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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2020, Number 6

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Acta Ortop Mex 2020; 34 (6)

Pattern of bone fractures in motorcycle accidents in a High Specialty Hospital

Ramos-Villalón S, Vázquez-López E, Damián-Pérez R, López-Estrada D, Díaz-Zagoya J

Language: Spanish
References: 15
Page: 376-381
PDF size: 175.27 Kb.


ABSTRACT

Introduction:Motorcycle accidents are one of the leading causes of death and disability in Mexico's young population. There are no local studies describing the pattern of AO-based injuries. Objective: Define the pattern and type of most common bone fractures in a Regional Hospital of High Specialty, from January to August 2017. Material and methods: Descriptive, cross-sectional, observational, quantitative study of 98 patients who suffered motorcycle accidents and who merited surgical orthopedic treatment (94% men, 6% women, average age 29.7 years). Results: The most frequent accidents included the following features: male drivers, motorcycle < 150 cm3, rural area, without helmet use (75.5%) collision against a moving object. The most common fractures corresponded to: tibia and fibula (28.9%), open fractures (52.3%), femur (25%) forearm (10.5%). Considering the AO classification the most common fractures were AO 42 B 3.3, AO 32A3.2 and AO 23B1.2. Conclusion: Motorcyclists use few protective measures. The injury pattern showed differences with what was reported nationally. According to the AO rating, much of the cases correspond to those of worst prognosis.


REFERENCES

  1. Organización Mundial de la Salud. Lesiones causadas por el tránsito. OMS 2015. Recuperado en 2017 de http://www.who.int/mediacentre/factsheets/fs358/es/.

  2. Sandoval P. México, séptimo lugar en accidentes de tránsito. OPS, enero 2013. Recuperado en 2017 de: http://.paho.org/mex/index.php?option=com_content&view=article&id=552:mexico-ocupa-septimo-lugar-nivel-mundial-muertes-accidentes-transito-ops&itemid=0.

  3. Organización Mundial de la Salud. Informe sobre la situación mundial de la seguridad vial. OMS 2015, Ginebra. Recuperado en 2017 de: www.who.int.

  4. Rosas OS, Cervantes TA. Los accidentes de motocicleta en México. Centro Nacional de Accidentes México: CENAPRA 3007. Recuperado en 2017 de http://conapra.salud.gob.mx/interior/documentos/publicaciones_especializadas/los_accidentes_motocicleta.pdf.

  5. Aduayi OS, Aduayi VA, Komolate EO. Patterns of pre-hospital events and management of motorcycle-related injuries in a tropical setting. Int J Inj Contr Saf Promot. 2017; 24(3): 382-7.

  6. Pérez-Núñez R, Hidalgo-Solórzano E, Vera-López JD, Lunnen JC, Chandran A, Híjar M, Hyder AA. The prevalence of mobile phone use among motorcyclists in three Mexican cities. Traffic Inj Prev. 2014; 15(2): 148-50.

  7. Instituto Nacional de Estadistica y Geografia. Accidentes de tránsito terrestre en zonas urbanas y suburbanas: INEGI 2016: Psychology and Behavior 2017; 31/08/2017. http://www.inegi.org.mx/sistemas/olap/proyectos/bd/continuas/transporte/accidentes.asp.

  8. AO Foundation 2018. http://www.aofoundation.org/structure/education/publications/classifications/pages/default.aspx.

  9. Allen T, Newstead S, Lenné MG, McClure R, Hillard P, Symmons M, Dal L. Contributing factors to motorcycle injury crashes in Victoria, Australia. Transportation Research part F: Traffic Psychol Behav. 2017; 45: 157-68.

  10. Chiang VX, Cheng JY, Zhang ZC, Teo LT. Comparison of severity and pattern of injuries between motorcycle riders and their pillions: a matched study. Injury. 2014; 45(1): 333-7.

  11. Harvey JA, Gibreel W, Charafeddine A, Sharaf B. Helmet wear and craniofacial trauma burden: A plea for regulations mandating protective helmet wear. Chraniomaxilofac Trauma Reconstr. 2017; 10(3): 197-203.

  12. Peng Y, Valdya N, Finnie R, Reynolds J, Dumitru C, Nie G, et al. Universal motorcycle helmet laws to reduce injuries: A community guide systematic review. Am J Prev Med. 2007; 52(6): 820-32.

  13. Burns ST, Gugala Z, Jiménez CJ, Mileski WJ, Lindsey RW. Epidemiology and patterns of musculoskeletal motorcycle injuries in the USA. F1000 Res. 2015; 12(4): 114.

  14. Hsieh LH, Liu HT, Hsu SY, Hsie HY, Chen YC. Motorcycle-related hospitalizations of the elderly. Biomed J. 2017; 40(2): 121-8.

  15. Hsieh CH, Hsu SY, Hsieh HY, Chen YC. Differences between the sexes in motorcycle-related injuries and fatalities at a Taiwanese level I trauma center. Biomed J. 2017; 40(2): 113-20.



EVIDENCE LEVEL

IV




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