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An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

European Journal of Pharmaceutical and Medical Research (EJPMR) has indexed with various reputed international bodies like : Google Scholar , Indian Science Publications , InfoBase Index (In Process) , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , International Society for Research activity (ISRA) , Scientific Indexing Services (SIS) , Polish Scholarly Bibliography , Global Impact Factor (GIF) (Under Process) , Universal Impact Factor , International Scientific Indexing (ISI), UAE  , Index Copernicus , CAS (A Division of American Chemical Society) USA (Under Process) , Directory of Open Access Journal (DOAJ, Sweden, in process) , UDLedge Science Citation Index , CiteFactor , Directory Of Research Journal Indexing (DRJI) , Indian citation Index (ICI) , Journal Index (JI, Under Process) , Directory of abstract indexing for Journals (DAIJ) , Open Access Journals (Under Process) , Impact Factor Services For International Journals (IFSIJ) , Cosmos Impact Factor , Jour Informatics (Under Process) , Eurasian Scientific Journal Index (ESJI) , International Innovative Journal Impact Factor (IIJIF) , Science Library Index, Dubai, United Arab Emirates , Pubmed Database [NLM ID: 101669306] (Under Process) , IP Indexing (IP Value 2.40) , Web of Science Group (Under Process) , Directory of Research Journals Indexing , Scholar Article Journal Index (SAJI) , International Scientific Indexing ( ISI ) , Scope Database , Academia , 

 ISSN 2394-3211

Impact Factor: 7.065

 ICV - 79.57



Ifezulike C. C., *Azikiwe C. C. A., Ezejiofo O., Modebe I. A. and Onyekachi J. J.


Background: A bone fracture is a medical condition in which there is damage in the continuity of the bone. Paediatric fracture remains a very significant cause of mortality and disability. Aim: The aim of this study is to look at the pattern of childhood fractures at the Nnamdi Azikiwe University Teaching Hospital (NAUTH), Oba. Method: The medical records of children between the ages of 2 and 14 who were admitted at the Orthopaedic unit of the NAUTH, Oba, between 1st day in January 2010 and 1st day in December, 2014 on account of fractures were retrieved. The sex of the child, cause and type of fracture were extracted from the case records. The first point of contact with healthcare providers where possible, was noted. Types of management at NAUTH were also noted. The data were analyzed using a one-way ANOVA. Chi square and student t-test where possible were used to determine the p-value. Results were presented as percentages while P-value ≤0.05 was adjudged significant. Results: A total of 174 children were admitted during the five year study period. The age range was 2-14 with a mean of 8.6±3.8 years. There was a male predominance, 103(59.2%) against females, 71(40.8%)(P<0.02). The causes of the fractures were diverse but, road traffic accident was the commonest 67(38.5%)(P<0.01). Thirty-five (20.1%) children fell from various heights. 33(19%) of the fractures occurred during school sports compared with that of 27(15.5%) that occurred at home (P<0.02). The most common site of injury was the femur (26%); this was followed by the tibia/fibula (16.5%), radius/ulna (16%) and humerus (14.2%). A good number of the cases 89(51.1%) presented fresh to NAUTH, 56(32.2%) presented initially to traditional bone setters (TBS), while 29(16.7%) was referred from private hospitals. Out of 174 cases under study, 118 presented first to medical facilities thus significantly, (P<0.01) higher than that of TBS. There is therefore increasing awareness among the people on the first point of call. All patients received varying doses of antibiotics, analgesics and fluids resuscitations while reductions and fixations were the main surgical pattern of management employed. Conclusion: Road traffic accidents remained the most common cause of fractures in children. Fractures were commoner in young males with femoral fractures being the most frequent type. Antibiotics, analgesics and fluids resuscitations were used for all patients.

Keywords: Childhood fractures, pattern, causes, Antibiotics, analgesics and fluids resuscitations Oba, Nigeria.

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI ) Scope Database Academia