Patterns of traumatic long-bone fractures in North-Eastern Nigeria: a prospective multicenter study in 5 tertiary hospitals in Nigeria
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20242378Keywords:
Trauma, Long bone, Fractures, Mortality, Head injuryAbstract
Background: Traumatic musculoskeletal injuries have formed a significant burden on healthcare delivery worldwide. Long bone fractures are the most common musculoskeletal injuries encountered in this category and with the advent of insurgency in the northeastern part of Nigeria, there has been a rising incidence of assaults, gunshots, and other traumatic causes of long bone fractures.
Methods: A prospective cross-sectional study of patients with traumatic long-bone fractures in north-east Nigeria presenting in the tertiary hospitals involved in the study during the 6months study period (September, 2023 to February 2024). information of all patients presenting with traumatic long bone fractures were collected; biodata, presenting complains and findings on examination including the Glasgow coma scores were collected and documented. Radiological findings and intervention given. All information were collected and documented using a structured questionnaire. Data collected were analyzed using SPSS version 29.
Results: 227 patients were seen from the five major tertiary centers in north-eastern Nigeria that participated in the study. The 123 patients (54.2%) from Abubakar Tafawa Balewa university teaching hospital (ATBUTH)-Bauchi, 43 patients (18.9%) from Modibo university teaching hospital (MAUTH)-Yola, 32 patients (14.1%) were seen in Federal medical center (FMC)-Jalingo, 18 patients (7.9%) from federal teaching hospital (FTH)-Gombe and 11 patients (4.8%) from Maiduguri teaching hospital Maiduguri (UMTH)-Maiduguri. The 178 (79.1%) were males and 47(20.9%) females, making a male to female ratio of 4:1.
Conclusions: Long bone fracture causes a significant health care burden in north-East Nigeria with a high incidence of road traffic accidents, assaults and gunshots likely from the increasing effects of insurgency and kidnappings activities in this region.
References
Panel GG, Saeed M, Minoo P, Priyan M, Lihai Z. Optimal time-dependent levels of weight bearing for long bones fracture healing under Illizarov circular fixators. J Mechanical Behavior Biomed Materials. 2021;121:104611.
Babalola OMS, Oni NABA, Ibraheem GHOA, Agaja SB. Epidemiology of Traumatic Fractures in a Tertiary Health Center in Nigeria. J Orthop Traumatol Rehabilitation. 2018;10(2):87-9.
Panel TM, Knut H, Kjetil S. Incidence of Traumatic long-bone fractures requiring in-hospital management. Injury. 2009;40(11):1212-9.
Gunasinghe WKP. Warushahanndi J. Trend and pattern of long bone fractures in relation to the Road traffic accident, assault and falls among patients admitted to emergency unit in teaching hospital, Karapitiya. Medico-legal J Sri Lanka. 2023;11(1):27-33.
Iyidobi EC, Anijunsi PL, Enweani U, Ekwunife RT, Agbo EO. The etiology and pattern distribution of closed long bone diaphyseal fracture: A prospective survey in a regional trauma centre Enugu, Nigeria. Ann Clin Biomed Res. 2022;3:175.
Nana TC, Pius F, Martin NM, Mbongnu MD, Movuh S, Martens Bomba F, et al. Epidemiology and clinical pattern of open fractures of long bones of the lower limbs in the southwest region of Cameroon: A 5 years review. Open J of Orthop. 2021;11(9):278-87.
Schwab N, Jordana X, Monreal J, Garrido X, Soler J, Vega M, et al. Ballistic long bone fracture pattern: an experimental study. Int J Legal Med. 2024;138(4):1685-700.
Banerjee M, Bouillon B, Shafizadeh S, Paffrath T, Paffrath T, Lefering R, Wafaisade A, et al. Epidemiology of extremity injuries in multiple trauma patients. Injury. 2013;44(8):1015-21.
Meling T, Harboe K, Søreide K. Incidence of traumatic long-bone fractures requiring in-hospital management: A prospective age- and gender-specific analysis of 4890 fractures, Injury. 2009;40(11):1212-9.
Kica J, Rosenman KD. Surveillance for work-related skull fractures in Michigan. J Safety Res. 2014;51;49-56.
Dkhar I, Hazra D, Madhiyazhagan M, Joseph JV, Kundavaram A, Paul P. A Retrospective Study on the Profile of Long Bone Injuries in Trauma Patients Presenting to Emergency Department. Curr Med Issues. 2019;17(3):60-5.
Singer BR, McLauchlan GJ, Robinson CM, Christie J. Epidemiology of fractures in 15000 adults. J Bone Joint Surg Br. 1998;80-B(2):243-8.
Cummings S.R, Melton LJ Epidemiology and outcomes of osteoporotic fractures. Lancet. 2002;359:1761-7.
Klotzbuecher CM, Ross PD, Landsman PBA 3rd, Berger TAM. Patients with prior fractures have an increased risk of future fractures: a summary of the literature and statistical synthesis. J Bone Miner Res. 2000;15:721-39.
Burrell LL, Maas MC, Gerven DP. Patterns of long-bone fracture in two Nubian cementeries. Hum. Evol. 1986;1:495-506.
Omidiji OT, Akinmokun OI, Olowoyeye OA. Epidemiological and radiological patterns of paediatric fractures in an elite community in South West Nigeria. J Clin Sci. 2022;19(4):136-41.
Joeris A, Lutz N, Wicki B, Theddy S, Laurent A. An epidemiological evaluation of pediatric long bone fractures-a retrospective cohort study of 2716 patients from two Swiss tertiary pediatric hospitals. BMC Pediatr. 2014;14:314.
Edward K, Patrick S, Isaac K, Paul B. Prevalence and patterns of traumatic bone loss following open long bone fractures at Mulago Hospital. OTA Int. 2019;2(1):e015.
Ahmad A, Ayman M, Sattam A, Mu’men A, Mohammad BM, Hamza A. Bone Fracture Patterns and Distributions according to Trauma Energy. Adva Orthop. 2022;8695916:12.
Agnihotri AK, Joshi HS. Pattern of road traffic injuries: one year hospital-based study in Western Nepal. Int J Inj Contr Saf Promot. 2006;13(2):128-30.
Loder, Randall T.; Bookout, Christopher. Fracture Patterns in Battered Children. J Orthop Trauma. 1991;5(4):428-33.
Nielson CM, Srikanth P, Orwoll ES. Obesity and fracture in men and women: an epidemiologic perspective. Bone Miner Res. 2012;27:1-10.
