INCIDENCE OF TIBIAL DIAPHYSEAL FRACTURES AMONG PATIENTS PRESENTING WITH MOTORCYCLE ACCIDENTS

Authors

  • Pervez Ali jpmc
  • Mian Sajjad
  • Kashif Mehmood Khan
  • Riaz Khoso
  • Ejaz Matlo
  • Kashif Murtaza
  • Dost Muhammad
  • Abdul Rasheed
  • Zain Zafar
  • Nasir Somroo

DOI:

https://doi.org/10.55519/JAMC-04-S4-10062

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.

References

Dewan MC, Rattani A, Gupta S, Baticulon RE, Hung YC, Punchak M, et al. Estimating the global incidence of traumatic brain injury. J Neurosurg 2018;130(4):1080–97.

Gururaj G. Road traffic deaths, injuries and disabilities in India: current scenario. Natl Med J India 2008;21(1):14–20.

Khan MA, Grivna M, Nauman J, Soteriades ES, Cevik AA, Hashim MJ, et al. Global incidence and mortality patterns of pedestrian road traffic injuries by sociodemographic index, with forecasting: findings from the Global Burden of Diseases, Injuries, and Risk Factors 2017 Study. Int J Environ Res Public Health 2020;17(6):2135.

World Bank. The high toll of traffic injuries: Unacceptable and preventable. 2017.

Seid M, Azazh A, Enquselassie F, Yisma E. Injury characteristics and outcome of road traffic accident among victims at Adult Emergency Department of TikurAnbessa specialized hospital, Addis Ababa, Ethiopia: a prospective hospital based study. BMC Emerg Med 2015;15(1):1–9.

Gbadamosi KT. The emergence of motorcycle in urban transportation in Nigeria and its implication on traffic safety. Assoc Eur Transp Contrib 2006;5(8):241–53.

Chandran A, Sousa TR, Guo Y, Bishai D, Pechansky F. The Vida No Transito Evaluation Team. Road traffic deaths in Brazil: rising trends in pedestrian and motorcycle occupant deaths. Traffic Inj Prev 2012;13(Suppl 1):11–6.

Bazargan-Hejazi S, Ahmadi A, Shirazi S, Ainy E, Djalalinia S, Fereshtehnejad SM, et al. The burden of road traffic injuries in Iran and 15 surrounding countries: 1990-2016. Arch Iran Med 2018;21(12):556–65.

Iqbal S, Salman HS, Aslam B, Fayyaz I. Tibial diaphyseal fractures; evaluation of management treated by pop cast versus intramedullary nailing in terms of time of union. Prof Med J 2017;24(9):1336–41.

Siddique A, Pirwani MA, Lal K, Rehman A. Reamed versus unreamed interlocking nailing for fracture shaft of tibia. Pak J Surg 2009;25:53–7.

Ahmed A, Humail PA, Qureshi MA. Results of interlocking nails in tibial diaphyseal fractures. J Pak Orthop Assoc 2009;21(2):36–44.

Amin MQ, Ahmed A, Imran M, Ahmed N, Javed S, Aziz A. Tibial shaft fractures; epidemiology, a 5-year study in ghurki trust teaching hospital, Pakistan. Prof Med J 2017;24(1):75–81.

Agarwal A. Unreamed interlocking nailing in open fractures of tibia. J Orthop Surg 2005;13(2):214–5.

Tekin AÇ, Saygılı MS, Adaş M, Çabuk H, Arslan SM, Dedeoğlu SS. Outcome of type 3 open tibial diaphyseal fractures managed with a limb reconstruction system: analysis of a 49-patient cohort. Med Princ Pract 2016;25(3):270–5.

Djahangiri A, Garofalo R, Chevalley F, Leyvraz PF, Wettstein M, Borens O, et al. Closed and open Grade I and II Tibial shaft fractures treated by reamed intramedullary nailing. Med Princ Pract 2006;15(4):293–8.

Sikorski JM, Barrington R. Internal fixation versus hemiarthroplasty for the displaced subcapital fracture of the femur. A prospective randomised study. J Bone Joint Surg 1981;63-B(3):357–61.

Whelan DB, Bhandari M, McKee MD, Guyatt GH, Kreder HJ, Stephen D, et al. Interobserver and intraobserver variation in the assessment of the healing of tibial fractures after intramedullary fixation. J Bone Joint Surg 2002;84(1):15–8.

Downloads

Published

2022-10-11

Issue

Vol. 34 No. 4(SUPPL 1) (2022): JOURNAL OF AYUB MEDICAL COLLEGE ABBOTTABAD

Section

ORIGINAL ARTICLE

License

Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License  CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.

USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.

AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.