Incidence of K-wire fixation of upper limb fractures for road traffic accidents in Bangladesh
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20241699Keywords:
RTAs, Upper limb fractures, K-wire fixation, Orthopedic traumaAbstract
Background: Road traffic accidents (RTAs) are a significant public health issue globally, particularly in developing countries like Bangladesh. This study focuses on the epidemiological and clinical aspects of upper limb fractures resulting from RTAs, with an emphasis on the treatment modalities employed.
Methods: This retrospective observational study analyzed hospital records of 40 patients with upper limb fractures due to RTAs at Chakaria Unique Hospital, Cox’s Bazar, Bangladesh, within the period of 1 year, from February 2023 to January 2024. The study included cases with comprehensive documentation of fractures resulting specifically from RTAs. Excluded were injuries not related to upper limb fractures and those not caused by RTAs. The focus was on patient demographics, the nature of the fractures, treatment methods (particularly K-wire fixation), and documented outcomes.
Results: The majority of the patients were young males, with the highest incidence in the 21-30 age group (40.00%). Two-wheeler vehicles were the leading cause of these injuries (57.50%). Treatment modalities varied, with open reduction and internal fixation (ORIF) combined with K-wire fixation being the most prevalent (35.00%). Other methods included ORIF alone and ORIF with plate-screw, each accounting for 25.00% of cases. Right-sided injuries were more common (57.50%) than left-sided (42.50%).
Conclusions: The study highlights the predominance of upper limb fractures in younger males due to two-wheeler accidents. The preference for combined ORIF and K-wire fixation in treatment reflects the complexity of these injuries. The findings call for enhanced road safety measures and further research into optimized treatment protocols for upper limb fractures in Bangladesh.
References
Kundu S, Al Banna MH, Sayeed A. Road traffic accidents in Bangladesh: A top public health issue? Popul Med. 2020;2:5.
Ul Baset MK, Rahman A, Alonge O, Agrawal P, Wadhwaniya S, Rahman F. Pattern of Road Traffic Injuries in Rural Bangladesh: Burden Estimates and Risk Factors. Int J Env Res Public Health. 2017;14(11):1354.
Chowdhury SM, Baset K ul, Uddin KB, Rahman AF. PW 2064 Epidemiology of road traffic injuries among urban population in bangladesh: finding from a nationwide survey. Injury Prev. 2018;24(2):A186.
Ahmad M, Rahman FN, Rahman MZ, Biswas P. Road traffic injury among pedestrians: an emerging research focus in Bangladesh. KYAMC J. 2018;9(1):11-5.
Stahl S, Schwartz O. Complications of K-wire fixation of fractures and dislocations in the hand and wrist. Arch Orth Traum Surg. 2001;121(9):527-30.
Awasthi A, Jadhav S, Taywade S, Salwan A, Khan K, Awasthi AA, et al. Outcome Analysis of Distal End Radius Fractures Managed With Antegrade Intramedullary K-wire Fixation. Cureus. 2022;14(10).
Ahmad S, Gupta T, Ansari S, Jain A, Barik S, Singh V. Intramedullary Crossed K-wire Fixation for the Hand Fractures is a Useful Treatment Modality: A Prospective Observational Study. Strategies Trauma Limb Reconstr. 2022;17(2):74-80.
Islam MN, Islam MS, Hasan SA. Study on the Management of Open Tibia-fibula Fracture in Rehabilitation Institute and Hospital for the Disabled (RIHD), Dhaka, Bangladesh. TAJ: J Teachers Assoc. 2002;15(2):84-6.
Roy S, Hawlader MDH, Nabi MH, Chakraborty PA, Zaman S, Alam MM. Patterns of injuries and injury severity among hospitalized road traffic injury (RTI) patients in Bangladesh. Heliyon. 2021;7(3).
Rennie L, Court-Brown CM, Mok JYQ, Beattie TF. The epidemiology of fractures in children. Injury. 2007;38(8):913-22.
Haris A, Zulfiqar T, Ali A. Frequency Of Upper Extremity Fractures In Patients With Road Traffic Accidents And Its Association With Age. Med Sci J Adv Res. 2022;3(3):143-8.
Shaheen ME, Badr AA, Al-Khudairy N, Khan FA, Mosalem A, Sabet N. Patterns of accidental fractures and dislocations in Saudi Arabia. Injury. 1990;21(6):347-50.
Wraighte PJ, Manning PA, Wallace WA, Hynd D. Upper Extremity Injuries in Road Traffic Accidents. Shoulder Elbow. 2011;3(3):184-7.
Khaled NA, Mohamed EM. Unstable Metacarpal Fractures: A comparative study between Mini-plates and percutaneus K-wire fixation at Emergency Hospital, Mansoura University, Egypt. OROAJ. 2018;13(2):1-5.
Grewal R, Perey B, Wilmink M, Stothers K. A Randomized Prospective Study on the Treatment of Intra-Articular Distal Radius Fractures: Open Reduction and Internal Fixation With Dorsal Plating Versus Mini Open Reduction, Percutaneous Fixation, and External Fixation. J Hand Surg. 2005;30(4):764-72.
Hume MC, Wiss DA. A Clinical and Radiographic Comparison of Tension Band Wiring and Plate Fixation. Clin Orthop Relat Res. 1992;285:229.
