Browsing by Author "Bangirana, Alexander"

Now showing 1 - 4 of 4
  • Thumbnail Image
    Item
    Anterior Spinal Artery Syndrome Complicating Massive Paravertebral Abscess
    (Journal of Orthopaedic Science,, 2008) Uchida, Kenzo; Kobayashi, Shigeru; Nakajima, Hideaki; Yayama, Takafumi; Bangirana, Alexander; Baba, Hisatoshi
    Anterior spinal artery (ASA) syndrome is associated with a variety of conditions, such as aortic dissection or traumatic rupture, complications of aortic surgery, thrombosis or embolism, hematomyelia, vasculitis, ver tebrocervical arthrosis, or coagulopathy,1–5 although the condition could be also idiopathic. The clinical features include sudden onset of significant intractable back pain followed by rapid development of paraparesis, dissociated sensory loss, and bladder and bowel disturbances.We describe here a case of ASA syndrome associated with paravertebral abscess and pyothorax in a patient known to have malignant rheumatoid arthritis and renal failure. We discuss the possible mechanism of ASA syndrome in this unusual case with review of the literature
  • Thumbnail Image
    Item
    Degloving injuries with versus without underlying fracture in a sub-Saharan African tertiary hospital: a prospective observational study
    (Journal of orthopaedic surgery and research, 2018) Lekuya, Hervé Monka; Alenyo, Rose; Bangirana, Alexander; Mbiine, Ronald; Galukande, Moses
    Degloving injuries are surgical conditions in which an extensive portion of skin and subcutaneous tissue is detached from the underlying fasciae, muscles, or bone surface. Frequently, there is an association of fracture underlying the degloved area. We aimed to compare the short-term outcomes of degloving injuries with and without underlying fracture.
  • Thumbnail Image
    Item
    Epidemiology and preclinical management of dog bites among humans in Wakiso and Kampala districts, Uganda: Implications for prevention of dog bites and rabies
    (PloS one, 2020) Kisaka, Stevens; Makumbi, Fredrick E.; Majalija, Samuel; Bangirana, Alexander
    In rabies endemic areas, appropriate management of dog bites is critical in human rabies prevention. Victims must immediately wash bite wound for 15 minutes with water, soap, and a disinfectant before seeking medical care. This study investigated the epidemiology of dog bites and the determinants of compliance to these pre-clinical guidelines requirements among dog bite victims from high rabies-burden areas of Wakiso and Kampala, Uganda. An explanatory sequential mixed-methods study design was used. Quantitative data were collected from 376 dog-bite patients at two healthcare facilities. Qualitative data were also collected through 13 in-depth interviews with patients, healthcare workers, herbalists, and veterinarians. Qualitative data were analyzed using a deductive thematic approach. Generalized linear models were used to determine factors associated with compliance. Nearly half (190, 51%) of the patients were from Wakiso District and 293 (77.9%) had grade II wounds. Most of the wounds (171, 45.5%) were on the legs. Two-thirds of the bites occurred in public places. Only 70 (19%) of the bite patients had complied with pre-clinical guidelines. Nearly half of the patients had applied substances that were not recommended e.g. herbs (47/193), antiseptics (46/193), “black stone” (25/193), and unknown creams (10/193). Factors negatively associated with compliance included: being aged 15 years or older, adjPR = 0.70 (0.47–0.92) and knowing the dog owner, adjPR = 0.65 (0.36–0.93). However, attainment of secondary or higher education, adjPR = 1.76 (1.24–3.79), being in employment, adjPR = 1.48 (1.09–2.31), perception that the dog was sick, adjPR = 1.47 (1.02–2.72) and knowledge about the dog’s subsequent victim(s) adjPR = 0.35 (0.17–0.70) were positively associated with compliance. High occurrence of dog bites in public places by free-roaming dogs suggests the need for deliberate promotion of responsible dog ownership. Additionally, targeted health education may be required to improve the low compliance to pre-clinical guidelines.
  • Thumbnail Image
    Item
    Exceedingly Large Femoral Condyle Intraosseous Ganglion Cyst Following High Tibial Osteotomy
    (Journal of Orthopaedic Science, 2007) Kubota, Chikara; Kobayashi, Shigeru; Bangirana, Alexander; Baba, Hisatoshi
    Ganglion cysts emanating from intraosseous bones are common pathological entities in routine practice.1–3 Intraosseous ganglion cysts occur at any site and age, are common in the acetabulum and tibia, and often remain asymptomatic for lengthy times. Because most such cysts occur at the ends of the long bones or juxtacortical area of major joints, intraosseous ganglion cysts may be frequently discovered incidentally when joint pain is claimed for some symptomatic events.1,4,5 The size and extension within the intramedullary area may vary, and the bony cortex and/or articular cartilage surface is often injured secondary to the large ganglion cyst, in association with pain around the lesion. Because intraosseous ganglion cysts are identified incidentally, the formation and development processes of an intraosseous ganglion cyst have not been reported in the literature, although most physicians are familiar with the clinical entity.