ArticleNigerian journal of surgery : official publication of the Nigerian Surgical Research Society
Incidence and Pattern of Extremity Fractures seen in Accident and Emergency Department of a Nigerian Teaching Hospital.
Article in Nigerian journal of surgery : official publication of the Nigerian Surgical Research Society. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9 citing papers in PubMed.
- Comparison of epidemiologic features between upper and lower limb injuries and risk factors for intensive care unit admission in a university hospital affiliated with the National Trauma Registry of Iran.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2024Article
- Epidemiology and Prevalence of Musculoskeletal Disabilities Following Motor Vehicle Accidents in Aljouf Region, Saudi Arabia.Medicina (Kaunas, Lithuania) · 2024Article
- Radiographic Spectrums of Adults with Traumatic Femoral Shaft Fracture in the South-West, Nigeria.Rwanda journal of medicine and health sciences · 2024Article
- Music as an Adjuvant Therapy in Postoperative Pain and Physiologic Parameters: Pre-Test, Post-Test Intervention Study.Rwanda journal of medicine and health sciences · 2023Article
- Analysis of risk factors for wound infection after extremity fracture caused by machete cut in a resource-limited setting.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2022Article
- Current pathogens infecting open fracture tibia and their antibiotic susceptibility at a tertiary care teaching hospital in South East Asia.Infection prevention in practice · 2022Article
- Analysis of machete cut fractures in Nigerian civilian trauma setting.Scientific reports · 2021Article
- Magnetic Resonance Imaging of Internal Derangements and Other Knee Pathologies in Adult Nigerians.Nigerian medical journal : journal of the Nigeria Medical AssociationArticle
- Pattern of Surgical Emergencies in Rural Southwestern Nigeria.Journal of emergencies, trauma, and shockArticle
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Abstract
backgroundExtremity fracture is an important component of musculoskeletal injury worldwide. The distributions of etiological factors and types of extremity fractures vary from and within subregions and have implications in preventive and treatment strategies. This study aimed at determining the incidence and pattern of extremity fractures seen in accident and emergency department (A and ED) of a teaching hospital in a developing country. PATIENTS AND
methodsThis was a prospective study of all patients with extremity fractures seen in A and ED of Federal Teaching Hospital Abakaliki over 12 months between February 1, 2016 and January 31, 2017.
resultsExtremity fractures necessitated visit in 251 patients with 306 fractures giving an incidence of 22.6/1000/year of A and ED attendances (39.2/1000 males and 9.2/1000 females), with age range of 2-90 years and a mean of 35.6 ± 16.7 years. Road traffic accident (RTA) (184, 73.3%), fall from height (23, 9.2%), and gunshot (13, 5.2%) were the three top causes of fractures, whereas tibia, femur, and humerus were three top bones involved. Of the 306 fractures, 270 (88%) involved the long bones, 193 (63.1%) were close, and 113 (36.9%) were open fractures. Forty-four (17.5%) of them were multiply injured patient and head injury in 32 (12.8%) the topmost associated injury. One hundred and ninety-four (77.3%) were admitted into surgical ward and 28 (11.2%) self-discharged against medical advice.
conclusionAppropriate preventive mechanisms based on the observed pattern is needed; a policy response to curb the menace of RTAs may invariably reduce the incidence of extremity fractures. Treatment strategies entail appropriate facilities and skilled workforce to deal with fractures of varying degrees of severity and complexity observed.
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