Increasing incidence of pelvic and acetabular fractures. A nationwide study of 87,308 fractures over a 16-year period in Sweden

Abstract

Background: Fractures of the pelvis and acetabulum are major injuries, often associated with hospitalization, reduced function and sometimes life-threatening conditions. Current data on nationwide incidence and treatment is sparse. Existing epidemiological studies are either single-centered or investigating only in-patients. The aim of this study was to investigate the epidemiology and treatment of pelvic and acetabular fractures in a nationwide register study including all adult patients in Sweden during 2001-2016. Methods:We used the Swedish National Patient Register to collect data on the entire Swedish population aged ≥18 years from 2001 to 2016. Variables included age, gender, fracture type and treatment. Results:We found a total of 87,308 pelvic and acetabular fractures (71% females) in Sweden during the 16-year study period and the incidence increased from 64 to 80 per 10 0,0 0 0 person-years from 2001 to 2016. The incidence of pelvic fractures increased from 58 to 73 per 10 0,0 0 0 person-years and the majority of the patients (74%) were female. The incidence of acetabular fracture increased from 8.7 to 11 per 10 0,0 0 0 person years and the majority of the patients (58%) were male. Only 2.0% of all patients with a pelvic fracture were treated surgically, as compared to 15% for acetabular fractures. The rate of surgical treatment was higher for males compared to females for both pelvic (4.4 and 1.2% respectively) and acetabular (19 and 10% respectively) fractures. Conclusion:The incidence of pelvic and acetabular fractures increased markedly in Sweden from 2001-2016. Pelvic fractures were more common among females and acetabular among males. The surgical rate was higher for acetabular compared to pelvic fractures. Major gender differences in treatment choices were found with higherproportion of men treated surgically for both fracture types, and in all age groups.

Pregnancy and delivery after pelvic fracture in fertile-aged women: A nationwide population-based cohort study in Finland

“…The incidence of pelvic fractures in the younger population is approximately 20/100 000 person-years. [1] In younger populations, fractures of the pelvic circle are typically the result of high energy collisions, such as falls from height or traffic accidents, whereas falls from standing height are more common in older pop-ulations. [1] Among the Finnish adult population during the years 1997-2014, around 8.2% of all pelvic fractures were treated surgically [2].…”

The Perioperative Deep Vein Thrombosis in Lower Extremities in Patients With Pelvic Fracture: A Case-Control Study

“…Pelvic fractures are often associated with prolonged hospitalization, poor function and sometimes life-threatening conditions. 1 Following by the trauma itself, immobilization, blood loss, comorbidity and operation, some patients often suffered perioperative deep vein thrombosis (DVT) of the lower extremities. 2 Even, the DVT after fracture is a high risk of fatal pulmonary embolism in some patients.…”

Effect of osteoporosis-related reduction in the mechanical properties of bone on the acetabular fracture during a sideways fall: A parametric finite element approach

“…The incidence of low-energy acetabular fractures has increased 2.4 times in developed countries such as the United States, Finland, and Sweden in recent decades [ 5 – 8 ]. While pelvic fractures among youngsters and adults typically result from high-energy traumas such as motor vehicle accidents [ 9 ], low-energy acetabular fractures are mostly observed among elderly people.…”