Epidemiology of proximal femoral fractures.
Epidemiology of proximal femoral fractures.
复制标题
DOI：
10.1016/j.jcot.2020.07.001
复制
发表时间：
2021-01-01
影响因子：
--
通讯作者：
Perka, Carsten
中科院分区：
文献类型：
--
作者：
Backer, Henrik C;Wu, Chia H;Perka, Carsten
【摘要】：随着年龄的增长,股骨近端骨折的发生率逐渐增加。尽管经常对不同的治疗方法进行研究，但人们对季节性变化和诱发因素知之甚少。本研究的目的是调查流行病学、股骨髋臼撞击的影响以及骨关节炎的存在。方法：我们对 2012 年至 2019 年间所有股骨粗隆间、外侧和内侧股骨颈骨折患者进行了回顾性分析。纳入标准包括年龄超过 18 岁、患有孤立性股骨近端骨折、无任何先天性或遗传性的患者。畸形。为了进行分析，我们评估了人口统计数据、事故发生时的季节、Kellgren-Lawrence 评分和角边缘 (CE) 角度。 结果：总共确定了 187 名患者，平均年龄为 75.1±12.9 岁。该群体中女性占 54.5%。最常见的是，患者往往在冬季出现股骨粗隆间骨折，而股骨内侧颈骨折则没有发现季节性变化。季节和年龄之间存在显着相关性（回归系数-0.050±0.021；p
INTRODUCTION: With increasing age, the incidence of proximal femoral fractures increases steadily. Although the different treatments are investigated frequently, little is known about the seasonal variation and predisposing factors. The purpose of this study is to investigate the epidemiology, the impact of femoroacetabular impingement, as well as the presence of osteoarthritis.METHODS: We performed a retrospective review of all patients with pertrochanteric, lateral and medial femoral neck fractures between 2012 and 2019. Inclusion criteria consisted of patients older than 18 years old who presented with isolated proximal femoral fractures without any congenital or hereditary deformity. For analysis, we assessed the demographics, season at time of accident, Kellgren-Lawrence score and corner edge (CE) angle.RESULTS: In total, 187 patients were identified at a mean age of 75.1±12.9 years old. Females consisted of 54.5% of this cohort. Most commonly, patients tend to present in winter with pertrochanteric fractures whereas no seasonal variation was found for medial femoral neck fractures. Significant correlations between season and age (regression coefficient-0.050±0.021; p