Prevalence Of Femur Fracture And Its Associated Factors In Tikur Anbessa Specialized Hospital Orthopaedics Center Addis Ababa Ethiopia.

Background: Femur is the strongest and principal load-bearing bone in the lower extremity, it canrnsupport up to 30 times the weight of an adult. Globally, femoral fracture is a common conditionrnassociated with high morbidity and mortality. Globally, it is estimated that 1.0 to 2.9 million peoplernper year suffer from femoral fractures. Despite the fact that femoral fracture is a significant publicrnhealth concern, little attention has been given to it in many countries, including Ethiopia. rnObjective: to assess the prevalence of femur fracture and its associated factors in Tikur AnbessarnSpecialized Hospital (TASH) Orthopedics Center, Addis Ababa Ethiopia. rnMethods: A 2-year retrospective Hospital-based cross-sectional study design was employed. Thernstudy was conducted in TASH Orthopedic center from January 1 to 25 /2021. A total of 392rnrandomly selected fracture patient records kept in TASH from June 2018 to June 2020 werernstudied. Data were collected by using a checklist through Open Data Kit (ODK) and analyzedrnusing SPSS version 25 software package. To identify factors associated with femoral fracture sites,rnBivariable and Multivariable binary logistic regression analyses were done. Statistical significancernwas considered at level of significance of 5%, and adjusted odds ratio (AOR) with 95% confidencerninterval (CI) was used to present the estimates of the strength of the association. rnResult: The prevalence of femoral fracture was 28.6% (95% CI:24.1-31.1) among fracturedrnpatients admitted in the orthopedic surgery and traumatology department of TASH. The majorityrn(77.7%) of the cases were males. In younger patients, femoral shaft was the commonest fracturernsite (57.5%) and road traffic accidents were the commonest cause of injury (58.8%). In olderrnpatients’ proximal femoral fracture was the commonest fractured site (68.8%) and low energy fallsrnwere the commonest cause (73.3%). The identified associated factor for proximal femoral fracturernand femoral shaft was age >40 year with [AOR= 5.11; 95% CI: 1.58 – 16.58] and [AOR= 0.09;rn95% CI: 0.024 – 0.32] respectively. Fall [AOR= 0.03; 95% CI: 0.10-0.89 and bullet injury [AOR=rn0.03; 95% CI: 0.01-0.81] were associated factors for femoral shaft fracture as compared to RTA. rnConclusion: The Prevalence of femoral fracture was high compared to reported literatures. Thernrisk of proximal femoral fractures increases with ageing in contrast to that of shaft fracture. Thernrisk of femoral shaft fracture is lower in fall down accident and bullate injury as compared to RTA.

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