Epidemiology of tibial shaft fractures

Abstract

In this work an epidemiological analysis on tibial shaft fractures was performed. During four years, our service treated 179 fractures, 132 in male, 47 in female, aged 14 to 83 years. The 21 to 30-year-old patiens were the more injured. Of these, 120 were open and 59 close fractures of which prevailing cause was road traffic accident. The study based on patients promptuaries analyses and radiographs. The fractures occurred 97 times in the middle third (54.18%); 102 times (56.98%) presented simple fragments, and 57 (31.38%) oblique lines. We treated close and open fractures, respectively, 48 and 38 cases with plaster cast immobilization; 3 and 67 with external fixation after plaster cast immobilization; 5 and 12 with osteosynthesis by means of plate and screws, and 2 and 3 with external fixation only. In both close and open fractures, respectively, 7 and 20 cases of pseudarthrosis and 1 and 11 of infections have occurred. With the data obtained we verified an actual validity of the epidemiological studies as a contribution for better identifying lesions features and their treatment and complications. This allows proceedings and apprenticeship refinement.

Analysis of the Epidemiological Profile of Patients Treated in the Orthopedic Ward of a Referral Hospital for Trauma Care in Belém, Pará – Brazil

“…In relation to gender, there was an agreement with other studies [8,9] in which males represented 79% of the cases. Such results are similar to several other studies [7,9,10] since males tend to show risky behavior, potentially causing accidents. This predominance of males tends to disappear with age, actually, there is a reversal of this predominance to females in old age [6].…”

Locking Intramedullary Nail Versus Plate and Screws for Fixation in Tibial Diaphyseal Fracture

“…Mechanism of injury: in our study, the main mechanism of injury was road traffic accident(64.9%), followed by fall from height (32.4%) and others (2.7 %), this is comparable with the epidemiological studies done by (C.M. Court-Brown et.al 1995) 6 and (Marco Aurelio Sertorio Grecco et al 2002) 7 . Side of fractures: our study shows that right side fractures more common in 42 patients 56.8%, while 32 patients 43.2% had left side fractures, and this is comparable with the study done by (Huang P et al 2008) 5 , (Marco Aurelio Sertorio Grecco et al 2002) 7 .…”

“…Most of our patients have comminuted and oblique fracture in (81%), while transverse fracture found in (13.6%), spiral in (2.7%) and segmental in (2.7%). 6 and the study published by (Marco Aurelio Sertorio Grecco et al 2002) 7 . No significant differences were observed in our study between patients operated with intramedullary nail and those operated with plate & screw regarding age and gender (p>0.05), and our study shows that fracture shaft tibia is more common in young age males.…”

Tibial Shaft Fractures; Epidemiology, a 5-Year Study in Ghurki Trust Teaching Hospital, Pakistan.

“…10 17 In our study close fractures were most commonly found. Among close fractures AO Type A2 taken the lead from others.…”