Osinaike Omotayo Oluseyi, Adekoya Abiola Omobonike, Jaiyesimi Mobolaji Abiodun, Akinola Racheal Adeyanju, Balogun Babajide Olawale
Department of Radiology, Lagos State University Teaching Hospital, Lasuth, Ikeja, Lagos, Nigeria.
Department of Radiology, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria.
Rwanda J Med Health Sci. 2024 Jul 31;7(2):120-130. doi: 10.4314/rjmhs.v7i2.2. eCollection 2024 Jul.
Femoral shaft fracture injuries are common in our environment. The weight-bearing function of the femur makes its damage important in the young and adult population, as it leads to prolonged immobilization and hospitalization, which may result in pulmonary embolism and even death.
To determine the relationship between the mechanism of injury and the patterns of fractures on the plain radiographs of adults with femoral shaft fractures.
A cross-sectional study of 390 adults with 402 femoral shaft fractures at three tertiary hospitals' Surgical Emergency and Orthopedics units was carried out over one year using plain radiographs. The demographics, fracture etiology, fracture site, and associated injuries were evaluated. Data were analyzed using the IBM SPSS Statistics for Windows version 23.0 (IBM Corp, Armonk, NY, USA).
The mean age was 40.93 (SD=16.3) years. Road traffic accidents (82.8%) were the commonest etiology, while mid-shaft fracture (52.2%) and comminuted fractures (36.3%) were the most common fracture sites and fracture patterns, respectively. Soft tissue injuries were commonly associated.
Road traffic accident was the most common cause of femoral shaft fracture. The pattern of femoral fractures varied with age and the etiology of injury. Reducing road traffic accidents is key to decreasing femoral shaft fractures worldwide. The prompt assessment of femoral shaft fracture will enhance its effective management, reducing mortality and morbidity in affected individuals.
股骨干骨折损伤在我们所处的环境中很常见。股骨的负重功能使其损伤对年轻人和成年人来说很重要，因为这会导致长期固定和住院，可能引发肺栓塞甚至死亡。
确定成人股骨干骨折患者的损伤机制与X线平片骨折类型之间的关系。
在三家三级医院的外科急诊和骨科病房，对390例患有402个股骨干骨折的成年人进行了为期一年的横断面研究，采用X线平片。评估了人口统计学特征、骨折病因、骨折部位及相关损伤情况。使用IBM SPSS Statistics for Windows 23.0版软件（美国纽约州阿蒙克市IBM公司）对数据进行分析。
平均年龄为40.93岁（标准差=16.3）。道路交通事故（82.8%）是最常见的病因，而股骨干中段骨折（52.2%）和粉碎性骨折（36.3%）分别是最常见的骨折部位和骨折类型。软组织损伤较为常见。
道路交通事故是股骨干骨折最常见的原因。股骨骨折类型随年龄和损伤病因的不同而有所变化。减少道路交通事故是全球降低股骨干骨折发生率的关键。对股骨干骨折进行及时评估将有助于提高其有效治疗水平，降低受影响个体的死亡率和发病率。
