COMMON TYPES AND PATTERN OF BONE FRACTURES AMONG ROAD TRAFFIC INJURY VICTIMS SEEN IN ADDIS ABABA PIBLIC HOSPITALS
Introduction: Road traffic injuries are among the leading causes of preventable death and lifelong disability globally. We also see an increasing trend in such injuries in Ethiopia.
Objective: The objective of this study was to assess common types and patterns of bone fractures and their hospital prevalence among victims with road traffic injury.
Materials: We conducted a cross sectional study of two years’ data collected retrospectively. Study sample size was 384. Data were collected by using a structured questionnaire. Bivariate analysis was conducted and P-values were computed using the Chi-square test. A P-value <0.05 was set as level of significance
Results: Out of 13,526 road traffic injury victims, 384 were included in the study. Extremities and head region were the most commonly injured areas, accounting for 45.1 % and 20.6 % respectively. Over 60% of the patients were pedestrians. The most common patterns of injuries 227 seen in (59.1%) were soft tissue injuries followed by fractures in 92 (24%) of the cases. There was statistically significant association between the age of road traffic injury and multiple site fractures (P=0.037).
Conclusion: Our study revealed that the commonly affected anatomic regions by RTI are extremities, head and chest, extremities being most affected. Besides fracture, soft tissue injuries were also common. Half of the fractured patients had an isolated/single bone fracture. Multiple regions were injured in about one fifth of the patients, indicating multidisciplinary team work is needed in hospitals handling such trauma.
Keywords: Road Traffic Injury (RTI), Fractures, Pedestrian Accidents, Polytrauma, STI