exudates and Femoral-Fractures

The pattern of fracture, including the anatomical location and age distribution, may differ among urban and rural populations due to various factors such as the inhabitants' occupation and living environment.. This was a retrospective multicentre study involving two urban and three rural hospitals in Malaysia. The demographic data and anatomical location of fracture of patients admitted in 2007 were collected for analysis.. A total of 7,973 patients were admitted for fractures between January and December 2007. The femur was the commonest fracture site that required admission in the urban population (21.9 percent), followed by the tibia-fibula (18.7 percent), while the radius-ulna was the commonest site among the rural population (22.0 percent), followed by the tibia-fibula (19.4 percent). The rates of head and pelvic fractures were comparatively higher in the urban population, while hand fractures were more common in the rural population. The higher rate of femur fracture in the urban group, especially among the elderly, may be due to the higher incidence of osteoporosis or a higher proportion of older people in the population.. The anatomical locations of common fractures differed between the urban and rural populations. A higher rate of upper limb fractures was observed in the rural areas, while femur fractures in the elderly was the main cause of fracture admission in the urban areas. The relatively high rate of hand fractures in the rural areas, especially among children and young adults, may require further investigation.

Topics: Adolescent; Adult; Aged; Developing Countries; Female; Femoral Fractures; Fractures, Bone; Hospitals, Rural; Humans; Malaysia; Male; Middle Aged; Radius Fractures; Retrospective Studies; Rural Population; Tibial Fractures; Ulna Fractures; Urban Population

Trend towards changing the face of management for pediatric femoral fractures tends to advocate operative treatment. This study was undertaken to review our current practice in the wake of recent progress in the management of pediatric femoral fractures. Fifty patients with femoral diaphyseal fracture treated in Sarawak General Hospital were reviewed retrospectively after an average follow-up of 2.6 years. There were 36 boys and 14 girls, with a mean age of 6.2 years (range five months to 14 years). Children under six years of age constituted the majority of the patients. Half of the fractures were caused by road traffic accident. Nine patients had associated injuries. The most common site of fracture was at the middle third (N=31). The treatment regimens were delayed hip spica (DHS) in 16, immediate hip spica (IHS) in 24, plate osteosynthesis (PO) in five, titanium elastic nailing (TEN) in five, and external fixation (EF) in one. The minimum hospital stay was two days, and the maximum 33 days (mean, 9.7 days). Malunion was the commonest complication. Conservative treatment is the preferred option for children under six years of age. It is cost-effective with minimal complication. The other treatment options are reserved for specific indication in older children. Diaphyseal fractures of the femur in children can be adequately managed non-operatively.

Topics: Accidents, Traffic; Adolescent; Bone Nails; Child; Child, Preschool; Female; Femoral Fractures; Fracture Fixation, Internal; Fracture Healing; Hospitals, General; Humans; Infant; Malaysia; Male; Outcome Assessment, Health Care; Postoperative Complications; Retrospective Studies; Utilization Review

Topics: Aged; Femoral Fractures; Health Services for the Aged; Humans; Malaysia; Osteoarthritis; Osteoporosis; Spinal Fractures

Topics: Arm Injuries; Child; Child, Preschool; Clavicle; Female; Femoral Fractures; Femur Head; Fibula; Fracture Fixation; Fractures, Bone; Humans; Humeral Fractures; Leg Injuries; Malaysia; Male; Radius Fractures; Tibial Fractures