Title: Epidemiological Analysis of Femoral Fractures in Kashmiri Children

Authors: Mehmood Ul Hassan Mufti, Sheikh Ajaz, Raja Rameez Farooqi, Muhammad Ashraf Khan, Hilal Ah Kotwal

 DOI:  http://dx.doi.org/10.18535/jmscr/v4i9.74

Abstract

Background: This study looks at the epidemiology of femoral fractures in children in Kashmir region who were treated at our tertiary care institute, the hospital for Bone and Joint Surgery Srinagar for two years.

Method: In this retrospective study over a two-year period we studied 332children with femoral fractures who were treated at Bone and Joint Surgery Hospital Srinagar, Kashmir. Each case was studied with respect to age, sex, trauma side, fracture type, associated injuries and the mechanism leading to trauma.

Results: Annual incidence of elbow fractures was 166. Among all fractures analyzed during this interval of time, femoral fractures accounted for of all fractures, with forearm fractures (35.53%) and elbow fractures (32%). Rest of the fractures (8%) constituted fractures of leg bone, clavicle, proximal humerus and others. Average age was 2½ years. Most of the children were of age group 1 to 7 years. Among all femoral fractures males constituted 68% of all fractures and female children were 32% with male to female ratio of 2.16:1. Femoral shaft fractures constituted 58% of all fractures. Most common mechanism of trauma was due to fall from height (49%). Most of the associated injuries were fractures of the distal forearm (14%) fractureclavicle (5%), proximal humerus (4%), hand (3%) and scapula(2%)

Keywords: Femur, Children, Fracture, Kashmir, Injury, Retrospective. 

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Corresponding Author

Mehmood Ul Hassan Mufti

Resident, Dept. of Orthopaedics, Govt. Medical College, Srinagar

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