Department of Orthopedics, National Trauma Center, Kathmandu, Nepal.
Department of Orthopedics, National Trauma Center, Mahankal Marg, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2023 Nov 1;61(267):856-860. doi: 10.31729/jnma.8325.
Orthopedic fractures caused by chronic metabolic bone disease, overuse, or road traffic accidents are among the most significant burdens on society. Furthermore, a growing number of people undergoing arthroplasty and an increase in life expectancy seem to contribute to an increase in orthopaedic fractures. However, research on orthopaedic fracture prevalence or types has been scarce in low- and middle-income countries, including Nepal. The objective of this study was to find out the prevalence of orthopaedic fractures among patients attending a tertiary care centre.
A descriptive cross-sectional study among patients attending a tertiary care centre was conducted between 19 May and 18 November 2023 during which date from 1 January to 30 December 2021 were collected from the hospital records. Ethical approval was obtained from the Institutional Review Committee. A convenience sampling method was used. Point estimate was calculated at a 95% Confidence Interval.
Among 7609 people, 2518 (33.09%) (12.97-10.55, 95% Confidence Interval) had orthopaedic fractures. A total of 1925 (76.45%) were males. There were 339 (95.49%) fractures associated with two-wheelers and 307 (86.48%) with four-wheelers. There were 1387 (55.08%) soft tissue injuries, 198 (7.86%) skull injuries, and 116 (4.61%) facial injuries. Additionally, there were 73 (2.90%) fractures of the femur, 71 (2.82%) fractures of the phalanx, and 70 (2.78%) fractures of the clavicle.
The prevalence of orthopaedic fractures was found to be higher than in other studies done in similar settings.
bone fracture; orthopedics; prevalence; tertiary care centre.
由慢性代谢性骨病、过度使用或道路交通碰撞引起的骨科骨折是对社会造成的最大负担之一。此外，接受关节置换术的人数不断增加和预期寿命的延长似乎导致骨科骨折的增加。然而，包括尼泊尔在内的低收入和中等收入国家对骨科骨折的患病率或类型的研究很少。本研究旨在了解在一家三级保健中心就诊的患者中骨科骨折的患病率。
对 2023 年 5 月 19 日至 11 月 18 日期间在一家三级保健中心就诊的患者进行了描述性横断面研究，同时收集了 2021 年 1 月 1 日至 12 月 30 日期间的医院记录。该研究获得了机构审查委员会的批准。采用便利抽样法。点估计值是在 95%置信区间计算的。
在 7609 人中，有 2518 人（33.09%）（12.97-10.55，95%置信区间）患有骨科骨折。男性共计 1925 人（76.45%）。与两轮车相关的骨折有 339 例（95.49%），与四轮车相关的骨折有 307 例（86.48%）。有 1387 例（55.08%）软组织损伤，198 例（7.86%）颅骨损伤和 116 例（4.61%）面部损伤。此外，有 73 例（2.90%）股骨骨折，71 例（2.82%）指骨骨折和 70 例（2.78%）锁骨骨折。
骨科骨折的患病率高于在类似环境中进行的其他研究。
骨折，骨科，患病率，三级保健中心。
