Severity and Pattern of Bony Injuries among the Victims of Motorbike Accidents presented to the Accident and Emergency Department of a Tertiary Care Hospital in Karachi.

Authors

  • Malik Wasim Ahmed Assistant Professor, Department of Orthopaedics, DOW University of Health Sciences & Civil hospital Karachi
  • Muhammad Jamil Assistant Professor, Department of Orthopaedics, DOW University of Health Sciences & Civil hospital Karachi
  • Jagdesh Kumar Assistant Professor, Department of Orthopaedics, DOW University of Health Sciences & Civil hospital Karachi
  • Adeel Ahmed Siddiqui Assistant Professor, Department of Orthopaedics, DOW University of Health Sciences & Civil hospital Karachi
  • Irfan Muhammad Rajput Assistant Professor, Department of Orthopaedics, DOW University of Health Sciences & Civil hospital Karachi
  • Ghulam Mustafa Kaim Khani Ex-Professor, Department of Orthopaedics, DOW University of Health Sciences & Civil hospital Karachi

Keywords:

Accident, Bone, Fracture, Injury, Motorbike, Pattern.

Abstract

Objective: To determine the severity and pattern of bony injuries among the victims of motor bike motorbike accidents presented to the Accident and Emergency Department of Dr. Ruth K.M Pfau Civil Hospital Karachi.

Methods: This descriptive study was conducted in Dr. Ruth K.M Pfau Civil Hospital Karachi from 12th January 2019 to 12th January 2020. All adult patients of motorbike accidents with extremity fractures fulfilling the inclusion criteria were included in this study. In the included subjects the locations of fracture or dislocation and whether closed or open were noted.

Results: The total number of patients were 380 with mean age of 28.67 ± 12.07 years. Lower extremity fractures were noted in 273(71.8%) patients and upper extremity in 107(28.1%) patients. Tibia fibula was the commonest lower limb fracture documented in 157(41.3%) patients while radius was the commonly fractured upper limb bone in 46(12.1%) patients. Majority (75.2%, n=286) of the fractures were closed while open fractures were seen in 94(24.7%) patients.

Conclusion: Victims of motorbike accidents sustained variable bony injuries. Majority of these fractures were closed. Tibia fibula was the commonest bone fractured.    

References

Aslam M, Taj TM, Ali SA, Mirza WA, Badar N. Non-fatal limb injuries in motorbike accidents. J Coll Physicians Surg Pak. 2008;18(10):635-8.

Ali A, Mehraj J, Mahmood S, Mirza Z, Tahir M. Frequency of Risk Factors Associated with Road Traffic Accidents of Motorbike in a Big City of a Developing Country. J Dow Univ Health Sci. 2010;4:68-72.

Jooma R, Ali Shaikh M. Epidemiology of Karachi road traffic crash mortality in 2013. J Pak Med Assoc. 2015;65(1):548.

Johnson O. Prevalence and Pattern of Road Traffic Accidents among Commercial Motorcyclists in a city in Southern Nigeria. Educ Res. 2012;3:537-42.

Khani GMK, Humail SM, Anjum MP, Afridi H. Pattern and severity of bony injuries among motorcyclist admitted in orthopedic ward. J Dow Univ Health Sci. 2013;7(2):123-128.

Yousaf MN, Iqbal MJ, Akram MR, Choudhary RA. Pattern of orthopaedic injuries in motorcycle accidents. Ann Punjab Med Coll. 2013;7(1):77-84.

Batista Fdos S, Silveira LO, Castillo JJ, de Pontes JE, Villalobos LD. Epidemiological profile of extremity fractures in victims of motorcycle accidents. Acta Ortop Bras. 2015;23(1):43-6.

Gustilo RB, Mendoza RM, Williams DN. Problems in the management of type III (severe) open fractures: a new classification of type III open fractures.J Trauma. 1984; 24(8):742-6.

Khan KM, Jamil M, Memon IA, Idrees Z. Pattern of Injuries in Motorbike Accidents.J Pak Orthop Assoc.2018;30(3):123-7.

Oluwadiya KS ,Oginni LM, Olasinde AA, Fadiora SO. Motorcycle limb injuries in a developing country. West Afr J Med. 2004;23(1):42-7.

Lateef F. Riding motorcycles: is it a lower limb hazard? Singapore Med J 2002;43(11):566-9.

Hasan O, Sheikh S, Fatima A, Abbas A, Zahid N, Baloch N. Motor-vehicle Crash Patient Injury Patterns from a Level One Trauma Center in a Metropolitan City: A Cross-Sectional Study. Cureus. 2019 Feb 14;11(2):e4073.

Lakho MT, Raza A , Qadir A, Kumar D , Khanzada A, Muzzammil M. To Assess the Frequency of Common Fractures Secondary to Motorcycle Accident in Patients Admitted to the Orthopedic Department of a Tertiary Care Hospital, Pakistan. International Journal of Medical Research & Health Sciences, 2019, 8(7): 74-79.

Zargar M, Khaji A, Karbakhsh, M?. Pattern of motorcycle-related injuries in Tehran, 1999 to 2000: a study in 6 hospitals. EMHJ - Eastern Mediterranean Health Journal.2006; 12: 81-87.

Yaqoob U, Nadeem Z, Mehmood M, Batool D, Irshad T, Ali S et al. Descriptive Pattern of Fractures among Motor Bike Riders Presenting in Jinnah Postgraduate Medical Centre, Karachi. British Journal of Medicine and Medical Research 2016; 18(1):1-8.

Barboza Junior DS, Golias RC. Fractures caused by motorcycle accidents. UNINGA Journal 2021;58:1-14

Banskota B, Shrestha S, Chaudhary RK, Rajbhandari T, Rijal S, Shrestha BK, et al. Patterns of Orthopaedic Injuries among Motorbike Accident Admissions Presenting to a Tertiary Care Hospital in Kathmandu. J Nepal Health Res Counc 2016;14(32):51-57.

Aliciglu B,Yalniz E, Eskin D, Yilmaz B. Injuries associated with motorcycle accidents. Acta Orthop Traumatol Turc 2008;42(2):106-111.

Debieux P, Chertman C, Mansur NS, Dobashi E, Fernandes HJ. Musculoskeletal injuries in motorcycle accidents. Acta Ortop Bras 2010;18(6):353-6.

Matos MA, Do Nascimento JM, Pinto da Silva BV. Clinical and demographic study on open fractures caused by motorcycle traffic accidents. Acta Ortop Bras. 2014;22(4): 544-50.

Downloads

Published

2021-04-20

How to Cite

Malik Wasim Ahmed, Muhammad Jamil, Jagdesh Kumar, Adeel Ahmed Siddiqui, Irfan Muhammad Rajput, & Ghulam Mustafa Kaim Khani. (2021). Severity and Pattern of Bony Injuries among the Victims of Motorbike Accidents presented to the Accident and Emergency Department of a Tertiary Care Hospital in Karachi. Journal of Pakistan Orthopaedic Association, 33(01), 21–24. Retrieved from http://jpoa.org.pk/index.php/upload/article/view/510