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. 2016 Sep 29:25:51.
doi: 10.11604/pamj.2016.25.51.10612. eCollection 2016.

The epidemiology and management of tibia and fibula fractures at Kilimanjaro Christian Medical Centre (KCMC) in Northern Tanzania

Samuel John Clelland  1 , Priyesh Chauhan  1 , Faiton Ndesanjo Mandari  2
Affiliations

The epidemiology and management of tibia and fibula fractures at Kilimanjaro Christian Medical Centre (KCMC) in Northern Tanzania

Samuel John Clelland et al. Pan Afr Med J. .

Abstract

Introduction: Tibia/fibula fractures are one of the commonest admissions to the orthopaedic department at a resource-limited Northern Tanzanian hospital. These fractures are associated with poor prognosis and pose a huge socioeconomic burden on developing countries. However, to date there is a paucity of epidemiological data on lower-limb fractures in Tanzania.

Methods: A retrospective review of admissions to the orthopaedic department at Kilimanjaro Christian Medical Centre (KCMC) was completed between February 2015 and 2016. Inpatient record books were used to source epidemiological data which was subsequently analysed.

Results: 199 of the 1016 patients admitted sustained tibia/fibula fractures. 78% (n=156) of admissions were male and the most frequently affected age group was 21-30 years. Motor traffic accidents (MTAs) were the most common cause and accounted for 78% of fractures, with nearly half of these involving motorbikes (42%). Falls were identified as the second most common cause (13%). It was determined that 72% (n=143) of fractures were open, 19% (n=38) were comminuted and the most common site of injury was the distal-third of tibia/fibula. The most frequently recorded treatments were surgical toilet/debridement (66% of patients) and the application of a backslab (34% of patients).

Conclusion: Males in the 21-30 age group, who were involved in MTAs, were most commonly affected by tibia/fibula fractures. Given that MTA incidence is increasing in Tanzania, there is a growing public health concern that this will be reflected by a step-increase in the number of people who sustain lower-limb fractures.

Keywords: Epidemiology; Tanzania; fibula; fractures; orthopaedics; tibia.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Figure 1
Figure 1
Fracture aetiology by age
Figure 2
Figure 2
Fracture aetiology by gender
Figure 3
Figure 3
Fracture pattern by age
Figure 4
Figure 4
Fracture pattern by gender
See this image and copyright information in PMC

References

    1. Chalya PL, Mabula JB, Dass RM, Mbelenge N, Ngayomela IH, Chandika AB, Gilyoma JM. Injury characteristics and outcome of road traffic crash victims at Bugando Medical Centre in Northwestern Tanzania. Journal Of Trauma Management and Outcomes. 2012;6(1):1. - PMC - PubMed
    1. Kilimanjaro Christian Medical Centre (KCMC) website. 2016 http://www.kcmc.ac.tz/. Accessed 28th July 2016.
    1. Court-Brown CM, Bugler KE, Clement ND, Duckworth AD, McQueen MM. The Epidemiology Of Open Fractures In Adults: A 15-Year Review. Injury. 2012;43(6):891–897. - PubMed
    1. Hollis AC, Ebbs SR, Mandari FN. The Epidemiology And Treatment Of Femur Fractures At A Northern Tanzanian Referral Centre. Pan African Medical Journal. 2015;22:1. - PMC - PubMed
    1. Museru LM, Mcharo CN, Leshabari MT. Road traffic accidents in Tanzania: a ten year epidemiological appraisal. East and Central African Journal of Surgery. 2002;7(1):23–26.

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