Incidence of K-wire fixation of upper limb fractures for road traffic accidents in Bangladesh


  • M. Mahamudul Amin Department of Orthopedics Surgery, Chakaria Unique Hospital, Cox’s Bazar, Bangladesh
  • M. Asaduzzaman Department of Orthopedics Surgery, Bikrampur Bhuiyan Medical College Hospital, Munshiganj, Bangladesh
  • Shamima Khatun Department of Orthopedics Surgery, Chakaria Unique Hospital, Cox’s Bazar, Bangladesh
  • M. Abdullah Al-Maruf Department of Orthopedics Surgery, Marks Medical College Hospital, Dhaka, Bangladesh
  • A. K. M. Khalequzzaman Department of Orthopedics, Universal Medical College and Hospital, Dhaka, Bangladesh



RTAs, Upper limb fractures, K-wire fixation, Orthopedic trauma


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.


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Original Research Articles