Incidence of Tibial Diaphyseal Fractures Among Patients Presenting With Motorcycle Accidents

Abstract

Background: To determine the frequency of tibial diaphyseal fractures among patients presenting with motorcycle accidents. It was a cross-Sectional Study, conducted at Department of Orthopaedic Surgery, Jinnah Postgraduate Medical Centre (JPMC), Karachi between May to December, 2020. Methods: All patients irrespective of gender, between ages 18–60 years who suffered from a motorcycle injury with a single bone involvement were eligible for the study. All patients who refused to take part in the study, had head injury, or had multiple fractures were excluded from the study. The data included patient's age, sex, associated bones involved and types of injury. The fractures were classified according to whether it was open or closed. Results: A total of 174 patients were included in the study with a mean±SD age of 43.7±12.4. Tibial diaphyseal fracture was found to be in 111 (63.8%) patients as shown. Duration of fracture, gender, side of fracture, type of fracture was done with respect to Tibial diaphyseal fracture among patients. Insignificant difference was noted in age group (p=0.346), duration of fracture (p=0.087), gender (p=0.672), and type of fracture (p=0.063) whereas significant difference was found in side of fracture (p=0.0001). Conclusion: We highlighted the importance of tibial diaphyseal fractures in middle aged men who use motorcycles as a means of transport in Karachi, Sindh which is a frequent finding among these patients. Efforts should be made at both the community and government levels to increase awareness regarding traffic rules and consequences of reckless driving.

Treatment of Open Femur Fracture of the Gunshot Injuries by Interlocking Nail in Aden, Yemen

“…Dealing with nonunion and malunion is challenging in femur fracture, and proper and Volume 8; Issue: 2; April-June 2023 systematic follow-up is a key to deal with any delay union [14]. Report from Pakistan revealed that 4 patients (5.88%) got non-union [6] and our findings were less than that. Ferracini et al [28] from Brazil reported in their study that union failure was found in one patient (2.7%) treated with IM nail.…”

“…The unsatisfactory outcome of treatment procedure of femur open fractures in our study were shortening in (1.6%) patient, malunion in (1.6%) patient, non-union in (3.2%) patients and stiffness found in (1.6%) patient. Ali et al [6] mentioned in their study in Pakistan that 2 patients (2.94%) developed limb shortening of 2 cm. Dealing with nonunion and malunion is challenging in femur fracture, and proper and Volume 8; Issue: 2; April-June 2023 systematic follow-up is a key to deal with any delay union [14].…”

“…Fractures caused by gunshots are becoming increasingly common in urban hospitals and trauma centers [5]. When the long bones are involved, the injury results in comminuted open fractures, which pose a challenging problem to orthopedic surgeons [6]. Gunshot wounds remain a major clinical problem with bone or joint injuries comprising a major portion of gunshot wound injuries and it is paramount for orthopedic surgeons to be thorough in the treatment of patients with these injuries [7].…”

Multiple Fractures and Traffic Accidents

“…Traffic accidents with motorized vehicles are the primary etiology, resulting in death in adolescents and young adults globally (Bezabih et al, 2022). Vehicles such as motorbikes are commonly used to facilitate public transportation, especially for going to work in densely populated areas (Ali et al, 2022).…”