PERSONAL USE ONLY Epidemiology of adult tibial shaft fractures: A 7-year study in a major referral orthopedic center in Iran Firooz Madadi 1 ABD, Manouchehr Vahid Farahmandi 1 BD, Alireza Eajazi 2 CEF, Laleh Daftari Besheli 2 CEF, Firoozeh Madadi 3 EF, Mehdi Nasri Lari 4 BF 1 Akhtar Orthopedic Hospital, Shahid Beheshti Medical University (SBMU), Tehran, Iran 2 Akhtar Orthopedic Research Center, Shahid Beheshti Medical University (SBMU), Tehran, Iran 3 Shahid Beheshti Medical University (SBMU), Tehran, Iran 4 Department of Orthopaedic Surgery, University of Düsseldorf, Düsseldorf, Germany Source of support: Departmental sources Summary Background: Epidemiologic differences among various fracture sites and within different populations are impor- tant as they imply different cultures and lifestyles in each region. One of these fractures is the tibial shaft fracture. Rather few epidemiological studies have been undertaken on this injury. This study was designed to provide an update on various aspects of tibial shaft fractures during 1999–2006 in a referral educational orthopedic center in Iran. Material/Methods: The charts of 854 adult patients were evaluated in a cross-sectional study. All the patients were ex- amined and the results were registered. The collated information was classiied along with descrip- tive statistical analysis. Results: The highest frequency of these fractures was seen in the 20–30 year age group in both genders, and women had a higher rate than men in people aged ≥50 years old. The most common cause of frac- tures was road trafic accidents; 54% of all injuries were closed fractures and 46% were open. The most frequent fracture pattern was comminuted and the fewest were segmented and with butter- ly fractures. The most noticeable complication early after treatment was infection and those dur- ing at least one year follow-up were pain, nonunion, and delayed union. Conclusions: The peak frequency of tibial shaft fractures in Iran was one decade higher than in European popu- lations and in those ≥50 years old the rate was higher in women, which was two decades lower than the mentioned populations. Furthermore, in this study in addition to high-energy trauma, low-en- ergy trauma also had a great role. key words: epidemiology • adult • tibial fractures • orthopedics • Iran Full-text PDF: http://www.medscimonit.com/fulltxt.php?ICID=878541 Word count: 2296 Tables: 1 Figures: 5 References: 26 Author’s address: Alireza Eajazi, Akhtar Orthopedic Research Center, Akhtar Orthopedic Hospital, Elahieh, Tehran, Iran, e-mail: alireza.eajazi@gmail.com Authors’ Contribution: A Study Design B Data Collection C Statistical Analysis D Data Interpretation E Manuscript Preparation F Literature Search G Funds Collection Received: 2009.06.11 Accepted: 2009.10.27 Published: 2010.05.01 CR217 Clinical Research WWW. MEDS CI MONIT.COM © Med Sci Monit, 2010; 16(5): CR217-221 PMID: 20424548 CR Current Contents/Clinical Medicine • IF(2008)=1.514 • Index Medicus/MEDLINE • EMBASE/Excerpta Medica • Chemical Abstracts • Index Copernicus Electronic PDF security powered by ISL-science.com opy is for personal use only - distribution prohibited. This copy is for personal use only - distribution prohibited. This copy is for personal use only - distribution prohibited. This copy is for personal use only - distribution prohibited. This copy is for personal use only - distribu