Clinical profile and patterns of extremity fractures among patients visiting orthopedics department in Tikur Anbessa specialized hospital, Ethiopia.
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Date
2018-08
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Addis Ababa Universty
Abstract
Background: Fracture is a loss in the structural continuity of bone which results from injury, repetitive stress, or abnormal weakening of the bone (a „pathological‟ fracture). Globally, injury continues to be an important cause of morbidity, disability and mortality both in the developed and developing countries. Around the world, 5.8 million people die every year, and about 16000 people die from injuries every day.
Objective: The aim of this study was to assess the clinical profile and patterns of extermity fractures among patients visiting orthopedics department in TASH, Ethiopia.
Material and Method: Institutional based retrospective cross-sectional study was carried out in TASH from April, 2018- June 2018. The sample size was 354. The study participants were extermity fracture patients who visited orthopedic department of TASH. The data was entered into Epi-Data 4.2 and then exported to SPSS 21 for analysis. Categorical data was presented in frequency table, percentage and graphs. Chi-square (χ2) test was applied to see if there was any association between the different variables.
Results: The study participant comprised of 251(73.6%) male and 90 (26.4%) female resulting in a male to female ratio of 2. 8: 1. Most of the victims, 111 (32.6%), were in between the age of 15 and 29 years. Lower extremity fracture (65.6%) was more common than upper extremity (34.7%). The femur (23.7 %) was the commonest fractured bone in the extremity across all age group. The common patterns of fractures were transverse type which accounted for (35.5 %). The leading causes of fractures were road traffic injuries (RTIs) (42.2%) followed by falling down accidents (29.6%). The Cause of fracture and number of bone fracture were found to be statistically significant association with age group at p<0.05.
Conclusion: The most common fractured bone in the extremities was femur followed by tibia and fibula together. Transverse factures followed by communited type of fractures were the commonest patterns of fracture. The leading cause of fracture was road traffic injury followed by falling down accidents.
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Keywords
Extremity, fracture, Patterns, Tikur Anbessa specialized hospital, Ethiopia