الفهرس 
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Abstract
This study was conducted in the department of orthopedics, Sohag University Hospital during the period 2014-2015.(3668) trauma patients were admitted to orthopedic department during course of the study.
Data of all patients collected from patient’s medical records in emergency department and data analyzed, evaluated and compared with each other by the researcher only to avoid any mistakes
Trauma patients classified to three groups:
1- Isolated trauma patients
2- Multi-trauma patients
3- Poly-trauma patients
All patients were examined clinically including (detailed history at time of admission) and radio-logically
Patients fulfilling the inclusion criteria was only included in the study
Most common mode of injury in old patients was the simple fall on ground while in young patients was falling from height but, in middle age high energy trauma (motor car accidents)
Aim was to do real epidemiological study help us to know amount of trauma patients received in our emergency department and classify them according the most common classification systems ( Gustillo-Anderson classification and AO-OTA classification )
This study help us to know the most frequent fractures , for example , distal humerus fractures the most common in upper limb fractures , next to it , hand fractures , distal radius and ulna
According to this study peri-trochanteric fractures were the most common in lower limb then shaft tibia, foot and fracture shaft femur.
Femur fractures were the most common fractures in lower limb, most of them isolated fracture femur,and associated with head trauma.
Lumbar spine fractures were the most common fracture spine seen in this study next dorsal spine fractures.
Most of poly-trauma patients with dorsal and lumbar fracture spine associated with chest trauma, but, poly-trauma patients with cervical spine fractures associated with head trauma.
Patients with fracture pelvis mostly associated with abdominal trauma.
Patients with soft tissue injuries most of them were in the upper limb (mainly in hand) more than lower limb.
Shoulder dislocation was the most frequent type of dislocations, then, elbow and wrist dislocation.
In this study, most of multi-trauma patients were associated with upper limb fractures, next, patients with upper limb and lower limb fractures, next, patients with lower limb fractures.
Most of poly-trauma patients were associated with head trauma, next, patients with abdominal trauma.
Open fractures in upper limb were mainly in the hand and in lower limb were mainly in the tibia and fibula.
Neuro-vascular injuries in the upper limb were mainly in the hand and with distal humerus fractures. Neuro-vascular injuries in the lower limb were mainly with foot and tibial fractures.
Conclusion
Thisstudy included (3668) trauma patients, male patients were (73%), female patients were (27%). Average age was (29 year). Distal humeral fractures were the most common fractures in the upper limb, peri-trochanteric fractures were the most common fractures in the lower limb, lumbar spine trauma was themostfrequenttrauma in the spine, isolated pelvic fractures was the most common trauma in the pelvis.Hand trauma was the most common site associated with soft tissue injuries;shoulder joint was the most frequent site for dislocation. The upper limb was the most common site for multi-trauma injuries. The most common site for open fractures in the upper limb was the hand; the most common site for open fractures in the lower limbwere tibia and fibula. The most common site for neuro-vascular injuries in the upper limb was the hand, and, the most common site for neuro-vascular injuries in the lower limb was the foot.