000			03027nam a22003377a 4500
001			20240610153159.0
003			20240610153159.0
005			20240610153952.0
008			240610b |||||||| |||| 00| 0 eng d
022			_aeISSN: 1821-9241
022			_aprint ISSN: 1821-6404
040			_cddc
041			_aEnglish
100			_qDanny F Matari
245			_a Aetiology, patterns and treatment modalities of paediatric fractures at Bugando Medical Centre, Mwanza, Tanzania
260			_aMwanza, Tanzania : _bCatholic University of Health and Allied Sciences [CUHAS-Bugando] : _c2023
300			_aPages 01-10
300			_aIncludes References
490			_vanzania Journal of Health Research, 24(1), 1–10
520			_aAbstract : Background: Pediatric fractures are increasingly being recognized as a major public health problem worldwide. Little information is currently available on this type of injury in our local environment as there is a paucity of published data on this subject. This study aimed to determine the aetiological spectrum, patterns and treatment modalities of pediatric fractures at Bugando Medical Centre. The study provides baseline local data for the establishment of prevention strategies as well as treatment guidelines. Methods: This was a cross-sectional study of pediatric patients presenting with long bone fractures at Bugando Medical Centre from January 2019 to July 2019. Ethical clearance was sought from the relevant authorities before the commencement of the study. Results: A total of 111 pediatric trauma patients (M: F ratio = 1.2: 1) with fractures were studied. The age peak incidence at presentation was 5-10 years accounting for 48.6% of cases. The majorities of the fractures (46.8%) were due to falls and commonly occurred at home (48.6%). Upper limb fractures predominated (57.7%) with the majority involving the supracondylar of the humerus (50.5%). Open fractures were observed in 15 (13.5%) cases and all of them were Gustillo-type II. Only 7 (6.3%) patients received pre-hospital care. The majority of the patients, 74 (66.7%) were treated surgically mainly with open reduction and internal fixation accounting for 53.2% of cases. Conclusion: This study demonstrated that the majority of pediatric fractures in our setting occur due to falls around the home environment and commonly affect children aged 5-10 years. The most common site of fracture was the humerus, most involving the supracondylar. Preventive strategies targeting reducing the occurrence of fall injuries in children are necessary to reduce the occurrence of pediatric fractures in this region.
600			_xPediatric fractures
600			_xAetiology
600			_xPatterns
600			_x Treatment modalities
700			_qIsdor H. Ngayomela
700			_qNkinda Mbelenge
700			_qInyasi L. Akaro
700			_qPhillipo L. Chalya
856			_uhttps://doi.org/10.4314/thrb.v24i1. _yhttps://doi.org/10.4314/thrb.v24i1.
942			_2ddc _cVM _n0
999			_c28030 _d28030