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20-year trends of distal femoral, patellar, and proximal tibial fractures: a Danish nationwide cohort study of 60,823 patients

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20-year trends of distal femoral, patellar, and proximal tibial fractures : a Danish nationwide cohort study of 60,823 patients. / Vestergaard, Veronique; Pedersen, Alma Becic; Tengberg, Peter Toft; Troelsen, Anders; Schroder, Henrik Morville.

I: Acta Orthopaedica, Bind 91, Nr. 1, 02.2020, s. 109-114.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

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Vestergaard, Veronique ; Pedersen, Alma Becic ; Tengberg, Peter Toft ; Troelsen, Anders ; Schroder, Henrik Morville. / 20-year trends of distal femoral, patellar, and proximal tibial fractures : a Danish nationwide cohort study of 60,823 patients. I: Acta Orthopaedica. 2020 ; Bind 91, Nr. 1. s. 109-114.

Bibtex

@article{00add0c1a5f044b39cd2f3daf45458bc,
title = "20-year trends of distal femoral, patellar, and proximal tibial fractures: a Danish nationwide cohort study of 60,823 patients",
abstract = "Background and purpose - Knee fracture treatment burden remains unknown, impeding proper use of hospital resources. We examined 20-year trends in incidence rates (IRs) and patient-, fracture-, and treatment-related characteristics of knee fracture patients. Patients and methods - This nationwide cohort study of prospectively collected data including patients with distal femoral, patellar, and proximal tibial fractures from the Danish National Patient Registry during 1998-2017, assesses IRs of knee fractures (per 10(5) inhabitants) as well as patient-, fracture-, and treatment-related characteristics of knee fracture patients. Results - During 1998-2017, 60,823 patients (median age 55; 57% female) sustained 74,106 knee fractures. 74% of the study population had a Charlson Comorbidity Index (CCI) of 0 and 18% a CCI of >= 2. 51% were proximal tibial fractures, 31% patellar fractures, and 18% distal femoral fractures. At the time of knee fracture, 20% patients had concomitant near-knee fractures (femur/tibia/fibula shaft/hip/ankle), 13% concomitant fractures (pelvic/spine/thorax/upper extremities), 5% osteoporosis, and 4% primary knee osteoarthritis. Over 1/3 knee fractures were surgically treated and of these 86% were open-reduction internal fixations, 9% external fixations, and 5% knee arthroplasties. The most common surgery type was proximal tibia plating (n = 4,868; 60% female). Knee fracture IR increased 12% to 70, females aged > 51 had the highest knee fracture IR, proximal tibial fracture had the highest knee fracture type IR (32) and surgically treated knee fracture IR increased 35% to 23. Interpretation - Knee fracture IRs, especially of surgically treated knee fractures, are increasing and proximal tibial fracture has the highest knee fracture type IR. Females aged > 51 and patients with comorbidity are associated with knee fracture, proximal tibial fracture, proximal tibial fracture surgery, and posttraumatic knee arthroplasty.",
keywords = "EPIDEMIOLOGY, PREVALENCE",
author = "Veronique Vestergaard and Pedersen, {Alma Becic} and Tengberg, {Peter Toft} and Anders Troelsen and Schroder, {Henrik Morville}",
year = "2020",
month = feb,
doi = "10.1080/17453674.2019.1698148",
language = "English",
volume = "91",
pages = "109--114",
journal = "Acta Orthopaedica (Print Edition)",
issn = "1745-3674",
publisher = "TAYLOR & FRANCIS LTD",
number = "1",

