Prevalence and Patterns of Femoral Neck Fractures in Road Traffic Accident Patients

Abstract

Background: Femoral neck fractures are a common and severe consequence of road traffic accidents (RTAs), leading to significant morbidity and disability. Understanding their prevalence, demographic distribution, and fracture patterns is essential for optimizing trauma management and prevention strategies. Objective: To determine the prevalence, demographic distribution, and fracture patterns of femoral neck fractures among road traffic accident (RTA) patients. Methods: A descriptive cross-sectional study was conducted at Avicenna Hospital, Lahore, from May to October 2024. A total of 130 RTA patients with radiologically confirmed femoral neck fractures were included using purposive sampling. Data on demographics, mode of injury, and fracture classification were collected. Plain radiography and computed tomography (CT) were utilized for diagnosis. Statistical analysis was performed using SPSS version 25. Results: Out of 130 patients, 91 (70%) were male, and 39 (30%) were female. The highest prevalence was in the 20–40-year age group (67%). Intertrochanteric fractures were the most common (69.2%), followed by partial fractures (66.9%) and femoral stress fractures (65.4%). Motorcyclists and cyclists accounted for the majority of cases (44%). Conclusion: Femoral neck fractures were most prevalent in young male RTA victims, particularly motorcyclists and cyclists with intertrochanteric fractures being the most prevalent type of pattern. Early diagnosis and targeted prevention strategies are essential to reduce associated morbidity.

Keywords: Epidemiology, Femoral Neck Fractures, Fractures, Computed Tomography, Hip Fractures, Morbidity, Orthopedic Trauma, Prevalence, Road Traffic Accident.