Femoral Fractures in Children Under 2 years of Age in Western Australia: How Common is Inflicted Injury and What are the Risk Factors? | Juniper Publishers


 Abstract:

Background: Femoral fractures in infants under 2 years of age are a common presentation to Australian hospitals. Studies from North America and Europe have reported inflicted injury rates between 10-60% in these children 4,6,7, however there have been no similar studies in Australia. The aim of this study was to establish the prevalence of inflicted femoral fractures in the West Australian population and to determine the risk factors for inflicted injury.
Methods: A retrospective cohort study was performed on children under 2 years of age presenting to Princess Margaret Hospital in Western Australia with femoral fracture between 1998-2013. Cohorts of 228 patients with 235 femoral fractures were studied. The primary outcome variable was the percentage of cases determined to be inflicted injuries. Secondary outcomes were patient demographics, mechanism of injury and fracture type and location.

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