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Method and Instrumented Fixture for Femoral Fracture Testing in a Sideways Fall-on-the-Hip Position
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Published on: August 17, 2017

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Epidemiology of Femur Fractures in Children: A Descriptive Cross Sectional Study Based on a Rural Population of Nepal

Poojan Kumar Rokaya1, Dhan Bahadur Karki1, Mangal Rawal1

  • 1Department of Orthopedics and Trauma Surgery, Karnali Academy of Health Sciences, Jumla, Karnali, Nepal.

JNMA; Journal of the Nepal Medical Association
|September 24, 2020
PubMed

Insights

Pediatric femur fractures are common in boys aged 2-6 years, often caused by falls during summer. Delayed treatment by traditional bone setters presents challenges in rural Nepal.

Area of Science:

  • Orthopedic Surgery
  • Pediatric Traumatology
  • Epidemiology

Background:

  • Femur fractures are common pediatric lower limb injuries requiring hospitalization.
  • Understanding the epidemiology of pediatric femur shaft fractures in rural Nepal is crucial.

Purpose of the Study:

  • To determine the epidemiology of femoral shaft fractures in children from a rural population in Karnali, Nepal.

Main Methods:

  • Retrospective review of hospital records from May 2017 to April 2020.
  • Data collected included sociodemographic profile, injury mechanism, fracture details, treatment, and hospital stay.
  • Statistical analysis performed using SPSS version 20.

Main Results:

  • 104 pediatric femur fractures identified; mean age 5.55 years, predominantly boys (62.5%).
  • Falls (62.4%) were the main cause, with peak incidence from April 15 to August 15.
  • Treatments included hip spica (59.6%), elastic intramedullary nailing (28.8%), and plate fixation (11.5%).

Conclusions:

  • Femur fractures in children are prevalent in boys aged 2-6 years during summer months.
  • Preventable causes include falls from heights (cliffs, rooftops, ladders).
  • Delayed presentation and prior treatment by traditional bone setters complicate management in rural settings.
Abstract

Keywords:
children; epidemiology; femur; fracture; rural.

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