DOI: 10.36347/sasjs

Pages: 254-258

Background: Long bone fractures are common traumatic injuries that cause significant morbidity and functional impairment, particularly among young active individuals. Appropriate management and timely stabilization are essential to achieve optimal healing and functional recovery. This study aimed to evaluate the patterns of injury, management modalities, and outcomes of long bone fractures following trauma in a tertiary care orthopaedic setting. Methods: This descriptive cross-sectional study was conducted in the Department of Orthopaedic Surgery at Bangabandhu Sheikh Mujib Medical University over a one-year period from January to December 2015. A total of 120 patients with traumatic long bone fractures were included. Demographic characteristics, mode of injury, bone involved, fracture type, treatment modality, and functional outcomes were recorded using a structured data sheet. Results: Most patients were aged 21–30 years (39, 32.5%) and male (93, 77.5%). Road traffic accident was the leading cause of injury (67, 55.8%), followed by fall from height (31, 25.8%). The tibia (47, 39.2%) and femur (36, 30%) were the most commonly fractured bones. Closed fractures accounted for 85 (70.8%) cases. Internal fixation was the predominant treatment (73, 60.8%). Good-to-excellent functional outcomes were achieved in 90 (75%) patients, including 49 (40.8%) excellent and 41 (34.2%) good results. Conclusion: Traumatic long bone fractures predominantly affected young males and were mainly caused by road traffic accidents. Operative management, particularly internal fixation, resulted in favorable functional outcomes in most patients. Early stabilization and appropriate treatment are essential for optimal recovery in long bone fractures.