Demographic and Clinical Profile of Adult Patients with Closed Diaphyseal Femoral Fracture

Abstract

Background: Diaphyseal femur fractures are typically caused by high-speed trauma. Treating these adult fractures involves options such as traction, bracing, plating, intramedullary nails, external fixation, and interlocking nails. Understanding patient demographics and clinical conditions is essential for effective fracture management. Aim of the Study: This study aimed to create a clinical profile of adult patients with closed diaphyseal femoral fractures. Methods: This quasi-experimental study was conducted at the Dhaka Medical College Hospital, Dhaka, Bangladesh from July 2017 to June 2019. The study focused on 38 adult patients who had suffered closed femur shaft fractures and were treated with closed-reamed interlocking nailing, selected through purposive sampling. Data analysis and dissemination were carried out utilizing Microsoft Office tools. Results: The mean ±SD age of the respondents was 32.84 ±13.94 years, 73.68% were male, and the majority of the cases (78.9%) had injuries due to Road Traffic Accidents (RTAs). Falls from height were the cause of 15.8% of the cases and the majority of patients (63.2%) experienced injuries on the right side. Transverse fractures were the most common pattern of fracture, accounting for 63.1% of cases, followed by spiral fractures (21.1%) and oblique (15.8%) of the cases. Conclusion: Closed diaphyseal femoral fractures are predominantly seen in young adult males in their early thirties. Road Traffic Accidents (RTAs) stand out as the primary cause of these fractures, with the right side of the body being particularly susceptible. Among the various fracture patterns observed, transverse fractures emerge as the most common in this patient group.