ArticleOTA international : the open access journal of orthopaedic trauma2019
A multicenter observational study on the distribution of orthopaedic fracture types across 17 low- and middle-income countries.
Article in OTA international : the open access journal of orthopaedic trauma, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 22 citations in OpenAlex.
- Are ipsilateral proximal femur and pubic rami fractures mutually exclusive in acute trauma?Skeletal radiology · 2026Article
- Geotemporal disparities in hip fractures burden among individuals aged ≥55 years (1990-2021) with projections to 2050.Frontiers in public health · 2025Article
- Enhanced multi-class object detector for bone fracture diagnosis with prescription recommendation.Frontiers in artificial intelligence · 2025Article
- [How does trauma secondary to unexpected extreme weather affect orthopaedic surgery departments? : An epidemiological study on the Filomena snowstorm].Orthopadie (Heidelberg, Germany) · 2024Article
- Epidemiology of orthopedic injuries among inpatients admitted at a tertiary teaching and referral hospital in Kenya: a retrospective cross-sectional study.BMC musculoskeletal disorders · 2024Article
- How does trauma secondary to unexpected extreme weather affect orthopaedic surgery departments? An epidemiological study on the Filomena snowstorm.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Patterns of orthopedic and trauma admissions to a tertiary teaching and referral health facility in Kenya: Chart review.PLOS global public health · 2023Article
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5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo describe the regional distribution of fractures sustained by women and health care system characteristics across 17 low- and middle-income countries (LMICs).
methodsThe INternational ORthopaedic MUlticentre Study in fracture care (INORMUS) is an observational study collecting data on patients in LMICs who sustained a fracture or musculoskeletal injury. As a planned analysis for the INORMUS study, we explored differences in fracture locations and demographics reported among 9878 female patients who sustained a fracture within 17 LMICs in 5 regions (China, Africa, India, Other Asia, and Latin America).
resultsHalf of our study population (49.6%) was ≥60 years of age. Across all regions, 58.3% of patients possessed health insurance. Latin America possessed the highest proportion (88.8%) of health insurance, while in Africa, patients possessed the lowest (18.0%). Falls from standing were the most prevalent mechanism of injury (51.7%) followed by falls from height (12.8%) and motorcycle-related road traffic injuries (9.7%). The majority of the fractures (65.6%) occurred in patients aged 50 and older. Hip fractures were the most common fracture (26.8%), followed by tibia/fibula (12.6%) and spine fractures (9.7%). Open fractures accounted for 7.6% of fractures and were most commonly tibia/fibula fractures (35.1%). Despite these severe injuries, less than one-third (28.8%) of patients were transported for care after sustaining a fracture by ambulance. Regionally, a majority of female patients in Africa were working age and suffered tibia/fibula (21.6%) and femur fractures (14.0%). Patients in the regional category Other Asia, suffered the highest frequencies of open fractures (9.6% low grade, 7.1% high grade), and disproportionately from motorcycle road traffic injuries (29.9%).
conclusionAcross all regions, the most significant source of fracture burden was in the elderly, and included common fragility fractures, such as hip fractures. Notable regional deviations in fracture distributions were observed within Africa, and Other Asia. Across all studied LMICs, ambulance usage was low, and health insurance coverage was particularly low in Africa and India.
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