Epidemiologic study of ankle fractures in a tertiary hospital

Sakaki, Marcos Hideyo; Matsumura, Bruno Akio; Dotta, Thiago De Angelis Guerra; Pontin, Pedro Augusto; Santos, Alexandre Leme Godoy dos; Fernandes, Túlio Diniz

doi:10.1590/1413-78522014220200874

Cited by 15 publications

(20 citation statements)

References 6 publications

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“…Sakaki et al demonstrate in their study in São Paulo of surgically-treated ankle fractures with a high amount of high-energy trauma that type C fractures compose about 37% of the fractures. More than half of them were high-energy traffic accidents [ 33 ]. Briet et al show in a similar study that all Lauge-Hansen classes except supination external rotation fractures (SER) is, in a majority of the cases, caused by high energy trauma.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of Adult Ankle Fractures: 1756 cases identified in Norrbotten County during 2009–2013 and classified according to AO/OTA

Juto

Nilsson

Morberg

2018

BMC Musculoskelet Disord

127

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BackgroundThe ankle fracture is one of the most common fractures, increasing in an ageing population, but not generally seen as an osteoporotic fracture. The aim of this study was to examine the relationship between different AO/OTA classes of ankle fractures, age, sex and type of trauma.MethodsAnkle fractures, treated at any of the hospitals in Norrbotten County in Sweden between 2009 and 2013, were retrospectively identified and classified according to the AO/OTA-classification system. Information about the trauma mechanism was also obtained.ResultsIn Norrbotten County, 1756 ankle fractures in 1735 patients aged 20 years or older were identified. This gave an incidence in the county of 179 per 100,000 person-years. Of these patients, 34.6% were 65 years or older, 58.4% were women and 68.2% of the trauma leading to a fracture was defined as low-energy. In 1.5% of the cases the fractures were open. Incidences of type B fractures increased substantially with age, from 62 (95% CI 50–77) at 30–39 years of age to 158 (95% CI 131–190) in patients older than 80 years of age per 100,000 person-years. Type B fractures showed a slightly higher proportion of low-energy trauma while type C showed a lower mean age and proportion of women.ConclusionsThis study shows an incidence of 179 adult ankle fractures annually per 100,000 persons. More than two thirds of the fractures were caused by a low-energy trauma and ankle fractures are more frequent among females. Females generally have an increased incidence during their life, mainly between the ages of 30 and 60. This is in contrast to men who have more of an even distribution throughout their life. Classification according to AO/OTA reveals some heterogeneity among the classes of ankle fractures in age and gender as well as the energy involved in the trauma.

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Section: Discussionmentioning

confidence: 99%

Epidemiology of Adult Ankle Fractures: 1756 cases identified in Norrbotten County during 2009–2013 and classified according to AO/OTA

Juto

Nilsson

Morberg

2018

BMC Musculoskelet Disord

127

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“…Ankle injuries are mostly caused by low-energy rotation injury, and different from Pilon fracture induced by the axial load of distal tibial articular surface [17]. In the present study, low-energy injury induced by falls and sprains accounted for 77.8% (42/54).…”

Section: Discussion:-mentioning

confidence: 51%

Clinical Application of Three-Column Theory to Tibiofibular Syndesmosis Injury After Ankle Fractures.

Huang¹,

Sun²

2016

IJAR

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Objective:-To explore the clinical effects of internal fixation on ankle fractures combined with tibiofibular syndesmosis injury under the guidance of three-column theory. Methods:-Clinical data of 54 patients with ankle fractures combined with tibiofibular syndesmosis injury, who were treated from June 2008 to May 2014, were retrospectively analyzed in this study. According to the characteristics of pathological anatomy and mechanisms of injury, ankle joint was divided into three columns. Above three columns were involved when ankle fractures combined with tibiofibular syndesmosis separation appeared. There were lateral column fracture in 54 sites, ligament injury of middle column in 26 sites, avulsion fracture of the middle column in 28 sites, ligament injury of inside column in 31 sites, and inside column fracture in 13 sites. At least two columns should be fixed after the three columns were injured. Visual analogue scale pain scores were recorded at 6 months after surgery. Imaging results were evaluated using modified Baird and Jackson evaluation criteria after fracture reduction and fixation. The function of ankle joint was assessed utilizing American Orthopaedic Foot and Ankle Society ankle-hindfoot score system. Results:-A total of 54 patients were followed up for 6-48 months (averagely 21 months). Healing time was 11-15 weeks (averagely 13.6 weeks). Visual analogue scale pain scores were between 0 and 6 (averagely 1.4). American Orthopaedic Foot and Ankle Society anklehindfoot score was 82-100, averagely 96. Radiological evaluation of therapeutic effects showed 52 excellent cases and 2 good cases with an excellent and good rate of 100%. Conclusion:-Three-column classification for ankle fractures is a simple and comprehensive theory. Fixation of two columns can stabilize the tibiofibular syndesmosis after three columns were injured.

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“…As fratu ras do tornozelo são uma das mais frequentes. Normalmente, resultam de traumas torcionais de baixa energia, mas como o número de acidentes de trânsito aumentou, a gravidade das fraturas e a energia do trauma cresceram de forma constante (1)(2)(3)(4)(5) .…”

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Reproducibility assessment of the Lauge-Hansen classification for ankle fractures

et al. 2018

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Objetivo: Avaliar a reprodutibilidade da classificação de Lauge-Hansen entre ortopedistas, realizada em 2 momentos, entendendo o mecanismo de trauma em cada tipo. Métodos: Foram selecionadas trinta radiografias de fraturas de tornozelo para 5 ortopedistas do nosso serviço avaliarem, 2 já formados e 3 em formação pela residência de ortopedia. Resultados: Os resultados foram colocados em tabelas e gráficos, nos quais se constataram, numa segunda avaliação, após 1 semana, 66% de acertos e 34% de erros, sendo que na primeira avaliação o percentual de acertos foi de 61,33%. Conclusão: O manejo das classificações faz com que os médicos se habituem a usá-la de forma rotineira, facilitando o entendimento por outros profissionais da área, diminuindo a discordância entre os observadores.

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Epidemiologic study of ankle fractures in a tertiary hospital

Cited by 15 publications

References 6 publications

Epidemiology of Adult Ankle Fractures: 1756 cases identified in Norrbotten County during 2009–2013 and classified according to AO/OTA

Epidemiology of Adult Ankle Fractures: 1756 cases identified in Norrbotten County during 2009–2013 and classified according to AO/OTA

Clinical Application of Three-Column Theory to Tibiofibular Syndesmosis Injury After Ankle Fractures.

Reproducibility assessment of the Lauge-Hansen classification for ankle fractures

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