta region of Nigeria$

Background: Open reduction and intramedullary locked nailing using external jig (usually without ... more Background: Open reduction and intramedullary locked nailing using external jig (usually without intra-operative imaging) is gaining widespread popularity in developing and resource-poor countries for the management of lower limb long bone shaft fractures. I share our experience using the “Greens” instrumentation in the treatment of femoral and tibial shaft fractures in a private health facility in Delta State, Nigeria. Methods: This was a retrospective review of patients who had lower limb long bone shaft fractures seen and treated with open intramedullary nailing at a private health facility in Warri, Delta state Nigeria, over a five year period. Results: There were 20 patients with 21 lower limb long bone shaft fractures made of 13 males and 7 females (M:F = 1.5:1). Average age of patients was 42±18 years. Fifty per cent of the fractures were caused by RTA. The femur was affected in 19 fractures (90.5%) and 2 fractures affected the tibia (9.5%). Three of the fractures were open. ...

Biosciences Biotechnology Research Asia, 2013

When children with rotational problems of the lower limbs present in our clinics, they need objec... more When children with rotational problems of the lower limbs present in our clinics, they need objective ways of clinical assessment to differentiate the large percentage of them who fall within the wide range of normal physiological variation from the very minute or occasional ones that will need further investigation and treatment. Various researchers in different regions of the world have measured some parameters in normal children to provide normal values for routine clinical reference in their environments. They have noted some local differences in the value o f these parameters which has been attributed to racial, genetic and environmental factors. This study aims to determine and provide normal values of the thigh-foot and hip rotation angles in Nigerian/African children for routine clinical reference and use in our sub-region. Six hundred Nigerian children (1200 limbs) aged 3-8 years selected from 12 nursery/primary schools in Lagos had their thigh-foot angles, lateral and medial hip rotation angles measured using clinical methods. Values were recorded in a proforma for later collation and analysis. The mean thigh-foot angle increased from 4.4 o at 3 years of age to 9.4 o at age 8. Lateral hip rotation was 43.5 o at age 3 and decreased to 38.5 o at 8 years of age while, medial hip rotation increase from a mean of 35.7 o to 44.3 o at 3 years and 8 years of age respectively. Total hip excursion increased marginally form 78 o at 3 to 82.2 o at 8. While the general pattern of rotational parameters in Nigerian children in this study were similar to those from other studies in other regions, some basic differences especially in terms of range of normal value do exist. This should be borne in mind by doctors treating children in this environment. Routine reference to locally generated data as in this study is thus highly advised.

The Nigerian Health Journal, 2013

Background Gunshot injuries (GSI) in civilian populations are becoming more common worldwide. The... more Background Gunshot injuries (GSI) in civilian populations are becoming more common worldwide. The result is significant morbidity, mortality and disability particularly among the young active productive males who are often the most frequently affected. The wide spread socioeconomic down turn and small arms proliferation particularly in developing countries might be partly responsible for this. This study aims to further highlight the pattern, including aetiology and the emerging significance of GSI in Warri pointing out the need for urgent and appropriate action by all concerned. Methodology A prospective study of consecutive gunshot injury patients who presented at the Central Hospital and two other private health facilities in Warri between l"t of January and 31"t of December, 2011. Relevant data were collected using previously prepared forms, collated and analysed with SPSS version 17. Results Eighty five patients presented with GSI during the study period. This con...