ArticleThe Pan African medical journal2016
The epidemiology and management of tibia and fibula fractures at Kilimanjaro Christian Medical Centre (KCMC) in Northern Tanzania.
Article in The Pan African medical journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Clinical outcomes of ankle fractures in sub-Saharan Africa: a systematic review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Pooled it
- Open Tibial Fractures Part 1: A Narrative Review of Initial Treatment and Potential Applicability to the Southern African Context.Orthopedic research and reviews · 2025Review
- 3d-Printed One-Third Tubular Plates in an Ankle Fracture Model: A Biomechanical Study.The Iowa orthopaedic journal · 2025Article
- Magnitude of infection and associated factors in open tibial fracture treated operatively, in Addis Ababa burn emergency and trauma center.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- A Scoping Review on the Management of Open Fractures in African Trauma and Orthopaedics Centres.Cureus · 2024Article
- Physiotherapy Rehabilitation for Above-Knee Amputation Secondary to Infected External Fixation: A Case Report.Cureus · 2024Article
- The safe zone of distal fibula was determined based on the classification of lateral malleolus fossa.Journal of orthopaedic surgery and research · 2023Article
- Article
- Open tibial shaft fractures: treatment patterns in sub-Saharan Africa.OTA international : the open access journal of orthopaedic trauma · 2023Article
- Knee Pain After Retrograde Intramedullary Nailing with Surgical Implant Generation Network of Femur Shaft Fractures at Public Hospitals in Bahir Dar City, Ethiopia: Analysis of 6-Months Follow-Up Results.Orthopedic research and reviews · 2023Article
- Article
- Injury characteristics and their association with clinical complications among emergency care patients in Tanzania.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2022Article
- Open tibial shaft fracture management in Argentina: an evaluation of treatment standards in diverse resource settings.OTA international : the open access journal of orthopaedic trauma · 2022Article
- Etiological spectrum and treatment outcome of wound infection in patients with open tibia and fibula fractures.American journal of translational research · 2022Article
- Locally developed external fixators as definitive treatment of open tibia diaphyseal fractures: a clinical prospective study conducted in Ivory Coast.International orthopaedics · 2022Article
- Intramedullary nailing versus external fixation for open tibia fractures in Tanzania: a cost analysis.OTA international : the open access journal of orthopaedic trauma · 2021Article
- A study protocol for a Pilot Masked, Randomized Controlled Trial Evaluating Locally-applied Gentamicin versus Saline in Open Tibia Fractures (pGO-Tibia) in Dar es Salaam, Tanzania.Pilot and feasibility studies · 2021Article
- Management of Gustilo type IIIB open tibial shaft fractures with limited resources: experience from an African trauma center.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Article
- Gastrointestinal Tract Colonization Rate of Extended-Spectrum Beta-Lactamase-Producing Gram-Negative Bacteria and Associated Factors Among Orthopaedic Patients in a Tertiary Hospital in Tanzania: Implications for Infection Prevention.Infection and drug resistance · 2021Article
- The Impact of Inadequate Soft-tissue Coverage following Severe Open Tibia Fractures in Tanzania.Plastic and reconstructive surgery. Global open · 2020Article
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Authors and funding
3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
introductionTibia/fibula fractures are one of the commonest admissions to the orthopaedic department at a resource-limited Northern Tanzanian hospital. These fractures are associated with poor prognosis and pose a huge socioeconomic burden on developing countries. However, to date there is a paucity of epidemiological data on lower-limb fractures in Tanzania.
methodsA retrospective review of admissions to the orthopaedic department at Kilimanjaro Christian Medical Centre (KCMC) was completed between February 2015 and 2016. Inpatient record books were used to source epidemiological data which was subsequently analysed.
results199 of the 1016 patients admitted sustained tibia/fibula fractures. 78% (n=156) of admissions were male and the most frequently affected age group was 21-30 years. Motor traffic accidents (MTAs) were the most common cause and accounted for 78% of fractures, with nearly half of these involving motorbikes (42%). Falls were identified as the second most common cause (13%). It was determined that 72% (n=143) of fractures were open, 19% (n=38) were comminuted and the most common site of injury was the distal-third of tibia/fibula. The most frequently recorded treatments were surgical toilet/debridement (66% of patients) and the application of a backslab (34% of patients).
conclusionMales in the 21-30 age group, who were involved in MTAs, were most commonly affected by tibia/fibula fractures. Given that MTA incidence is increasing in Tanzania, there is a growing public health concern that this will be reflected by a step-increase in the number of people who sustain lower-limb fractures.
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