DOI: https://doi.org/10.36347/sjmcr.2026.v14i07.019

Pages: 1686-1690

Introduction: Motorcycle accidents are unforeseen events that occur suddenly and violently, causing visible injury and involving a motorized two- or three-wheeled vehicle on a public road. This study evaluated the epidemiological, clinical, and therapeutic aspects of limb fractures involving motorcycle taxis at the Gabriel-Touré University Hospital in Bamako, Mali. Patients and methods: This was a prospective, descriptive study conducted over an 8-month period from November 1, 2023, to June 30, 2024. Results: Limb fractures resulting from motorcycle taxi accidents accounted for 8.60% of all fractures. Males were predominantly affected (71.2%; sex ratio: 1.26), with the 21–30 age group (29.8%) being the most affected. Motorcycle-to-motorcycle (29.8%) and motorcycle-to-car (25%) collisions were the most frequent. Only 26.9% of drivers were wearing helmets. The lower limb was the most frequently affected site (34.6% involving the leg), with 64.4% closed fractures and 35.6% open fractures (predominantly Gustilo-Anderson type I at 44.4%). Surgical treatment was the primary approach (76.9%), with screw-and-plate fixation being the most common method (31.8%). The outcome was favorable in 87.5% of cases, with few complications. Conclusion: Limb fractures involving motorcycle taxis represent a major public health issue in Bamako. This injury-related morbidity is the leading cause of admission to medical-surgical emergency departments.