Asingle center analysis for the epidemiological characteristics of eldly ankle fractures from Third Hospital of Hebei Medical University from 2015 to 2019

doi:10.3877/cma.j.issn.2096-0263.2021.01.002

Abstract

Abstract:

Objective

From 2015 to 2019, aged people with ankle fractures admitted to the Third Hospital of Hebei Medical University were collected, whose clinical and imaging data were retrospectively analyzed to evaluate the epidemiological characteristics of ankle fractures in the elderly.

Methods

The data of patients were summarized by using Picture Archiving and Communication System (PACS) and Hospital Information System (HIS). The characteristics of age distribution, sex distribution, side distribution, Body Mass Index (BMI) and AO classification of ankle fractures in the elderly patients were analyzed.

Results

A total of 376 elderly patients with ankle fracture were included in this study, aged 60 to 95 years old, with an average of (66.33±6.01) years old, including 153 males (40.69%) and 223 females (59.31%), with a male-female ratio of 1:1.46. The highest incidence of fracture was in the age group of 60 to 69 years old (78.19%). There was statistical difference in the side distribution among different gender groups of elderly patients with ankle fracture. According to AO/OTA classification, there were 167 cases (44.41%) of 44-A, 157 cases (41.76%) of 44-B, and 52 cases (13.83%) of 44-C. The mean BMI of the patients was 24.86 kg/m² (16.04 kg/m² to 36.65 kg/m²). Among all the patients, 55 patients (14.63%) had a history of diabete and 112 patients (29.79%) were diagnosed with hypertension.

Conclusion

The highest incidence of fracture was in the age group of 60 to 69 years old, and the risk of fracture in women is higher than that in men. Anklef ractures are more likely to occur on the right side in men.

Key words: Aged, Ankle Fracture, Epidemiology, Risk factors

Tao Zhang, Guangrong Yu, Yanbin Zhu, Shiji Qin, Yingze Zhang. Asingle center analysis for the epidemiological characteristics of eldly ankle fractures from Third Hospital of Hebei Medical University from 2015 to 2019[J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2021, 07(01): 4-8.

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References 20

1	张英泽. 临床创伤骨科流行病学[M]. 北京: 人民卫生出版社，2009: 275-299.
2	杨延江，董天华，杜晨光，等. 2008年至2012年河北医科大学第三医院老年踝关节损伤的流行病学研究[J]. 中华老年骨科与康复电子杂志，2015 (2): 35-38.
3	张英泽. 临床创伤骨科流行病学[M]. 北京: 人民卫生出版社，2014: 274-289.
4	Zhang Y. Clinical epidemiology of orthopaedic trauma [M]. New York: Thieme, 2016.
5	Bengner U, Johnell O, Redlund-Johnell I. Epidemiology of ankle fracture 1950 and 1980. Increasing incidence in elderly women [J]. Acta Orthop Scand, 1986, 57(1): 35-37.
6	Daly PJ, Fitzgerald RH, Melton LJ, et al. Epidemiology of ankle fractures in Rochester, Minnesota [J]. Acta Orthop Scand, 1987, 58(5): 539-544.
7	Lee KM, Chung CY, Kwon SS, et al. Ankle fractures have features of an osteoporotic fracture [J]. Osteoporos Int, 2013, 24(11): 2819-2825.
8	Thur CK, Edgren G, Jansson KÅ, et al. Epidemiology of adult ankle fractures in Sweden between 1987 and 2004: a population-based study of 91,410 Swedish inpatients [J]. Acta Orthop, 2012, 83(3): 276-281.
9	Court-Brown CM, McBirnie J, Wilson G. Adult ankle fractures--an increasing problem? [J]. Acta Orthop Scand 1998, 69(1): 43-47.
10	冯宪煊，施慧鹏，白跃宏. 老年骨质疏松性骨折的康复治疗[J]. 中华老年骨科与康复电子杂志，2018，4(1): 48-51.
11	Kemler E, van de Port I, Schmikli S, et al. Effects of soft bracing or taping on a lateral ankle sprain: a non-randomised controlled trial evaluating recurrence rates and residual symptoms at one year [J]. J Foot Ankle Res, 2015, 8: 13.
12	Elsoe R, Ostgaard SE, Larsen P. Population-based epidemiology of 9767 ankle fractures [J]. Foot Ankle Surg, 2018, 24(1): 34-39.
13	Kannus P, Palvanen M, Niemi S, et al. Increasing number and incidence of low-trauma ankle fractures in elderly people: Finnish statistics during 1970-2000 and projections for the future [J]. Bone, 2002, 31(3): 430-433.
14	朱伟，邱旭升，施鸿飞，等. 1080例踝关节骨折的流行病学分析[J]. 实用骨科杂志，2018，24(3): 230-233.
15	Høiness P, Strømsøe K. Early complications of surgically managed ankle fractures related to the AO classification [J]. Arch Orthop Trauma Surg, 1999, 119(5): 276-279.
16	柴生颋，谢平金，万雷，等. 体重及体质量指数与骨质疏松性骨折发生的关系研究[J]. 中国骨质疏松杂志，2018，24(2): 156-160.
17	Hasselman Ct VM, Ankle Fractures in Elderly White Women. Incidence and risk factors [J]. J Bone Joint Surg Am, 2003, 85(5): 820-824.
18	郜振武，吴斗，高敏，等. 骨质疏松性骨折的药物治疗策略与选择[J]. 中华老年骨科与康复电子杂志，2018，4(5): 317-320.
19	Honkanen R, Tuppurainen M, Kröger H, et al. Relationships between risk factors and fractures differ by type of fracture: a population-based study of 12,192 perimenopausal women [J]. Osteoporos Int, 1998, 8(1): 25-31.
20	King CM, Hamilton GA, Cobb M, et al. Association between ankle fractures and obesity [J]. J Foot Ankle Surg, 2012, 51(5): 543-547.

年龄组	男性	女性	合计
60～69岁	120（40.82）	174（59.18）	294（78.19）
70～79岁	24（37.50）	40（62.50）	64（17.02）
≥80岁	9（50.00）	9（50.00）	18（4.79）
χ²值	0.918
P值	0.632

年龄组	男性	女性	合计
60～69岁	120（40.82）	174（59.18）	294（78.19）
70～79岁	24（37.50）	40（62.50）	64（17.02）
≥80岁	9（50.00）	9（50.00）	18（4.79）
χ²值	0.918
P值	0.632

性别组	左侧	左侧	合计
男性	51（33.33）	102（66.67）	153（40.69）
女性	126（56.50）	97（43.50）	223（59.31）
χ²值	19.551
P值	<0.01

性别组	左侧	左侧	合计
男性	51（33.33）	102（66.67）	153（40.69）
女性	126（56.50）	97（43.50）	223（59.31）
χ²值	19.551
P值	<0.01

年龄段	44-A	44-B	44-C	合计
60～69岁	121（72.46）	130（82.80）	43（82.69）	294（78.19）
70～79岁	35（20.96）	20（12.74）	9（17.31）	64（17.02）
≥80岁	11（6.59）	7（4.46）	0（0）	18（4.79）
合计	167（100）	157（100）	52（100）	376（100）

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