Radiographic Evaluation of Femoral Fractures Due to Road Traffic Accidents in Benin City

Authors

  • Blackie O.H Ambrose Alli University
  • Ogbe O.C Ambrose Alli University
  • Odiase D.E University of Benin
  • Enoghase R.J University of Benin
  • Blackie F.F Ambrose Alli University
  • Olukayode S.B University of Benin
  • Iyhobhebhe V.D Ambrose Alli University

DOI:

https://doi.org/10.70062/greenhealth.v2i4.234

Keywords:

Benin City, Epidemiology, Emoral Fractures, Radiographic Patterns, Road Traffic Accidents

Abstract

Femoral fractures resulting from road traffic accidents (RTAs) are a major cause of morbidity in developing countries, particularly among economically active young adults. Despite the increasing rate of RTAs in Nigeria, there is a lack of localized data concerning the radiographic distribution and epidemiological characteristics of femoral fractures. This study provides region-specific baseline data for clinical decision-making and public health interventions. A retrospective descriptive study was conducted using patient case notes and radiographic records of 141 individuals with femoral fractures resulting from RTAs, presented at Erichris Diagnostic Centre, Benin City, between January 2019 and December 2022. Radiographs were evaluated to determine fracture location (proximal, middle, or distal third). Data were analyzed using SPSS version 20, and results were presented using descriptive and inferential statistics. Associations between fracture type, age, and gender were examined using Chi-square tests with significance set at p < 0.05. The majority of patients were males (87.2%) and within the 16–30-year age group (72.3%), with a mean age of 31.6 years. The right femur was affected in 55.3% of cases. Middle third femoral shaft fractures were the most prevalent (63.8%), followed by proximal (26.3%) and distal fractures (9.9%). There was no statistically significant association between gender and fracture type (p > 0.05) or between age group and fracture type (p > 0.05). This study demonstrates a high incidence of middle shaft femoral fractures among young adult males due to RTAs in Benin City. These findings highlight the urgent need for targeted road safety policies, improved trauma care infrastructure, and preventive strategies directed at high-risk groups. The data provided serve as a critical reference for orthopedic management and public health planning.

References

Boese, C., Dargel, J., Oppermann, J., Eysel, P., Scheyerer, M., Bredow, J., & Lechler, P. (2016). The femoral neck-shaft angle on plain radiographs: A systematic review. Skeletal Radiology, 45(1), 19–28. https://doi.org/10.1007/s00256-015-2236-z

Bojsen-Møller, F., Simonsen, B., & Tranum-Jensen, J. (2001). Bevægeapparatets anatomi [Anatomy of the locomotive apparatus] (12th ed., pp. 239–241).

Bolanowski, W., Śmiszkiewicz-Skwarska, A., Polguj, M., & Jędrzejewski, S. (2005). The occurrence of the third trochanter and its correlation to certain anthropometric parameters of the human femur. Folia Morphologica, 64(3), 168–175.

Carballido-Gamio, J., & Nicolella, P. (2013). Computational anatomy in the study of bone structure. Current Osteoporosis Reports, 11(3), 237–245. https://doi.org/10.1007/s11914-013-0148-1

Ciuhodaru, T., Romedea, S., & Arhipescu, T. (2008). Factors increasing mortality rates in suicide attempts in jail and prison. Romanian Journal of Legal Medicine, 17(1), 69–72. https://doi.org/10.4323/rjlm.2009.69

Dobrin, I., Dobrin, N., & Poeata, I. (2011). [Statistical data on head trauma with frontal sinus involvement at the Emergency Hospital Clinic "Prof. Dr. Nicolae Oblu", Iași, Romania]. Revista Medico-Chirurgicală a Societății de Medici și Naturaliști din Iași, 115(4), 1131–1136.*

Fernandez, M., Griffin, X., & Costa, L. (2015). Management of hip fracture. British Medical Bulletin, 115(1), 165–172. https://doi.org/10.1093/bmb/ldv036

Kouris, G., Hostiuc, S., & Negoi, I. (2012). Femoral fractures in road traffic accidents. Revista de Medicina Legala, 20, 279–282. https://doi.org/10.4323/rjlm.2012.279

Kumar, N. (2016). Pattern of fractures and dislocations in road traffic accident victims in a tertiary care institute of central India. International Journal of Scientific Research, 15, 21–23.*

Li, M., & Cole, P. A. (2015). Anatomical considerations in adult femoral neck fractures: How anatomy influences the treatment issues? Injury, 46(3), 453–458. https://doi.org/10.1016/j.injury.2014.11.017

Murray, L. (2014). Global, regional, and national age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990–2013: A systematic analysis for the Global Burden of Disease Study 2013. The Lancet, 385(9963), 117–171. https://doi.org/10.1016/S0140-6736(14)61682-2

Peden, M., & Scurfield, R. (2004). World report on road traffic injury prevention. World Health Organization.

Percival, J., & Richtsmeier, T. (2013). Angiogenesis and intramembranous osteogenesis. Developmental Dynamics, 242(8), 909–922. https://doi.org/10.1002/dvdy.23992

Reynolds, A. (2013). The fractured femur. Radiologic Technology, 84(3), 273–291.*

Sharma, B. (2008). Road traffic injuries: A major global public health crisis. Public Health, 122(12), 1399–1406. https://doi.org/10.1016/j.puhe.2008.06.009

Singer, B., McLauchlan, G., Robinson, C., & Christie, J. (1998). Epidemiology of fractures in 15,000 adults: The influence of age and gender. Journal of Bone and Joint Surgery (British Volume), 80(2), 243–248. https://doi.org/10.1302/0301-620X.80B2.0800243

Sonbol, A., Almulla, A., Hetaimish, B., Taha, W., Mohmmedthani, T., Alfraidi, T., & Alrashidi, Y. (2018). Prevalence of femoral shaft fractures and associated injuries among adults after road traffic accidents in a Saudi Arabian trauma center. Journal of Musculoskeletal Surgery and Research, 2(2), 62–65. https://doi.org/10.4103/jmsr.jmsr_42_17

van Arkel, R., Amis, A., & Jeffers, J. (2015). The envelope of passive motion allowed by the capsular ligaments of the hip. Journal of Biomechanics, 48(14), 3803–3809. https://doi.org/10.1016/j.jbiomech.2015.09.002

Vos, T. (2015). Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: A systematic analysis for the Global Burden of Disease Study 2013. The Lancet, 386(9995), 743–800.*

Wagner, F., Negrão, R., Campos, J., Ward, S., Haghighi, P., Trudell, D., & Resnick, D. (2012). Capsular ligaments of the hip: Anatomic, histologic, and positional study in cadaveric specimens with MR arthrography. Radiology, 263(1), 189–198. https://doi.org/10.1148/radiol.12111320

Downloads

Published

2025-10-31

How to Cite

Blackie O.H, Ogbe O.C, Odiase D.E, Enoghase R.J, Blackie F.F, Olukayode S.B, & Iyhobhebhe V.D. (2025). Radiographic Evaluation of Femoral Fractures Due to Road Traffic Accidents in Benin City. Green Health International Journal of Health Sciences Nursing and Nutrition, 2(4), 09–15. https://doi.org/10.70062/greenhealth.v2i4.234