ArticleAnnals of medicine and surgery (2012)2025
Epidemiological, radiological, therapeutic, and evolutionary aspects of distal radius fractures in adults in South Kivu: a multicenter cross-sectional study.
Article in Annals of medicine and surgery (2012), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Distal radius fractures, common upper limb injuries, lack of multicenter data from sub-Saharan Africa. This study profiles their epidemiology and management in Bukavu, South Kivu, DR Congo. Methods: We conducted a retrospective cross-sectional analysis of 192 adults with distal radius fractures across 16 hospitals (2018-2023), reviewing medical records for epidemiological, clinical, therapeutic, and outcome data. Results: Mean age was 40.46 ± 16.16 years (range: 17-90), with male predominance (60%) and urban origin (82.3%). Traffic accidents caused 44.8% of fractures, primarily hyper-extension compression injuries (88.3%). Castaing type I (Pouteau-Colles fracture) prevailed (70.3%), treated mostly with intrafocal pinning (60.9%), with a mean hospital stay of 4.49 ± 4.37 days and fracture union achieved in an average of 47.56 ± 6.75 days. Complications were rare (e.g. five cases of malunions). Conclusion: This first multicenter DR Congo study links distal radius fractures to traffic trauma, suggesting stricter regulations could reduce incidence in resource-limited settings.
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