Relación de los accidentes de tránsito con las fracturas de fémur en la edad pediátrica en un país en vías de desarrollo.

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Bibliographic Details
Title:	Relación de los accidentes de tránsito con las fracturas de fémur en la edad pediátrica en un país en vías de desarrollo.
Alternate Title:	Relationship between traffic accidents and femur fractures in childhood in a developing country.
Authors:	A. D., Navarro-Vergara¹ djocote@hotmail.com, A., Navarro-Fretes¹
Source:	Acta Ortopédica Mexicana. Mar/Apr2026, Vol. 40 Issue 2, p103-108. 6p.
Subjects:	TRAFFIC accidents, FEMORAL fractures, MOTORCYCLING accidents, CHILDREN'S injuries, BRAIN injuries, DEVELOPING countries, INTRAMEDULLARY fracture fixation
Abstract (English):	Introduction: trauma accounts for 40% of deaths among young people worldwide, and it is estimated that for every death there are between three and fifty individuals living with trauma-related disabilities. In Latin America, traffic-related injuries are exponentially higher, invariably impacting on the pediatric population. Material and methods: this was a retrospective consecutive case series including all femoral fractures related to traffic accidents in pediatric patients up to 16 years of age, treated at a single tertiary trauma referral center in a developing country, from January 2022 to December 2025. Results: a total of 258 records of femoral fractures in patients under 16 years of age were analyzed, of which 128 were related to traffic accidents. In 16.4% of cases, the injured patients were vehicle drivers. The mean age was 8.9 years. The femoral shaft was affected in 78.1% of cases, and bilateral injuries occurred in 2.6%. Associated injuries were found in 66.4%, with traumatic brain injury being the most frequent. Fracture-related complications were observed at 10.1%. The average hospital stay was 9.2 days. Conclusion: femoral fractures in patients under 16 years were mainly associated with traffic accidents involving motorcycles, most frequently affecting the femoral shaft. Male patients predominated, with a high frequency of associated injuries, particularly traumatic brain injury. Intramedullary fixation was the most commonly used treatment, with a low complication rate and generally satisfactory functional outcomes. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	Introducción: el trauma representa 40% de las muertes entre los jóvenes en todo el mundo; se estima que, por cada muerte, hay entre tres y cincuenta personas que viven con una discapacidad relacionada con el trauma. En Latinoamérica, las lesiones por accidentes de tránsito son exponencialmente más elevadas, repercutiendo en la población pediátrica invariablemente. Material y métodos: estudio retrospectivo de serie de casos consecutivos; se incluyeron todas las fracturas femorales relacionadas a accidentes de tránsito en pacientes pediátricos de hasta 16 años atendidos en un único centro hospitalario de primer nivel de atención en trauma en un país en vías de desarrollo, en los períodos de enero de 2022 a diciembre de 2025. Resultados: se analizaron 258 registros de fracturas femorales en menores de 16 años, de los cuales 128 estuvieron relacionados a accidentes de tránsito. Los accidentados eran conductores del vehículo en 16.4% de los casos; la edad promedio fue de 8.9. La diáfisis fue afectada en 78.1% de los casos; hubo 2.6% de lesiones bilaterales. Las lesiones asociadas se encontraron en 66.4% de los casos, siendo el trauma de cráneo la más frecuente. Las complicaciones relacionadas a la fractura se encontraron en 10.1% de los casos. En cuanto a la estancia hospitalaria, el promedio fue de 9.2 días. Conclusión: las fracturas femorales en menores de 16 años se asociaron principalmente a accidentes de tránsito con motocicletas, afectando sobre todo la diáfisis femoral. Predominaron los varones, con alta frecuencia de lesiones asociadas, especialmente traumatismo craneoencefálico. La fijación endomedular fue el tratamiento más utilizado, con baja tasa de complicaciones y resultados funcionales mayormente satisfactorios. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	Introduction: trauma accounts for 40% of deaths among young people worldwide, and it is estimated that for every death there are between three and fifty individuals living with trauma-related disabilities. In Latin America, traffic-related injuries are exponentially higher, invariably impacting on the pediatric population. Material and methods: this was a retrospective consecutive case series including all femoral fractures related to traffic accidents in pediatric patients up to 16 years of age, treated at a single tertiary trauma referral center in a developing country, from January 2022 to December 2025. Results: a total of 258 records of femoral fractures in patients under 16 years of age were analyzed, of which 128 were related to traffic accidents. In 16.4% of cases, the injured patients were vehicle drivers. The mean age was 8.9 years. The femoral shaft was affected in 78.1% of cases, and bilateral injuries occurred in 2.6%. Associated injuries were found in 66.4%, with traumatic brain injury being the most frequent. Fracture-related complications were observed at 10.1%. The average hospital stay was 9.2 days. Conclusion: femoral fractures in patients under 16 years were mainly associated with traffic accidents involving motorcycles, most frequently affecting the femoral shaft. Male patients predominated, with a high frequency of associated injuries, particularly traumatic brain injury. Intramedullary fixation was the most commonly used treatment, with a low complication rate and generally satisfactory functional outcomes. [ABSTRACT FROM AUTHOR]
ISSN:	23064102
DOI:	10.35366/123055