Dinesh Shukla, Manish Jain
BACKGROUND Depressed fracture is common following head injury and its management is controversial. These are often associated with considerable morbidity and mortality. This study aims to evaluate various aspects including outcome of depressed skull fractures. MATERIALS AND METHODS 100 patients of depressed skull fractures were admitted in MLB Medical College, Jhansi over a period of three years from June 2014 to June 2017. These patients were evaluated with respect to age, sex, mode of injury, sites of injury, Glasgow coma score (GCS) at the time of admission, early and late epilepsy, focal neurological deficit, CT scan findings, infection and treatment. RESULTS There were 68 males and 32 females. 15-30 years (32%) was the most commonly affected group. RTA (50%) was the most common cause followed by fall (25%) and physical assault (25%). Most common site of fracture was in parietal region (55%). GCS was 13-15 in 80% patients. Fracture was compound type in 82% and simple in 18%. Favourable outcome was achieved in 98% patients especially in those with better presenting GCS. CONCLUSION Most patients with early and proper treatment of depressed fractures have favourable outcome. Good GCS score at admission correlated with better outcome.
