Characteristics of lower limb injuries in non-fatal road traffic accidents: a retrospective analysis of forensic medical examinations
Keywordsmechanical trauma of the lower extremities, fractures of long bones, road traffic injury, forensic medical examination
Background. Fractures of the lower limbs are one of the most common injuries in road traffic accidents, however, the frequency and localization of fractures, as well as associated trauma, are not well understood. The purpose of the study was to conduct a retrospective analysis of forensic medical examinations of victims with the road traffic injuries of the lower limbs. Results. The research material was 100 reports of forensic medical examinations of victims with fractures of the femur and/or shin bones resulting from a non-fatal road traffic accidents. The study found that the average age of the victims was 41.5 ± 18.8 years (18 - 81 years). The main contingent of those injured was pedestrians (82%). In victims, the most common injury was polytrauma; closed limb fractures were more common. Hip fractures of various localization were found in 39%, shin fractures - in 59%, ankle fractures - in 12%. Closed head injury with a concussion of the brain of a mild degree (23%), closed fractures of the ribs (3%), self-healing dislocation of the humerus (1%), diaphyseal fractures of the forearm (3%), distal radial bone fractures (7%), and fractures of styloid process of the ulna (2%) were also noted. Conclusions. The main victims of road traffic accidents are pedestrians with polytrauma. The most common localization of fractures of the lower extremities is the diaphysis of the femur and the diaphysis of the shin bones.
Global status report on road safety 2018. Geneva: World Health Organization; 2018. Licence: CC BY- NC-SA 3.0 IGO. 403 р.
Global status report on road safety 2015. Geneva: World Health Organization; 2015; 340 p.
Statystyka dorozhnʹo-transportnykh pryhod v Ukrayini za period z 01/01/2019 po 31/12/2019. [Statistics of road accidents in Ukraine for the period from 01/01/2019 to 31/12/2019]. http://patrol.police.gov.ua/statystyka/ Ukrainian
Evdokimov E.A. Transportnyie travmyi i neotlozhnaya meditsina. [Traffic injuries and emergency medicine] Anesteziologiya i intensivnaya terapiya. 2007;4:4-6. Russian
Global status report on road safety 2018. Geneva: World Health Organization;2018; 424 p.
Hoogervorst P, Shearer DW, Miclau T. The Burden of High-Energy Musculoskeletal Trauma in High-Income Countries. World J Surg. 2020;44:1033–1038. https://doi.org/10.1007/s00268-018-4742-3
Stinner DJ, Edwards D. Surgical Management of Musculoskeletal Trauma. Surg Clin N Am. 2017;97:1119–1131 http://dx.doi.org/10.1016/j.suc.2017.06.005
Yu W, Chen H, Lv Y, Deng Q, Kang P, Zhang L. Comparison of influencing factors on outcomes of single and multiple road traffic injuries: A regional study in Shanghai, China (2011- 2014). PLoS ONE. 2017;12(5):e0176907. https://doi.org/ 10.1371/journal.pone.0176907 PMID: 28493893
Adoga AA, Oziolo KN. The Epidemiology and Type of Injuries Seen at the Accident and Emergency Unit of a Nigerian Referral Centre. J. Emerg. Trauma. Shock. 2014;7(2):77-82.
Sinha AP. Study of Orthopedic Injuries Pattern by Road Traffic Accident Victims. Int. J. Life. Sci. Scienti. Res. 2017;3(2):961-963. DOI:10.21276/ijlssr.2017.3.2.14
Mishra AN, Qidwai SA, Mishra S. Pattern of injuries in road traffic accident in northern Indian population. Int J Orthop Sci. 2017;3(4):917-919 DOI: https://doi.org/10.22271/ortho.2017.v3.i4m.124.
Azami-Aghdash S, Aghaei MH, Sadeghi-Bazarghani H. Epidemiology of Road Traffic Injuries among Elderly People; A Systematic Review and Meta-Analysis. Bull Emerg Trauma. 2018;6(4):279-291. doi: 10.29252/beat-060403.
Ravikanth R, Varghese PS. Pattern and Distribution of Long Bone Fractures in Victims of Road Traffic Accidents in Bangalore City. Indian J Forensic Med & Toxicology. 2017;11(1):229-232. DOI: 10.5958/0973-9130.2017.00047.0
Kong C, Yang J. Logistic regression analysis of pedestrian casualty risk in passenger vehicle collisions in China. Accid Anal Prev. 2010;42(4):987-993. doi: 10.1016/j.aap.2009.11.006.
Fridman L, Ling R, Rothman L, Cloutier MS, Macarthur C, Hagel B, Howard A. Effect of reducing the posted speed limit to 30 km per hour on pedestrian motor vehicle collisions in Toronto, Canada - a quasi experimental, pre-post study. BMC Public Health. 2020;20:56. https://doi.org/10.1186/s12889-019-8139-5
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