The epidemiology of diaphyseal fractures of the tibia

Grütter, Rolf; Cordey, J.; Bühler, M.; Johner, R; Regazzoni, P.

doi:10.1016/s0020-1383(00)80035-2

Cited by 37 publications

(19 citation statements)

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“…Fractures were less common in both sexes in higher age groups. These findings agree with previously published data from a large cohort of tibial fractures (Grutter et al 2000). We found a distribution of fracture incidence rates that is in accordance with those of other observers (Singer et al 1998, Court-Brown andCaesar 2006), showing a unimodal pattern regarding age and sex-with men having a fracture peak at a very young age and women at a very old age.…”

Section: Discussionsupporting

confidence: 93%

Decreasing incidence of tibial shaft fractures between 1998 and 2004: Information based on 10,627 Swedish inpatients

Weiss¹,

et al. 2008

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Background and purpose There is a lack of national epidemiological data on the characteristics of patients with tibial shaft fractures. We therefore analyzed data on Swedish patients with tibial shaft fractures in this nationwide population study based on data from 1998 through 2004.Methods Data on all patients with tibial shaft fractures were extracted from the Swedish National Hospital Discharge Register.Results We identified 10,627 hospital admissions for tibial shaft fractures, corresponding to an annual incidence rate of 17 per 100,000 person-years (pyr). The number of hospital admissions decreased by 12% during the period 1998-2004, mostly from a reduction in male incidence. The median (SD) age at admission was 28 (22) years for men and 51 (26) years for women. The two major mechanisms of injury were falls on the same level (48%) and transport accidents (21%). Surgical procedures were dominated by osteosynthesis with nail (48%), followed by closed reduction and plaster cast (27%), and external fixation (12%). 12% of all tibial shaft fractures were classified as open, corresponding to an incidence rate of 2.3 per 100,000 pyr, which declined during 1998-2004.Interpretation This nationwide study of tibial shaft fractures shows a falling off of fracture incidence, a finding that can be used to advantage by healthcare providers.

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Section: Discussionsupporting

confidence: 93%

Decreasing incidence of tibial shaft fractures between 1998 and 2004: Information based on 10,627 Swedish inpatients

Weiss¹,

et al. 2008

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“…The greater the bending and torsion forces, the lower the circularity and bone density [1][2][3]5,7,16,17,[22][23][24]. Some authors consider that adaptation is gradual and non-global, with successive adaptation to torsion forces, then to anteroposterior bending and to lateral bending [1].…”

Section: Discussionmentioning

confidence: 99%

“…However, a biomechanical enigma still remains: what is the reason for the low rate of tibial fractures in the elderly even though this population is exposed to the risk of osteoporosis? [10,13,22].…”

Section: Discussionmentioning

confidence: 99%

The Use of Allograft Bone Morphogenetic Protein in Foot and Ankle Arthrodesis

DeVries¹,

Scharer²

2016

ORP

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“…Direct trauma because of road traffic accidents causes concomitant severe soft tissue damage with a high incidence of open fractures. 3 Due to the rapid progressing industrialization and urbanization year by year, there is rapid increase in road traffic, the incidence of high energy trauma are increasing with the same speed. Tibial fractures are the most common long bone fractures encountered by most of the Orthopaedic surgeons and those who had sustained the injury are presenting with compound fractures.…”

Section: Introductionmentioning

confidence: 99%

Treatment of open tibial shaft fractures using intra medullary interlocking

Reddy

Prasad

2017

Int J Res Orthop

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Background: It has been estimated that annual incidence of open fractures of long bones is 11.5 per 100 000 personswith 40% occurring in the lower limb and commonest site is the tibial diaphysis. This study was performed to evaluate clinical outcome of patients with open fracture of shaft of tibia.Methods: It was a hospital based observational prospective study was performed on a total of 30 study participants were enrolled and out of them 2 were lost to follow up. After discharge follow up was done every four weeks for clinical, radiological progress of bony union and soft tissue healing.Results: Majority of the study participants were in the age group of 31-40 years (37%). Males were the main study participant (63.3%). The process of healing took for about 13-16 weeks in 57.1% of the study participants were as in 18% of them it healed within 12 weeks. In 25% of the study participants the healing was completed in more than 16 weeks. Conclusions: It has been observed from the study that interlocked intramedullary nailing is a very effective and safe and technique for the management of open tibial fractures.

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The epidemiology of diaphyseal fractures of the tibia

Cited by 37 publications

References 1 publication

Decreasing incidence of tibial shaft fractures between 1998 and 2004: Information based on 10,627 Swedish inpatients

Decreasing incidence of tibial shaft fractures between 1998 and 2004: Information based on 10,627 Swedish inpatients

The Use of Allograft Bone Morphogenetic Protein in Foot and Ankle Arthrodesis

Treatment of open tibial shaft fractures using intra medullary interlocking

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