Ankle Fracture Epidemiology in the United States: Patient-Related Trends and Mechanisms of Injury

Scheer, Ryan; Newman, Jared M.; Zhou, Jiangying; Oommen, Alvin; Naziri, Qais; Shah, Neil V.; Pascal, Scott C.; Penny, Gregory S.; McKean, Jason; Tsai, Justin; Uribe, Jaime A.

doi:10.1053/j.jfas.2019.09.016

Cited by 98 publications

(89 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, a nationwide epidemiological survey of ankle fractures based on the basic population by Liu 9 showed that the peak incidence occurred at 41~50 years, which was different from our study because of the different study population. Another 18 epidemiological survey of ankle fractures in 673,214 cases in American hospitals showed that the highest incidence age group was 10–19 year olds (23.5%), followed by 20–29 year olds (12.0%), with females (56%) more likely to experience these fractures than males (44%). The common causes were falls and sports injuries, and occurred more usually in white people than other races.…”

Section: Discussionmentioning

confidence: 99%

Age‐ and Gender‐Specific Epidemiologic Characteristics of Major Intra‐Articular Fractures: Five‐Year Data from a Level 1 Trauma Center

Zhao

Zhu

et al. 2021

Orthopaedic Surgery

View full text Add to dashboard Cite

Objective To investigate the epidemiological characteristics of major intra‐articular fractures. Methods This retrospective study enrolled patients with major intra‐articular fractures who were treated in the Third Hospital of Hebei Medical University from January 2015 to December 2019. A total of 11,084 patients (7,338 [66.20%] males and 3,746 [33.80%] females) meeting the inclusion and exclusion criteria were included. The distribution characteristics of intra‐articular fractures involving shoulder, elbow, wrist, hip, knee, ankle, and subtalar joints were identified.The potential associations between fractures and various other factors, such as age, gender, sites, were explored. Results There were 74 cases (0.67%) of shoulder fractures, 1,941 cases (17.51%) of elbow fractures, 1,155 cases (10.42%) of wrist fractures, 520 cases (4.69%) of hip fractures, 3,118 cases (28.13%) of knee fractures, 2,156 cases (19.45%) of ankle fractures, and 2,120 cases (19.13%) of subtalar fractures. The overall male‐to‐female ratio was 1.96:1. The highest proportion age group of major intra‐articular fractures included the ages 45–54 years. For males, the highest proportion age group was 45–54 years, for females, it was 55–64 years. The knee joint fracture was the most common type, accounting for 28.13%. For male and female patients, knee fractures accounted for 26.19% and 31.93%, respectively, with a male to female ratio of 1.13:1. The proportion of shoulder fractures was the smallest among this investigation, accounting for 0.67%. For male and female patients, shoulder fractures accounted for 0.44% and 1.12%, respectively, with a male to female ratio of 0.76:1. The age group with the highest proportion of shoulder joint fractures was ≥65 year olds (41.89%), with a male to female ratio of 0.76:1. The age group with the highest risk of elbow, wrist, hip, knee, ankle, and subtalar joint fracture was 5–14 year olds (33.59%) with a male to female ratio of 3.29:1, 5–14 year olds (23.98%) with a male to female ratio of 6.91:1, 45–54 year olds (26.92%) with a male to female ratio of 5.67:1, 45–54 year olds (24.60%) with a male to female ratio of 1.68:1, 25–34 year olds (20.36%) with a male to female ratio of 2.30:1, 45–54 year olds (27.41%) with a male to female ratio of 9.02:1, respectively. The most common site of intra‐articular fractures in different age groups was corresponding as follows: 0–4 year olds (elbow), 5–14 year olds (elbow), 15–24 year olds (ankle), 25–34 year olds (subtalar joint), 35–44 year olds (subtalar joint), 45–54 year olds (knee), 55–64 year olds (knee), 65–74 year olds (knee), and ≥75 year olds (knee). Conclusion The current study revealed the age‐ and gender‐specific epidemiological characteristics of major intra‐articular fractures, providing a basis for clinical evaluation and practices.

show abstract

Section: Discussionmentioning

confidence: 99%

Age‐ and Gender‐Specific Epidemiologic Characteristics of Major Intra‐Articular Fractures: Five‐Year Data from a Level 1 Trauma Center

Zhao

Zhu

et al. 2021

Orthopaedic Surgery

View full text Add to dashboard Cite

show abstract

“…No Brasil, dois são os fatores que favorecem o aumento no número de pacientes submetidos a tratamento cirúrgico de fraturas ou fraturas-luxações do tornozelo, o aumento do número de acidente automobilísticos de alta energia e o envelhecimento da população [17][18][19] . Nesse contexto, avaliar estratégias de correção de lesões em tornozelo que favoreçam qualidade de vida no póscirúrgico, bem como uso de medidas que tentam combater o processo de diminuição da densidade mineral óssea se fazem necessárias 18,19 .…”

Section: Resultsunclassified

“…Estudos apresentam que os custos relacionados aos diferentes métodos de tratamento de lesões no tornozelo são muito divergentes, sendo ainda R$300,00 R$400,00 R$500,00 R$600,00 R$700,00 R$800,00 R$900,00 R$1.000,00 escassos os trabalhos nacionais [16][17][18][19][20] . Destaca-se que as fraturas de tornozelo demandam um grande gasto dos recursos públicos com o seu tratamento devido à sua alta prevalência e frequente necessidade intervenções cirúrgicas 19 .…”

