Prevalence, Associated factors and Management modalities of extremity fracture in Tikur Anbessa and Addis Ababa Burn Emergency and Trauma hospitals, Ethiopia.
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Date
2025
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Addis Ababa Uinverstiy
Abstract
Introduction: Extremity fractures are a significant public health concern globally due to rising road traffic accidents, falls, and occupational injuries. In Africa, the burden is increasing with rapid urbanization, poor road safety regulation, and limited trauma care systems. In Ethiopia, extremity fractures represent a major proportion of orthopedic admissions, contributing to prolonged disability, loss of productivity, and economic burden for patients and families. Effective management of these fractures is crucial for improving patient outcomes and reducing complications such as nonunion, malunion, and infections. This study will provide crucial insights for healthcare providers, policymakers, and researchers to improve extremity fracture management in Ethiopia. This research will provide valuable data for orthopedic surgeons and hospital administrators to improve clinical decision-making and resource allocation for extremity fracture care.
Objectives: To assess the prevalence, associated factors, and management outcomes of extremity fractures among trauma patients presenting to TASH and AaBETH in Addis Ababa, Ethiopia.
Methodology: A retrospective cross-sectional study was conducted by reviewing medical records of patients admitted with extremity fractures. Participants were all patients who have visited a hospital for treatment of extremity fractures over the past 4 year (2020-2024). Data Collection was carried out through Structured checklist from hospital records, including demographic data, fracture characteristics, causes of fractures, and treatment outcomes. Data Analysis will be carried out by SPSS Version 27.
Result: total sample size was 381 and only 378 MRN has full data that is fit for analysis. The prevalence of extremity fractures among trauma patients was 50.1%. Lower limb fractures were more common (68.5%) than upper limb fractures (31.5%), with the femur being the most frequently affected bone (33.6%). Males (72.5%) and individuals aged 20–39 years were the most affected groups. Road traffic injury were the leading causes of fractures. urban residence, construction work, and involvement in car or motorcycle accidents were significantly associated with upper limb fractures.
Conclusion: In the two major tertiary referral hospitals assessed in Addis Ababa, extremity fractures represented a substantial proportion of trauma admissions, accounting for almost half of all trauma cases. The most affected are young adult males. Road traffic accidents remain the principal causes.
Recommendation: Strengthen road safety measures to reduce accident-related fractures and further prospective studies are needed to explore long-term disability and quality of life after extremity fractures.
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Keywords
Extremity fractures, Prevalence, Associated factors, Management outcomes, Road traffic injury, Ethiopia.