Abstract: Background: Orthopedic trauma is a leading cause of morbidity and mortality, with significant regional variations. Road traffic accidents, violence, and suicides are major contributors, particularly among young adults aged 21-30, who are often involved in high-risk behaviors. Gender disparities exist, with males more commonly affected by traumatic injuries. In Kenya, trauma-related deaths contribute notably to the overall mortality rate, especially in areas like Eldoret. Postmortem examinations provide valuable insights into the causes and patterns of orthopedic trauma, aiding in the identification of high-risk factors. This data is crucial for developing targeted prevention strategies, improving trauma care, and optimizing resource allocation.