Epidemiology of femur fractures in a tertiary hospital in the South-West of Nigeria
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Abstrakt
The femur is one of the major load-bearing bones in
the lower limbs often fractured during traumatic
events such as road traffic crashes, falls from heights,
gunshot injuries, assaults, and industrial accidents.
Some other risk factors predisposing the femur to
fracture are advanced age, osteoporosis, and prior
fragility fracture.
The study was a 5-year retrospective study carried
out on orthopaedics patients who presented to the
Emergency Departments of a tertiary hospital in the
South-West of Nigeria. It aimed to determine the
incidence and pattern of femur fractures in the city.
Two hundred and sixty-nine patients with femur
fractures presented to the hospital within the study
period. The M:F ratio was 2:1. Most fractures
occurred in the 36-65 years age group. Road traffic
accidents were the commonest aetiology followed
by falls. The femoral shaft accounted for 60% of
fractures. There were more fractures in the shaft
than in any other region (P < 0.0001). Young adults
were more likely to leave the hospital against medical
advice P = 0.001).
Introducing environmental designs and road use
policies to reduce the incidence of falls and road
traffic crashes will significantly reduce the risks of
femur fractures.
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