Analysis of machete cut fractures in Nigerian civilian trauma setting

Analysis of machete cut fractures in Nigerian civilian trauma setting

Abstract Machete cut fracture is an important component of morbidity associated with machete injuries although it is under reported. This was a retrospective study to assess machete cut fractures in patients seen in Federal Teaching Hospital Abakaliki and National Orthopaedic Hospital Enugu from 200...

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Autores principales: Njoku Isaac Omoke, Omolade Ayoola Lasebikan, Francis Ndubuisi Ahaotu, Ugochukwu Uzodimma Nnadozie, Gregory Chinedu Nwigwe
Formato: article
Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/bb17a45f4c074bf287c1d9605dbbd366
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spelling oai:doaj.org-article:bb17a45f4c074bf287c1d9605dbbd3662021-12-02T11:45:53ZAnalysis of machete cut fractures in Nigerian civilian trauma setting10.1038/s41598-020-79981-w2045-2322https://doaj.org/article/bb17a45f4c074bf287c1d9605dbbd3662021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-79981-whttps://doaj.org/toc/2045-2322Abstract Machete cut fracture is an important component of morbidity associated with machete injuries although it is under reported. This was a retrospective study to assess machete cut fractures in patients seen in Federal Teaching Hospital Abakaliki and National Orthopaedic Hospital Enugu from 2009 to 2018. There were 91 patients with 154 fractures, male- to- female ratio was 10:1 and mean age was 31.6 ± 14.6 years. The aetiological factors were assault (57, 62.6%), armed robbery (29, 31.9%) and accidental injury (5, 5.5%). The three top bones involved were ulna, metacarpal and finger-phalanx. Fracture was communited in (17, 11.0%), and Gustilo Anderson grade IIIC in (22, 14.3%). Injury to hospital arrival interval later than 6 h was common and correlated with prolonged length of hospital stay (p < 0.001). Anaemia, wound infection and hemorrhagic shock were the three top complications. Nine (5.8%) fractures ended in extremity amputation. Eleven (12.1%) patients left against medical advice, and 5 (5.5%) were transferred. Normal union in 98.3% of the fractures treated and followed up for a minimum of one year. Case fatality rate was 2.2%; none of the patient that died had pre hospital care, and hemorrhagic shock accounted for all the mortality. These call for appropriate injury preventive mechanisms, and improved rates of early presentation of patients to hospital, and pre hospital care.Njoku Isaac OmokeOmolade Ayoola LasebikanFrancis Ndubuisi AhaotuUgochukwu Uzodimma NnadozieGregory Chinedu NwigweNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Njoku Isaac Omoke
Omolade Ayoola Lasebikan
Francis Ndubuisi Ahaotu
Ugochukwu Uzodimma Nnadozie
Gregory Chinedu Nwigwe
Analysis of machete cut fractures in Nigerian civilian trauma setting
description Abstract Machete cut fracture is an important component of morbidity associated with machete injuries although it is under reported. This was a retrospective study to assess machete cut fractures in patients seen in Federal Teaching Hospital Abakaliki and National Orthopaedic Hospital Enugu from 2009 to 2018. There were 91 patients with 154 fractures, male- to- female ratio was 10:1 and mean age was 31.6 ± 14.6 years. The aetiological factors were assault (57, 62.6%), armed robbery (29, 31.9%) and accidental injury (5, 5.5%). The three top bones involved were ulna, metacarpal and finger-phalanx. Fracture was communited in (17, 11.0%), and Gustilo Anderson grade IIIC in (22, 14.3%). Injury to hospital arrival interval later than 6 h was common and correlated with prolonged length of hospital stay (p < 0.001). Anaemia, wound infection and hemorrhagic shock were the three top complications. Nine (5.8%) fractures ended in extremity amputation. Eleven (12.1%) patients left against medical advice, and 5 (5.5%) were transferred. Normal union in 98.3% of the fractures treated and followed up for a minimum of one year. Case fatality rate was 2.2%; none of the patient that died had pre hospital care, and hemorrhagic shock accounted for all the mortality. These call for appropriate injury preventive mechanisms, and improved rates of early presentation of patients to hospital, and pre hospital care.
format article
author Njoku Isaac Omoke
Omolade Ayoola Lasebikan
Francis Ndubuisi Ahaotu
Ugochukwu Uzodimma Nnadozie
Gregory Chinedu Nwigwe
author_facet Njoku Isaac Omoke
Omolade Ayoola Lasebikan
Francis Ndubuisi Ahaotu
Ugochukwu Uzodimma Nnadozie
Gregory Chinedu Nwigwe
author_sort Njoku Isaac Omoke
title Analysis of machete cut fractures in Nigerian civilian trauma setting
title_short Analysis of machete cut fractures in Nigerian civilian trauma setting
title_full Analysis of machete cut fractures in Nigerian civilian trauma setting
title_fullStr Analysis of machete cut fractures in Nigerian civilian trauma setting
title_full_unstemmed Analysis of machete cut fractures in Nigerian civilian trauma setting
title_sort analysis of machete cut fractures in nigerian civilian trauma setting
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/bb17a45f4c074bf287c1d9605dbbd366
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