Ghouri, S.I.; Asim, M.; Mustafa, F.; Kanbar, A.; Ellabib, M.; Al Jogol, H.; Muneer, M.; Abdurraheim, N.; Goel, A.P.; Abdelrahman, H.; Al-Thani, H.; El-Menyar, A. Patterns, Management, and Outcome of Traumatic Femur Fracture: Exploring the Experience of the Only Level 1 Trauma Center in Qatar. Int. J. Environ. Res. Public Health2021, 18, 5916.
Ghouri, S.I.; Asim, M.; Mustafa, F.; Kanbar, A.; Ellabib, M.; Al Jogol, H.; Muneer, M.; Abdurraheim, N.; Goel, A.P.; Abdelrahman, H.; Al-Thani, H.; El-Menyar, A. Patterns, Management, and Outcome of Traumatic Femur Fracture: Exploring the Experience of the Only Level 1 Trauma Center in Qatar. Int. J. Environ. Res. Public Health 2021, 18, 5916.
Ghouri, S.I.; Asim, M.; Mustafa, F.; Kanbar, A.; Ellabib, M.; Al Jogol, H.; Muneer, M.; Abdurraheim, N.; Goel, A.P.; Abdelrahman, H.; Al-Thani, H.; El-Menyar, A. Patterns, Management, and Outcome of Traumatic Femur Fracture: Exploring the Experience of the Only Level 1 Trauma Center in Qatar. Int. J. Environ. Res. Public Health2021, 18, 5916.
Ghouri, S.I.; Asim, M.; Mustafa, F.; Kanbar, A.; Ellabib, M.; Al Jogol, H.; Muneer, M.; Abdurraheim, N.; Goel, A.P.; Abdelrahman, H.; Al-Thani, H.; El-Menyar, A. Patterns, Management, and Outcome of Traumatic Femur Fracture: Exploring the Experience of the Only Level 1 Trauma Center in Qatar. Int. J. Environ. Res. Public Health 2021, 18, 5916.
Abstract
Background: We aimed to describe the patterns, management, and outcome of traumatic femoral shaft fractures. Methods: An observational descriptive retrospective study was conducted for all trauma patients admitted with femoral shaft fractures between January 2012 and December 2015 at the only level 1 trauma center and tertiary hospital in the country. Data were analyzed and compared according to the time to intramedullary nailing, mechanisms of injury and age groups. Main outcomes included in-hospital complications and mortality Results: A total of 605 cases were analyzed, with mean age of 30.7±16.2 years. The majority of fractures were unilateral (96.7%) and 91% were closed fractures. Three-fourth of fractures were treated by reamed intramedullary nailing (rIMN); antegrade in 80%. The pyriform fossa nails were used in 71.6% while trochanteric entry nails were used in 28.4%. Forty-five (8.9%) of fractures were treated with external fixator, 37 (6.1%) had conservative management. Traffic-related injuries occurred more in patients aged 14-30 years whereas; injuries related to fall were significantly higher in patients aged 31-59 years. Thirty-one patients (7.8%) had rIMN < 6 h post-injury, 106 (25.5%) had rIMN < 6-12 h and 267 (66.8%) had rIMN > 12 h. The implant type, duration of surgery, DVT prophylaxis, in-hospital complications and mortality were comparable among the three treatment groups. Conclusion: In our center, the frequency of femoral fracture is 11% which mainly affects severely injured young males due to traffic-related collisions or falls. Further multicenter studies are needed to reach a consensus for the appropriate management based on the location and timing of injury
Keywords
femur fracture; orthopedic; trauma; management and outcome; Qatar
Subject
Medicine and Pharmacology, Immunology and Allergy
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
