Pattern of femoral fractures and associated injuries in a Nigerian tertiary trauma centre

Anyaehie, UE; Ejimofor, OC; Akpuaka, FC; Nwadinigwe, CU

doi:10.4103/1119-3077.151761

Cited by 22 publications

(22 citation statements)

References 18 publications

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“…The result from this study shows that the proportion of fracture of the femur treated at the trauma centre where this study was undertaken (10.9%) was comparatively lower when compared to the report from other centres [8,30]. The reason for this pattern may not be unconnected to presumably the high patronage of traditional bone setters in the region [31].…”

Section: Discussionmentioning

confidence: 53%

“…Chi-Square χ 2 was used to test for observed elderly population, femur fractures are typically caused by a low energy mechanism such as ground level falls especially fractures of the proximal and the distal femur [6,7]. Road traffic crashes (RTC) remain a principal cause of fracture of the femur in most series [8][9][10]. Other high energy injuries such as gunshot wounds, falls from heights, assaults and injuries from high-speed sports are other causes of fracture of the femur especially in young adults [10][11][12].…”

Section: Methodsmentioning

confidence: 99%

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

Ibeanusi¹,

Chioma²

2019

Int Arch Orthop Surg

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Section: Discussionmentioning

confidence: 53%

Section: Methodsmentioning

confidence: 99%

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

Ibeanusi¹,

Chioma²

2019

Int Arch Orthop Surg

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“…In cases where trauma is caused by a fall, the force directly impacts the posterolateral aspect of the greater trochanter, making the femoral neck particularly vulnerable to fractures [26]. Fall has been reported to be the major cause of intracapsular neck and peritrochanteric fractures of the femur [27], which are closely associated with severe generalized bone loss, and account for a significant proportion of femoral fractures in the elderly [28, 29]. In obese patients, increased soft tissue padding around the hip attenuates the greater impact forces that result from falls and reduces the force transmitted to the bone [15, 16].…”

Section: Discussionmentioning

confidence: 99%

The influence of ageing on the incidence and site of trauma femoral fractures: a cross-sectional analysis

Rau

Kuo

et al. 2019

BMC Musculoskelet Disord

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Background: This study aimed to determine the influence of ageing on the incidence and site of femoral fractures in trauma patients, by taking the sex, body weight, and trauma mechanisms into account. Methods: This retrospective study reviewed data from adult trauma patients aged ≥20 years who were admitted into a Level I trauma center, between January 1, 2009 and December 31, 2016. According to the femoral fracture locations, 3859 adult patients with 4011 fracture sites were grouped into five subgroups: proximal type A (n = 1359), proximal type B (n = 1487), proximal type C (n = 59), femoral shaft (n = 640), and distal femur (n = 466) groups. A multivariate logistic regression analysis was applied to identify independent effects of the univariate predictive variables on the occurrence of fracture at a specific site. A two-dimensional plot was presented visually with age and the propensity score accounts for the risk of a fracture at a specific femoral site. Results: This analysis revealed that older age was an independent variable that could positively predict the occurrence of proximal type A (OR [95%CI]: 1.03 [1.03-1.04], p < 0.001) and B fractures (1.02 [1.01-1.02], p < 0.001), and negatively predict the occurrence of proximal type C (0.96 [0.94-0.98], p < 0.001), shaft (0.95 [0.95-0.96], p < 0.001), and distal fractures (0.98 [0.98-0.99], p < 0.001). Discussion: Using the propensity scores which account for the risk of a fracture in a specific femoral site, this study revealed that the older patients were at a higher risk of developing proximal type A and type B fractures, while a lower risk of developing fractures in the shaft and distal femur. This incidence of fracture site can largely be explained by agerelated factors, including a decrease in bone strength and falling being the most common mechanism of trauma in older patients. Conclusions: This study revealed a difference in the involvement of age in the incidence of femoral fracture sites in the trauma patients.

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“…However, femur fracture without high energy trauma can also be found in certain pathological condition that affects bone density, such as osteopenia or osteoporosis. 3,11 These conditions commonly found in women who already had menopause. 3 Based on those facts, there just are a few studies that explain the characteristic of femur fractures cases in Bali.…”

mentioning

confidence: 99%

“…3,11 These conditions commonly found in women who already had menopause. 3 Based on those facts, there just are a few studies that explain the characteristic of femur fractures cases in Bali. Therefore, this study aims to identify the characteristic of femur fracture patients, including age, sex, cause of femur fractures, type of fractures, and location of the fractures at Sanjiwani hospital Gianyar, Bali.…”

mentioning

confidence: 99%

Characteristics of femur fracture patients at Sanjiwani general hospital Gianyar in 2019

Dwipayana¹,

Premana²,

Wisnawan³

2021

Int J Res Med Sci

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Background: Fracture is a discontinuity of bone which is often followed by damage to the surrounding soft tissue, such as blood vessels, muscles, and nerves. World health organization (WHO) stated that there are 5.6 million people died due to fractures and 1.3 million people suffering fractures due to traffic accidents in 2011-2012. One of the most common fractures on lower extremities due to severe trauma is femur fracture. Femur fracture is usually caused by trauma due to pressure that exceeds the capacity of the femur. Femur fracture today is still common and remains one of the major challenges for orthopaedists. Although management in orthopaedic had been growing rapidly, the one-year mortality rate post-trauma is still high, about 10-20%. This study aims to determine the characteristic of femur fracture patients at Sanjiwani hospital Gianyar in 2019.Methods: This study is a retrospective descriptive study that aims to identify the characteristic of femur fracture patients at Sanjiwani hospital Gianyar in 2019. The samples of this study were collected using total sampling technique. The data was obtained from medical record of patients diagnosed with femur fracture at Sanjiwani hospital Gianyar during January-December 2019. Variables in this study including age, sex, cause of femur fractures, type of fractures, and location of the fractures. All obtained data will be analysed using SPSS statistics 22 software.Results The result of this study showed that most of samples are male with 26 peoples (61.9%) and age group is 21-30 years old is the most common age group with 11 peoples (26.2%). Close fracture is the most common fracture type with 38 peoples (90.5%) and located in the middle shaft of femur with 20 peoples (47.6%).Conclusions: In conclusion, the most common characteristic of femur fracture patients at Sanjiwani hospital Gianyar in 2019 is male, age 21-30 years old, closed fracture and located in the middle shaft of the femur.

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Pattern of femoral fractures and associated injuries in a Nigerian tertiary trauma centre

Abstract: Femoral fractures are common and the pattern varies with age and the mechanism of injury. They are associated with other injuries that may be life-threatening.

Cited by 22 publications

References 18 publications

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

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

The influence of ageing on the incidence and site of trauma femoral fractures: a cross-sectional analysis

Characteristics of femur fracture patients at Sanjiwani general hospital Gianyar in 2019

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