Analyzing the Rate of Lower Limb Bone Fractures and Repair among Men and Women in Three Tertiary Health Institutions of Akwa Ibom State, Nigeria

E. Gabriel *

Department of Human Anatomy, College of Health Sciences, University of Uyo, Nigeria.

A. Aquaisua

Department of Human Anatomy, College of Health Sciences, University of Uyo, Nigeria.

U. Idorenyin

Department of Human Anatomy, College of Health Sciences, University of Uyo, Nigeria.

A. Victoria

Department of Human Anatomy, College of Health Sciences, University of Uyo, Nigeria.

*Author to whom correspondence should be addressed.


Background: The objective of this study was to analyze lower limb fractures among male and female patients at three health institutions in Akwa Ibom State, Nigeria. Lower limb fractures are global public health concern, causing long-term disability and economic burden. Past research suggests that factors like bone density and lifestyle may influence fracture risk differently in men and women. However, there is a lack of region-specific studies in Akwa Ibom State.

Methodology: The study analyzed medical records from three major health institutions over a three-year period. Statistical analysis was used to identify gender-specific patterns in fracture occurrence and surgical interventions.

Results:  The findings revealed differences in causes and surgical outcomes between male and female patients. The study also revealed variations in the success rates and failure rates of surgical interventions associated with the different causes of fractures, with falls, accidents, and gunshot injuries presenting different outcomes. Notably, fall-related fractures exhibited a 100% success rate in some instances, while accident-related fractures demonstrated varied success rates ranging from 72.27% to 94.4%. It was observed that in all the years, accident related cases were the main cause with a percentage ranging from 58.82% to 92.59%, followed by falls which had a percentage ranging from 3.23% to 29.82%, and then gunshot which had the least with a percentage ranging from 2.44% to 32.35%. Furthermore, the surgery failure rates for accident-related fractures varied, highlighting the complexities involved in managing fractures resulting from traumatic incidents.

Conclusion: Our findings can help healthcare practitioners and policymakers to develop targeted preventive measures and improve orthopedic care in Akwa Ibom State.

Keywords: Lower limb fractures, gender-specific patterns, surgical interventions, orthopedic care, Akwa Ibom State, Nigeria

How to Cite

Gabriel , E., A. Aquaisua, U. Idorenyin, and A. Victoria. 2024. “Analyzing the Rate of Lower Limb Bone Fractures and Repair Among Men and Women in Three Tertiary Health Institutions of Akwa Ibom State, Nigeria”. Asian Journal of Orthopaedic Research 7 (1):15-26.


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Court-Brown CM, Bugler KE, Clement ND. Epidemiology of adult fractures: A review. Injury. 2020;51(12):1337-1344.

Marsh JL, Slongo TF, Agel J. Fracture and Dislocation Classification Compendium - 2007: Orthopedic Trauma Association Classification, Database and Outcomes Committee. Journal of Orthopaedic Trauma.2007;21(10 Suppl)S1-S133.

Duarte SC, Alvarez A, Quintana JM. Epidemiological Profile of Musculoskeletal Injuries Sustained during Road Traffic Accidents: A Focus on Fractures and Traumatic Brain Injuries. Revista da Associação Médica Brasileira. 2018;63(11):949-956.

Smith AJ, Betancourt JP, Edmonds EW, Wilson PL. Factors Associated with Fractures Resulting from Motor Vehicle Accidents: A Scoping Review. Orthopedic Nursing. 2018;37(3):195-201.

Jones LP, Treml BE, Huang MJ. Mechanisms of Accidents Leading to Fractures in a Population-based Sample. Journal of Orthopedic Trauma. 2019;33(3):e79-e83.

Stevens JA, Corso PS, Finkelstein EA, Miller TR. The Costs of Fatal and Non-fatal Falls among Older Adults. Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention. 2017;23(4):202-207.

Ogunlade SO, Nwoga MC, Oluwadiya KS. Epidemiology of Adult Lower Limb Fractures in a Nigerian University Teaching hospital. Nigerian Journal of Orthopedics and Trauma. 2019;18(1):5.

Njoku IC, Bifarin O, Omidi, OJ. Causes and Pattern of Traumatic Limb Amputations in Lagos, Nigeria. Nigerian Journal of Orthopaedics and Trauma. 2018;17(2):45.

Brown GA, Nwachukwu, BU, Forman J. Factors influencing success rates in staged bilateral prosthetic total knee arthroplasty. The Journal of arthroplasty. 2018;33(2):379-383.

Diaz-Ledezma LM, Gebhart SS, Stephone M. Outcomes and Complications in Elderly Adults with Lower Limb Fractures.Geriatric Orthopedic Surgery and Rehabilitation.2013;22(3):145-154.

Patel MJ, Goulet JA, Koval KJ. Gender and Fracture Risk: A larger Fracture Gap than Previously Appreciated? Current Osteoporosis Reports. 2019;17(2):49-57.

Smith AJ, Szymialowicz P, Church TR, Gilbertson J, Walker PR, Dent TH. Gender and the Outcomes of Musculoskeletal Surgery. JBJS Open Access. 2020;5(1):e0012.

Chan JK, Aquilina AL, Lewis SR, Rodrigues JN, Griffin XL, Nanchahal J. Timing of Antibiotic Administration, Wound Debridement, and the Stages of Reconstructive Surgery for Open Long Bone Fractures of the Upper and Lower Limbs. The Cochrane Database of Systematic Reviews. 2022;(4).