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

Veronique Vestergaard*, Alma Becic Pedersen, Peter Toft Tengberg, Anders Troelsen, Henrik Morville Schrøder

*Kontaktforfatter for dette arbejde

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

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Resumé

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 105 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.

OriginalsprogEngelsk
TidsskriftActa Orthopaedica
Vol/bind91
Udgave nummer1
Sider (fra-til)109-114
ISSN1745-3674
DOI
StatusUdgivet - 2. jan. 2020

Fingeraftryk

Knee
Cohort Studies
Incidence
Comorbidity
Knee Replacement Arthroplasties
Fibula
Femoral Fractures
Knee Osteoarthritis
Registries
Hip

Citer dette

Vestergaard, Veronique ; Pedersen, Alma Becic ; Tengberg, Peter Toft ; Troelsen, Anders ; Schrøder, 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.
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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 105 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.",
author = "Veronique Vestergaard and Pedersen, {Alma Becic} and Tengberg, {Peter Toft} and Anders Troelsen and Schr{\o}der, {Henrik Morville}",
year = "2020",
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language = "English",
volume = "91",
pages = "109--114",
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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; Schrøder, Henrik Morville.

I: Acta Orthopaedica, Bind 91, Nr. 1, 02.01.2020, s. 109-114.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

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 - Schrøder, Henrik Morville

PY - 2020/1/2

Y1 - 2020/1/2

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 105 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 105 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.

U2 - 10.1080/17453674.2019.1698148

DO - 10.1080/17453674.2019.1698148

M3 - Journal article

C2 - 31795876

AN - SCOPUS:85077937366

VL - 91

SP - 109

EP - 114

JO - Acta Orthopaedica (Online)

JF - Acta Orthopaedica (Online)

SN - 1745-3682

IS - 1

ER -