Background: The pattern of fracture, including the eti­ology, types, anatomical location and age distribution, may differ from and within sub-regions due to inhab­itants’ occupation and living environment. We aimed to determine the pattern of long bone fractures seen through the trauma unit at the John F. Kennedy Me­morial Hospital.

Methods: A retrospective study of patients with long bone fractures of the extremities at the John F. Ken­nedy Memorial Hospital over a period of 12 months between January 2019 to December 2019.

Results: 233 patients with long bone fractures were recruited. The resulting data was analyzed using Prism 8. Patients ages range from 4-100 years with a mean age of 38.5 years, and 18-59 years (192/233, 82.4%) being the most affected age group. There was male prepon­derance with male to female ratio of 2.3:1. Of the 233 fractures, 169 (72.6%) were as a result of road traffic accidents (RTA), 38 (16.4%) due to fall from heights and 26 (11.2%) from assault and pathology. Femur, tibia and tibio-fibula were the topmost three anatomical lo­cations involved. 108 (46.4%) of all fractures were open while 125 (53.6%) were closed fractures. Eighteen had multiple associated injuries with head injury being the topmost associated injury.

Conclusion: Fractures of the lower extremities consti­tute the common anatomical location among the pop­ulation studied. Road traffic accidents still remain one of the most prevalent etiology. Age group between 18- 59 are commonly affected. This confirms the vulner­ability of the young and working population as well as poor traffic regulations in Liberia.