iBackground/i: Sudan’s persistent conflict has triggered a humanitarian emergency, breakdown a fragile healthcare system and severely limited orthopedic services. Hospitals withholding over capacity numbers of orthopedics injuries especially high-energy injuries from blasts and gunshots while battling with shortages of surgical supplies, electricity, and specialized staff. Fractures form a major proportion of orthopedic admissions, frequently requiring operative management, prolonged inpatient care, and dedicated rehabilitation. Understanding injury patterns and initial management in this context is essential to guide equally resource distribution and improve overall outcomes. iObjective: /iThe study aims to recognize the patterns and management of orthopedics injuries during the conflict among patients managed at Kosti Teaching Hospital, Kosti- Sudan during period (August 2023–December 2025). iMethod: /iThe study design is descriptive retrospective cross-sectional hospital-based study. sample size included 527 patients. Have been selected by simple random sampling technique from orthopedics and traumatology department at Kosti teaching hospital.i Result: /iStudy results showed from the 527 patients, closed fractures were most common pattern representing 67.7%of cases, while open fractures accounted for 18.1%. Soft-tissue injuries were present in 11.7%, infections in 1.8%, and dislocations in 0.7%. Regarding site of trauma, lower-limb injuries were the most frequent affecting 59.2%, followed by upper-limb injuries at 35.5%. Spinal injuries accounted for 4.2%, while pelvic fractures were least common at 1.1%. More than half of the patients 52.7% were scheduled for elective surgical procedures, while 16.3% underwent emergency-room debridement and irrigation. Conservative splinting was used in 15.2%. Definitive management mainly involved internal fixation 78.6%, followed by external fixation 13.1% and debridement 3.8% and conservative 1.7%. Most prevalent Age group was the young adults (25-44) with 27.5%, middle age (45-59) 19.4%, Children (0-14) 15.6%, Elderly (60-74) 14.8%, youth (15-24) 14.6iConclusion: /iOur study focused on the pattern of orthopedic trauma presenting during the current conflict in Sudan, with closed fractures and lower limb injuries caused by high energy mechanisms such as fall from height, Road traffic accidents, gunshots and blasts which forming the majority of cases treated at Kosti Teaching Hospital. The accumulation of injuries among young males further estimate the social and economic effect of prolonged conflict. These findings stress the urgent need to strengthen trauma centers capacity, ensure adequate accessibility to surgical supplies, and develop standardized management protocols to enhance outcomes.
Abugarga et al. (Tue,) studied this question.