https://doi.org/10.4081/acbr.2022.175

The etiology and pattern distribution of closed long bone diaphyseal fractures: A prospective survey in a regional trauma center Enugu, Nigeria

Vol. 3 No. 1 (2022)
Submitted: 14 November 2021
Accepted: 11 February 2022
Published: 30 March 2022
Acute trauma, fracture patterns, long bones
Abstract Views: 426
PDF: 153
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Authors

Emmanuel Chino Iyidobi
dreciyidobi@yahoo.com
https://orcid.org/0000-0001-6499-724X
National Orthopaedic Hospital Enugu, Nigeria.
Livinus Patrick Anijunsi
Esut Teaching Hospital Parklane Enugu, Nigeria.
Ugochukwu Enweani
City Hospital Enugu, Nigeria.
Remigus Tochukwu Ekwunife
https://orcid.org/0000-0002-9154-3769
National Orthopaedic Hospital Enugu, Nigeria.
Emmanuel Onyekachi Agbo
National Orthopaedic Hospital Enugu, Nigeria.
Uche Sebastine Ozioko
National Orthopaedic Hospital Enugu, Nigeria.

Extremity injuries have attained a significant position in musculoskeletal trauma. This study aims to describe the pattern of closed long bone diaphyseal fractures in acute trauma setting. A prospective study of patients who presented at the trauma unit of National Orthopaedic Hospital Enugu over a 6months period was undertaken. Sixty two patients with closed long bone diaphyseal fractures of femur, tibia and humerus who consented and met the study inclusion criteria were prospectively included and evaluated. Data was analyzed using the Statistical Package for the Social Sciences version 20. A total of 2880 patients presented during the period of study out of which, 62 (37 males and 25 females) presented with closed long bone diaphyseal fractures giving an incidence of 21.5/1000 trauma unit attendance (and occurring mostly in males 32.1/1000). The 21-30years age group distribution were the mostly affected (35.5%) with closed long bone diaphyseal fracture at presentation. Motor vehicular accident was the leading cause of closed long bone diaphyseal fractures (66.7%) followed by tricycle accident (19.4%) and assault (1.9%), the least. Transverse fractures (40.3%) were the most common fracture pattern followed by the comminuted fracture (27.4%), The anatomic location of fractures in diaphyseal long bones of the humerus, femur and tibia did not show any significant difference (p<0.05). With transverse and comminuted fracture being the commonest fracture patterns distribution and motor vehicular accidents the leading cause, these could be of a guide for orthopaedic surgeons to decide on the best interventional approach and to improve functional outcome.

