Frequency of Ipsilateral Neck and Shaft of Femur Fracture at Tertiary Care Hospital
DOI:
https://doi.org/10.52206/jsmc.2024.14.3.894Abstract
Background: The ipsilateral femoral neck and shaft had a high rate of miss-diagnosing. The incidence of femoral neck and shaft fracture in adult is 10 times higher than the children and adolescent. Femoral neck fracture is a public health problem; the incidence of femoral neck fracture is increasing due to increase in road traffic accident. These fractures are often caused by high-energy trauma such as roadside accidents, falls from height, and sports injuries.
Objectives: The study aims to find out the incidence of ipsilateral femoral neck in femur shaft fracture in a tertiary care hospital.
Materials and Methods: This is a cross-sectional study conducted at Department of Orthopedic and Trauma Center Saidu Group of Teaching Hospital Swat-The study included 227 patients presented to trauma and emergency unit at Saidu group of teaching Hospital Swat (SGTH) with shaft of femur fracture between January 15, 2023 to January 14, 2024 (One-year duration).
Results: Out of the 227 subjects with a shaft of femur fracture, 160 presented with this fracture due to road traffic accidents, 51 after a history of falls, and 16 subjects due to other trauma. Among the total patients, 28 (12.30%) had an additional ipsilateral neck of femur (NOF) fracture, including 19 males and 9 females. Out of these 28 patients, 21 were associated with road traffic accidents, 5 with a history of falls, and the remaining 2 with other traumas. The occurrence of concurrent shaft of femur and NOF fractures was most common in the age group of 10-30 years.
Conclusion: With around 12.30% of cases showing this dual injury, using advanced imaging like CT scans or MRI alongside thorough clinical assessment is crucial to avoid missed diagnoses and complications. By doing so, clinicians can improve diagnostic accuracy, ensure timely treatment, and enhance patient care.
Keywords: Fracture, Femur bone, History of Fall, Incidence, Neck of femur, Road Traffic Accident, Shaft of femur, Trauma.
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