Abstract

There is paucity of data on anatomical determinants of motorcycle related femoral fracture injury severity in Uganda. Such data are clinically relevant to guide treatment options. We conducted a cross sectional descriptive and analytical hospital based study of consecutively recruited patients to establish the anatomical patterns and determinants of in motorcycle related femoral fractures, presenting at Accident and Emergency Departments of two Ugandan teaching hospitals, between December 2016 and June 2017. clearance was obtained from Mbarara University of Science and Technology Ethics Committee (IRB No.19/10-16). Using investigator recorded radiological patterns of femur fractures and used the Kampala Trauma Score II to determine injury severity. We conducted multiple logistic regressi odds ratios using IBM SPSS 20.0. statistics for windows (Armonk. NY: IBM Corp) at 95% Confidence Interval and P<0.05 as statistically significant, to determine anatomical sites of femur fracture significantly associated with a severe Kampala Trauma Score II patients, the femoral shaft 72.6% (n=167) was the most fractured anatomical site. Sustaining an open femoral fracture (OR 2.124; 95% CI [1.885 involving the femoral neck (OR 4.222 [1.294-13.776] 95% C (OR 1.155; 95% CI [1.101-1.902]; P=0.024) were significantly associated with a severe Kampala Trauma Score II. Prospective studies are required to determine how these anatomical determinantsof femoral fracture injury severity outcome.