Pattern and Outcome of Femoral Fractures Treated in a Regional Trauma Centre in South South, Nigeria

Abstract

The pattern of presentation of femoral fractures varies with age of the patient, cause, and severity of the injury, and the location of the fracture on the femur [4,5]. In young persons, fractures of the femur are generally caused by high-energy forces and are often associated with multisystem injury. However, in the

Patterns, Management, and Outcome of Traumatic Femur Fracture: Exploring the Experience of the Only Level 1 Trauma Center in Qatar

“…Road traffic collisions (65%) remain the most common injury mechanism followed by fall from height in our series. These findings agree with earlier studies which also reported high impact trauma, mainly road traffic crashes as the commonest cause of femur fractures [ 2 , 21 ]. Furthermore, traffic-related injuries were more evident among young individuals of 14–30 years of age, who represent the most active age group of young individuals, usually involved in over-speeding and reckless driving.…”

“…There are several key features of the current analysis. It was identified that the proportion of traumatic femur fracture cases managed at our center was 11%, which is in agreement with an earlier study that reported similar rates of femoral fractures treated at a regional trauma center in South Nigeria [ 21 ]. The results of our study showed a preponderance of male gender (89.4%) and young age (mean: 30 years), which is in line with an earlier study from Saudi Arabia, but the mean age was a slightly lower than the mean of 33 years reported there [ 22 ].…”

“…The pattern of closed femoral fractures is frequently observed due to soft tissue cover of the femur, which in contrast with the tibial fractures [ 10 ]. Ibeanusi and Chioma [ 21 ] reported higher proportion of femoral fractures to be closed (78%), compared with open fractures (22%), which were more likely to involve diaphyseal femur fracture (58.1%) secondary to high impact trauma by road traffic collisions or gunshot injuries. On the other hand, open femur fractures are not uncommon and range from 16.5 to 23% [ 25 , 26 ].…”

“…In this study, external fixation for the treatment of femoral shaft was primarily performed for open fractures. Although this is not a standard technique to treat femoral shaft fracture, exceptionally, it can be used to manage open fractures with concomitant complex soft tissue injuries [ 21 ].…”

Descriptive Analysis Of Femur Fracture Patterns, Management And Outcome: Descriptive Observational Study From A Level 1 Trauma Center

“…Diaphyseal femur fractures are preferably treated with intramedullary nailing which helps to attain appropriate bone alignment, quicker bone healing that allows early mobilization and lower rate of complications [14]. An earlier study from our center observed an association between early intramedullary nailing (within 12 h of injury) with fewer hospital complications and shorter length of hospital stay [15]. Similarly, Harvin et al [13] reported an independently association between early intramedullary nailing (within 24 hours) for femur xation with lower rate of pulmonary complications.…”