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

Abstract

ORIGINAL PROF-3499 ABSTRACT… Background: Tibia is the most commonly fractured bone because of its structure and position. Tibial fractures are increasing with time to time and hence the morbidity and mortality are increasing despite proper public health efforts. There is a lack of national epidemiological data on the characteristics of patients with tibial shaft fractures. Therefore, epidemiological assessment is crucial for fracture. The purpose of this study was to provide upto-date information about patients baseline demographics, distribution of fracture classification, trauma mechanism and to formulate the preventive measures. Study Design: Retrospective study. Setting: Emergency or OPD at Orthopaedics and Spine Centre, Ghurki Trust Teaching Hospital, Lahore. Period: 1 st January 2011 to 31 st December 2015. Material and methods: Any type of diaphyseal tibial fracture. The data were taken from hospital database and include clinical, epidemiological and radiological records. The results were analyzed using SPSS 20. Results: A total of 2120 patients were included in the study. 1980(93.4%) were male and 140 (6.6%) were females. Male to females ratio were 14.14:1 with mean age of 33.28 ± 21.02. Between 0-20 years, 519(24.5%) of patients were admitted, 1021(48.2%) of patients were between 21-40 years, 467(22.0%) were between 41-60 years and only 113(5.33%) were above 60 years. Type A2 in 444(20.9%) were the most common pattern of fracture found. The traumas were most common in months of May, June and July and Motorbike accidents were the main cause. The mid shaft of tibia is the most commonly fractured i-e 1038 (49.0%) followed by distal part i-e 611(28.8%) and the least is the proximal i-e 471(22.22%). Conclusion: This study shows AO-type 4A2 was the most common fracture type, representing 20.9% of all tibial shaft fractures. The individuals between 21-40 years were mostly affected and the motorbike accidents were found the main cause for such traumas.

Epidemiological Profile of Patients Presenting with Tibia Fractures in a Tertiary Care Center: A Descriptive Cross-Sectional Study

“…The findings were similar to what was reported in Aman et al study, in which the majority were motorbike accidents with a prevalence of around 67%. 10 However, the prevalence of RTA pedestrians was around 8%. 10 The higher prevalence of RTA pedestrians in our study could be due to various reasons, including suboptimal road conditions, lack of footpaths, road rage, and negligence of traffic safety rules and regulations.…”

“…10 However, the prevalence of RTA pedestrians was around 8%. 10 The higher prevalence of RTA pedestrians in our study could be due to various reasons, including suboptimal road conditions, lack of footpaths, road rage, and negligence of traffic safety rules and regulations. [14][15][16][17] This study identified that the prevalence of left-sided tibia fractures was slightly higher than right-sided tibia fractures (52.39% vs. 44.84%).…”

“…[10][11][12] Amin et al conducted an epidemiological study in Pakistan including 2120 patients with tibia fractures and found that the mean age of the patients was 33.28±21.02 years, and around 48% were between 20 to 40 years, 94% were males, and 68% had RTA. 10 Similarly, Madadi et al conducted a study in Iran providing the 7-year epidemiological update on 854 patients with tibia shaft fractures and observed that the mean age of the patients was 35±16 years, around 90% were males and 61% had RTA. 11 This suggests that these fractures occur commonly in the productive age group population with male pre-dominance following RTA.…”

“…The frequency of patients with the following events was recorded: Motorbike accidents (rider and pillion passengers), Car or heavy vehicle accidents (driver and pillion passengers), and RTA pedestrians. 10 Continuous data were reported as mean ± standard deviation and categorical data were reported as frequency number (percentage). The data analysis was done using Microsoft Excel 2010 and Statistical Package for Social Science (SPSS) software version 24.…”

The Effect of Isometric Exercise Plantar Flexor on Osteoblast Activity Measured by Bone Specific Alkaline Phosphatase and Callus Formation in a Patient Post Open Reduction Internal Fixation with Non-articular Tibia Fracture

“…The increased number of tibial fractures over time results in increased morbidity and disability rates. Fracture is one of the problems that humans are faced with in a risky life because of the development of the industrialisation of society, the increasing number of vehicles, and increased activity [1]. The incidence of tibial fracture is recorded at 16.9/100,000 per year [2].…”