}

RIS

TY - JOUR

T1 - 20-year trends of distal femoral, patellar, and proximal tibial fractures

T2 - a Danish nationwide cohort study of 60,823 patients

AU - Vestergaard, Veronique

AU - Pedersen, Alma Becic

AU - Tengberg, Peter Toft

AU - Troelsen, Anders

AU - Schroder, Henrik Morville

PY - 2020/2

Y1 - 2020/2

N2 - Background and purpose - Knee fracture treatment burden remains unknown, impeding proper use of hospital resources. We examined 20-year trends in incidence rates (IRs) and patient-, fracture-, and treatment-related characteristics of knee fracture patients. Patients and methods - This nationwide cohort study of prospectively collected data including patients with distal femoral, patellar, and proximal tibial fractures from the Danish National Patient Registry during 1998-2017, assesses IRs of knee fractures (per 10(5) inhabitants) as well as patient-, fracture-, and treatment-related characteristics of knee fracture patients. Results - During 1998-2017, 60,823 patients (median age 55; 57% female) sustained 74,106 knee fractures. 74% of the study population had a Charlson Comorbidity Index (CCI) of 0 and 18% a CCI of >= 2. 51% were proximal tibial fractures, 31% patellar fractures, and 18% distal femoral fractures. At the time of knee fracture, 20% patients had concomitant near-knee fractures (femur/tibia/fibula shaft/hip/ankle), 13% concomitant fractures (pelvic/spine/thorax/upper extremities), 5% osteoporosis, and 4% primary knee osteoarthritis. Over 1/3 knee fractures were surgically treated and of these 86% were open-reduction internal fixations, 9% external fixations, and 5% knee arthroplasties. The most common surgery type was proximal tibia plating (n = 4,868; 60% female). Knee fracture IR increased 12% to 70, females aged > 51 had the highest knee fracture IR, proximal tibial fracture had the highest knee fracture type IR (32) and surgically treated knee fracture IR increased 35% to 23. Interpretation - Knee fracture IRs, especially of surgically treated knee fractures, are increasing and proximal tibial fracture has the highest knee fracture type IR. Females aged > 51 and patients with comorbidity are associated with knee fracture, proximal tibial fracture, proximal tibial fracture surgery, and posttraumatic knee arthroplasty.

AB - Background and purpose - Knee fracture treatment burden remains unknown, impeding proper use of hospital resources. We examined 20-year trends in incidence rates (IRs) and patient-, fracture-, and treatment-related characteristics of knee fracture patients. Patients and methods - This nationwide cohort study of prospectively collected data including patients with distal femoral, patellar, and proximal tibial fractures from the Danish National Patient Registry during 1998-2017, assesses IRs of knee fractures (per 10(5) inhabitants) as well as patient-, fracture-, and treatment-related characteristics of knee fracture patients. Results - During 1998-2017, 60,823 patients (median age 55; 57% female) sustained 74,106 knee fractures. 74% of the study population had a Charlson Comorbidity Index (CCI) of 0 and 18% a CCI of >= 2. 51% were proximal tibial fractures, 31% patellar fractures, and 18% distal femoral fractures. At the time of knee fracture, 20% patients had concomitant near-knee fractures (femur/tibia/fibula shaft/hip/ankle), 13% concomitant fractures (pelvic/spine/thorax/upper extremities), 5% osteoporosis, and 4% primary knee osteoarthritis. Over 1/3 knee fractures were surgically treated and of these 86% were open-reduction internal fixations, 9% external fixations, and 5% knee arthroplasties. The most common surgery type was proximal tibia plating (n = 4,868; 60% female). Knee fracture IR increased 12% to 70, females aged > 51 had the highest knee fracture IR, proximal tibial fracture had the highest knee fracture type IR (32) and surgically treated knee fracture IR increased 35% to 23. Interpretation - Knee fracture IRs, especially of surgically treated knee fractures, are increasing and proximal tibial fracture has the highest knee fracture type IR. Females aged > 51 and patients with comorbidity are associated with knee fracture, proximal tibial fracture, proximal tibial fracture surgery, and posttraumatic knee arthroplasty.

KW - EPIDEMIOLOGY

KW - PREVALENCE

U2 - 10.1080/17453674.2019.1698148

DO - 10.1080/17453674.2019.1698148

M3 - Journal article

C2 - 31795876

VL - 91

SP - 109

EP - 114

JO - Acta Orthopaedica (Print Edition)

JF - Acta Orthopaedica (Print Edition)

SN - 1745-3674

IS - 1

ER -