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Citations

Crossref
Scopus
Google Scholar
Europe PMC
Donaldson LJ, Cook A, Thomson RG. Incidence of fractures in a geographically defined population. J Epidemiol Community Health 1990;44:241-5. DOI: https://doi.org/10.1136/jech.44.3.241
Janmohammadi N, Montazeri M, Akbarnezhad E. The epidemiology of extremity fracture in trauma patients of shahidBeheshti hospital Babol 2001-2006. Iran J Emerg Med 2014;1:34-9
Awashthi B, Raina SK, Kumar N, et al. Pattern of extremity fractures among patients with musculoskeletal injuries. A hospital based study from North India J Med Soc 2016;30:37-7. DOI: https://doi.org/10.4103/0972-4958.175847
Sadat-Ali M, Alomran AS, Al-Sayed HN, et al. Epidemiology of fractures and dislocation among urban communities of Eastern Saudi Arabia. Saudi J Med Med Soc 2015;3:54-7. DOI: https://doi.org/10.4103/1658-631X.149682
Chen W, Lv H, Liu S, et al. National incidence of traumatic fractures in China. A retrospective survey of 512187 individuals. Lancet Glob Health 2017;5:e807-17. DOI: https://doi.org/10.1016/S2214-109X(17)30222-X
Sahlin Y. Occurrence of fractures in a defined population: A 1 year study. Injury 1990;21:158-60. DOI: https://doi.org/10.1016/0020-1383(90)90085-9
Berryman HE, Symes SA. Recognizing gunshot and blunt cranial through fracture interpretation. In: Reichs KJ, Bass WM (Eds). Forensic osteology: Advances in the identification of Human Remains, Charles C. Thomas, Springfield, II. 1998; p. 335.
Reichs JK, Forensic Osteology: Advances in the identification of Human Remains, 2nd ed. Charles C. Thomas, Springfield, II. 1998.
Wedel VL, Galloway A. Broken Bones: Anthroplogical Analysis of Blunt Force Trauma. Charles C. Thomas Publisher Ltd. 1999.
Louis S, David W, Selvadurai N. Apley’s System of Orthopaedic and fracture, 9th edition Hodder Arnold, an Hachette UK Company, 2010, p. 687-750.
Bucholz RW, Heckman JD, Court-Brown CM. Rockwood and Green’s fracture in Adults Volume 1, 6th edition 2006, Lippincott William and Wilkins. 2006, pp. 1846-1914.
Anyaehie UE, Ejimofor OC, Akpuaka FC, Nwadinigwe CU. Pattern of femoral fractures and associated injuries in a Nigerian tertiary trauma centre. Niger J Clin Pract 2015;18:462-6. DOI: https://doi.org/10.4103/1119-3077.151761
Müller ME, Nazarian S, Koch P, et al. The Comprehensive Classification of Fractures of Long Bones. New York: Springer-Verlag; 1990. DOI: https://doi.org/10.1007/978-3-642-61261-9
Garraway WM, Stauffer RN, Kurland LT, O’ Fallon WM. Limb fractures in a defined population I. Frequency and distribution. Mayo Clinproc 1979;54:701-7.
Kica J, Rosenman KD. Surveillance for work-related skull fractures in Michigan. J Safety Res 2014;51;49-56. DOI: https://doi.org/10.1016/j.jsr.2014.09.003
Siegel JH, Loo G, Dischinger PC, et al. Factors influencing the patterns of injuries and outcomes in car versus car crashes compared to sport utility, van or pick-up truck versus car crashes: crash injury research engineering network study. J Trauma 2001;51975990 DOI: https://doi.org/10.1097/00005373-200111000-00024
Chong M, Sochor M, Ipaktchi K, et al. The interaction of ‘occupant factors’ on the lower extremity fractures in frontal collision of motor vehicle crashes based on a level I trauma center. J Trauma 2001;51:975-990.
Mahdian M, Fazel MR, Schat M, et al. Epidemiological profile of extremity fractures and dislocations in road traffic accidents in Kashan, Iran. A glance at the related disabilities. Arch Bone J Surg 2017;5:186-92.
Degoede KM, Ashton-Miller JA, Schultz AB. Fall-related upper body injuries in the older adult: a review of the biomechanical issues. J Biomech 2003;36:1043-53. DOI: https://doi.org/10.1016/S0021-9290(03)00034-4
Ali A, Ali S, Ghulam RW, Muhammad SG. Management of Diaphyseal Tibia Fractures with Interlocking SIGN Nail after Open Reduction without using Image Intensifier. Ann Pak Inst Med Sci 2013;9:17-21.
Deepak MK, Jain Rajamanya KA, Gandhi PR, et al. Functional Outcome of Diaphyseal Fractures of Femur managed by closed Intramedullary Interlocking nailing in Adults. Ann Afr Med 2012;11:52-7. DOI: https://doi.org/10.4103/1596-3519.91025
Yograj MR, Tarun VD, Nirakumar PM, et al. A Study of Management of Tibia Diaphyseal Fractures with intramedullary interlocking nail. A Study of 50 Cases. Int J Orthopaedics Sci 2017;3:297-302. DOI: https://doi.org/10.22271/ortho.2017.v3.i1e.47
Rich J, Dean DA, Powers RH (eds.). Forensic Medicine of the Lower Extremity: Human identification and trauma analysis of the thigh, leg, and foot. The Humana Press Inc., Totowa, NJ. 2005, p. 1-422. DOI: https://doi.org/10.1385/1592598978
Ikpeme I, Ngin N, Udosen A, et al. External Jig – aided Intramedullary Interlocking Nailing of Diaphyseal Fractures: experience from a tropical developing centre. Int Orthop 2011;35:107-11. DOI: https://doi.org/10.1007/s00264-009-0949-0
Katchy AU, Agu TC, Nwankwo OE. Femoral Shaft Fractures in a Regional Setting. Niger J Med 2000;9:138-140.

How to Cite

Iyidobi, E. C., Anijunsi , . L. P. . ., Enweani, U. ., Ekwunife, R. T. ., Agbo, . E. O. ., & Ozioko, U. S. (2022). The etiology and pattern distribution of closed long bone diaphyseal fractures: A prospective survey in a regional trauma center Enugu, Nigeria. Annals of Clinical and Biomedical Research, 3(1). https://doi.org/10.4081/acbr.2022.175

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