Section: Resultsunclassified

Estudo descritivo sobre o financiamento da assistência à saúde frente ao tratamento cirúrgico de fratura do tornozelo e retirada de placas/parafuso em Belo Horizonte, Minas Gerais, Brasil, 2014–2019

Lazaroni

Monteiro

Bernini³

et al. 2021

Rev. Adm. Saúde

View full text Add to dashboard Cite

Objetivo: descrever as internações e os custos hospitalares por tratamento cirúrgico de fratura do tornozelo unimaleolar; por tratamento cirúrgico de fratura do tornozelo bimaleolar, trimaleolar, da fratura luxação do tornozelo; e por retirada de placa e/ou parafusos, no período de 2014 a 2019, no município de Belo Horizonte, Minas Gerais. Métodos: estudo retrospectivo descritivo realizado entre 2014 a 2019 com dados epidemiológicos obtidos no banco de dados do Departamento de Informática do Sistema Único de Saúde, oriundos do cadastro da Autorização de Internação Hospitalar e dos valores, total e por serviços hospitalares, despendidos com o tratamento cirúrgico de fratura do tornozelo unimaleolar; o tratamento cirúrgico de fratura do tornozelo bimaleolar, trimaleolar, da fratura de luxação do tornozelo; e o procedimento de retirada de placa e/ou parafusos. Resultados: entre 2014 e 2019 foram registrados 13.721 procedimentos cirúrgicos em região de tornozelo, sendo gastos R$ 7.889.737,75 com as intervenções invasivas. Conclusão: sugere-se a partir dos resultados desta pesquisa a necessidade de reforçar políticas públicas voltadas para a implementação de ações concretas, para à busca de melhor eficácia no processo de seleção de materiais, revisão de protocolos clínicos e cirúrgicos.Palavra-chave: fraturas do tornozelo; fixação interna de fraturas; traumatismos do tornozelo; financiamento da assistência à saúde; ortopedia. Descriptive study on health care financing for surgical treatment of ankle fractures and removal of plates / screws in Belo Horizonte, Minas Gerais, Brazil, 2014-2019 ABSTRACTObjective: to describe hospitalizations and hospital costs for surgical treatment of unimaleolar ankle fractures; by surgical treatment of bimaleolar, trimaleolar ankle fracture, ankle dislocation fracture; and by removing the plate and / or screws, from 2014 to 2019, in the city of Belo Horizonte, Minas Gerais. Methods: retrospective descriptive study carried out between 2014 and 2019 with epidemiological data obtained in the database of the Department of Informatics of the Unified Health System, from the Hospitalization Authorization record and the values, total and for hospital services, spent on treatment surgical fracture of the unimaleolar ankle; surgical treatment of bimaleolar, trimaleolar ankle fracture, ankle dislocation fracture; and the procedure for removing the plate and / or screws. Results: between 2014 and 2019, 13,721 surgical procedures were recorded in the ankle region, with R$ 7,889,737.75 being spent on invasive interventions. Conclusion: it is suggested from the results of this research the need to reinforce public policies aimed at implementing concrete actions, in order to seek better efficiency in the process of selecting materials, reviewing clinical and surgical protocols.Keywords: ankle fractures; internal fracture fixation; ankle injuries; health care financing; orthopedics.

show abstract

“…In Brazil, two factors favor the increase in the number of patients undergoing surgical treatment of fractures or fractures-dislocations of the ankle, the increase in the number of high-energy car accidents, and the aging of the population [17][18][19] . In this context, evaluating strategies to correct ankle injuries that favor quality of life in the post-surgical period, and the use of measures that try to combat the process of decreasing bone mineral density are necessary 18,19 .…”

Section: Discussionmentioning

confidence: 99%

“…Studies show that the costs related to different methods of treating ankle injuries are very divergent, with national studies still scarce [16][17][18][19][20] . Ankle fractures demand a large expenditure of public resources for their treatment due to their high prevalence and frequent need for surgical interventions 19 .…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of ankle fractures and removal of plates/screws: descriptive study on health care financing in Belo Horizonte, Minas Gerais, Brazil, 2014-2019 / Tratamento cirúrgico de fratura do tornozelo e retirada de placas/parafuso: estudo descritivo sobre o financiamento em Belo Horizonte, Minas Gerais, Brasil, 2014–2019

Lazaroni¹,

Monteiro²,

Bernini³

et al. 2021

Braz. J. Hea. Rev.

View full text Add to dashboard Cite

show abstract

Ankle Fracture Epidemiology in the United States: Patient-Related Trends and Mechanisms of Injury

Cited by 98 publications

References 27 publications

Age‐ and Gender‐Specific Epidemiologic Characteristics of Major Intra‐Articular Fractures: Five‐Year Data from a Level 1 Trauma Center

Age‐ and Gender‐Specific Epidemiologic Characteristics of Major Intra‐Articular Fractures: Five‐Year Data from a Level 1 Trauma Center

Estudo descritivo sobre o financiamento da assistência à saúde frente ao tratamento cirúrgico de fratura do tornozelo e retirada de placas/parafuso em Belo Horizonte, Minas Gerais, Brasil, 2014–2019

Contact Info

Product

Resources

About