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Severity of Injuries Associated with Femoral Fractures as a Result of Motor Vehicle Collisions

This article reports on a study that reviewed the associated injuries present in a current UK series of patients who sustain femoral (thigh bone) fractures as a result of motor vehicle accidents. The authors note that femoral fractures are often the result of high-velocity injuries, and the early identification of associated injuries is important to reduce morbidity and mortality. The authors extracted cases of femoral fractures from the UK cooperative crash injury study (CCIS) database (1998 to 2002). Associated injuries, skeletal and non-skeletal, were identified by body region and severity (according to the Abbreviated Injury Scale and Injury Severity Scale). The study included a total of 5,841 crashes, and there were 365 car occupants who sustained a femoral fracture. Occupants who were 16–35 years old accounted for nearly half of all cases. A total of 313 patients (85.2%) had at least one other concomitant significant injury; of these, 84 (23.0%) had skeletal injury only, 45 (12.3%) had non-skeletal injury only, and 184 (50.4%) had both. The opposite lower limb was the most common skeletal injury, and thoracic injuries were the most common visceral injuries. The overall mortality was 40.5% in this group of patients. The authors conclude by recommending that a general surgical team be called in for the management of cases of femoral fracture resulting from automobile accidents.

  • Authors:
    • Kwong, Yune
    • Chong, Mark
    • Hassan, Ahamedali
    • Kelly, Ruth
  • Publication Date: 2006-9

Language

  • English

Media Info

Subject/Index Terms

Filing Info

  • Accession Number: 01046696
  • Record Type: Publication
  • Files: TRIS
  • Created Date: Apr 25 2007 1:46PM