A 5-year retrospective analysis of the pattern of adult femoral fracture in central hospital warri delta state
The femur is the strongest and largest bone in the human body. It therefore requires high-energy trauma for it to fracture unless there is an ongoing pathology that weakens the bone. Femoral fractures are thus associated with significant pain, deformities, bleeding and varying degrees of injuries. The aim of this study is to determine the pattern of femoral fractures and the associated injuries in our region while recommending possible means of averting these injuries.
Materials and Methods:
A 5-year retrospective study was done in National Orthopedic Hospital Warri from January-December 2020. The demographic data, etiology, the part of femur affected and associated injuries were collated from the hospital records/folders. The analysis was performed using descriptive statistics in Microsoft Excel 2007.
A total of 562 cases were reviewed, 63.7% of all the patients were males and the most common etiological factor was road traffic accidents. The site of fracture varied with age and etiology with 26.5% occurring at the mid-shaft with an average age of 27.2 years and 16% occurring at the neck of femur, more in the elderly, with 55.6% following minor falls and trips. The most common associated injury was soft tissue injuries requiring secondary wound closure.
Femoral fractures are common and the pattern varies with age and the mechanism of injury. They are associated with other injuries that may be life-threatening.
- Nork SE. Fractures of the shaft of the femur. In: Rockwood CA, Green DP, Bucholz RW, editors. Rockwood and Green’s Fractures in Adults. 6 th ed. Philadelphia: Lippincott Williams and Wilkins; 2006. p. 1846-914.
- Crowthe-Radulewicz CL. Structure and function of the musculoskeletal. In: McCance KL, Huether SE, Brashers VL, Rote NS, editors. Pathophysiology: The Biological Basis for Disease in Adults and Children. 6 th ed. St. Louis, MO: Elsevier Mosby; 2010. p. 1540-67.
- Whittle AP, Wood GW 2 nd . Fractures of lower extremity. In: Canale ST, editor. Campbell’s Operative Orthopaedics. 10 th ed., Vol. 3. St. Louis: Mosby; 2003. p. 2825-72.
- Browner BD, Jupiter JB, Levine AM, Trafton PG, editors. Skeletal Trauma: Fractures, Dislocations, Ligamentous Injuries. 2 nd ed. Philadelphia: WB Saunders; 1998.
- Gosselin R, Lavaly D. Perkins traction for adult femoral shaft fractures: A report on 53 patients in Sierra Leone. Int Orthop 2007;31:697-702.
- Solagberu BA. Trauma practice in Nigeria. Niger J Orthop Trauma 2011;10:7-12.
- Ayorinde RO. Short research reports the aetiology and agents of pre-hospital transportation of patients with femoral shaft fractures. 77-84. Available from: http://www.unisa.ac.za/contents/faculties/humanities/sosw/docs/ASPJ-2009/ASPJ2009-7-1-05-The-Aetiology-and-agents-of-pre-hospital.pdf. [Last accessed on 2014 Jul 20].
- Salminen ST, Pihlajamäki HK, Avikainen VJ, Böstman OM. Population based epidemiologic and morphologic study of femoral shaft fractures. Clin Orthop Relat Res 2000;241-9.
- Bengnér U, Ekbom T, Johnell O, Nilsson BE. Incidence of femoral and tibial shaft fractures. Epidemiology 1950-1983 in Malmö, Sweden. Acta Orthop Scand 1990;61:251-4.
- Jacobsen SJ, Goldberg J, Miles TP, Brody JA, Stiers W, Rimm AA. Hip fracture incidence among the old and very old: A population-based study of 745,435 cases.
- Cummings SR, Black DM, Rubin SM. Lifetime risks of hip, Colles’, or vertebral fracture and coronary heart disease among white postmenopausal women. Arch Intern Med 1989;149:2445-8.
- Böstman O, Varjonen L, Vainionpää S, Majola A, Rokkanen P. Incidence of local complications after intramedullary nailing and after plate fixation of femoral shaft fractures. J Trauma 1989;29:639-45.
- Enweluzo GO, Giwa SO, Obalum DC. Pattern of extremity injuries in polytrauma in Lagos, Nigeria. Niger Postgrad Med J 2008;15:6-9.
- Enninghorst N, McDougall D, Evans JA, Sisak K, Balogh ZJ. Population-based epidemiology of femur shaft fractures. J Trauma Acute Care Surg 2013;74:1516-20.
- Katchy AU, Agu TC, Nwankwo OE. Femoral shaft fractures in a regional setting. Niger J Med 2000;9:138-40.
- Oginni LM, Matthew R, Thomas F, Adigun A. Femoral shaft fractures in Ilesha. Niger Med J 1993;24:62-4.