Rasmus Elsoe1, Adriano Axel Ceccotti2, Peter Larsen3. 1. Department of Orthopaedic Surgery, Aalborg University Hospital, Aalborg University, 18-22 Hobrovej, DK-9000, Aalborg, Denmark. rae@rn.dk. 2. Department of Orthopaedic Surgery, Aalborg University Hospital, Aalborg University, 18-22 Hobrovej, DK-9000, Aalborg, Denmark. 3. Department of Occupational Therapy and Physiotherapy, Aalborg University Hospital, Aalborg, Denmark.
Abstract
PURPOSE: The literature lacks recent epidemiological studies on the incidence, trauma mechanism and fracture classification of distal femur fractures. The aim of the present study was to provide up-to-date information concerning the incidence of distal femur fractures in a large and complete population and to report on the distribution of fracture classification, trauma mechanisms and patient baseline demographics. METHODS: The approach for this study was via a retrospective reviews of records. RESULTS: A total of 293 patients were treated for 302 distal femur fractures between 2005 and 2010. The mean age at the time of fracture was 62.2 years. The mean age was 44.0 years for males and 71.6 years for females. The gender distribution was 33.4% males and 66.6% females. The overall incidence of distal femur fractures was 8.7/100,000/year. After the age of 60 years, a rapid increase in the incidence of distal femoral fractures was observed in both genders, with a large female predominance. Low-energy injuries were the most common mode of injury in both genders (97%), with approximately 61% being the result of a fall from standing height. AO classification type A (extra-articular fractures) was the most common of all fractures (38.6%). Eighty-four patients (28.7%) were admitted with periprosthetic fractures, corresponding to an overall incidence of periprosthetic fractures of 2.4/100,000/year. CONCLUSIONS: The present study shows an incidence of 8.7/100,000/year of distal femur fractures. After the age of 60 years, a rapid increase in the incidence of distal femoral fractures was observed in both genders, with a considerable female predominance.
PURPOSE: The literature lacks recent epidemiological studies on the incidence, trauma mechanism and fracture classification of distal femur fractures. The aim of the present study was to provide up-to-date information concerning the incidence of distal femur fractures in a large and complete population and to report on the distribution of fracture classification, trauma mechanisms and patient baseline demographics. METHODS: The approach for this study was via a retrospective reviews of records. RESULTS: A total of 293 patients were treated for 302 distal femur fractures between 2005 and 2010. The mean age at the time of fracture was 62.2 years. The mean age was 44.0 years for males and 71.6 years for females. The gender distribution was 33.4% males and 66.6% females. The overall incidence of distal femur fractures was 8.7/100,000/year. After the age of 60 years, a rapid increase in the incidence of distal femoral fractures was observed in both genders, with a large female predominance. Low-energy injuries were the most common mode of injury in both genders (97%), with approximately 61% being the result of a fall from standing height. AO classification type A (extra-articular fractures) was the most common of all fractures (38.6%). Eighty-four patients (28.7%) were admitted with periprosthetic fractures, corresponding to an overall incidence of periprosthetic fractures of 2.4/100,000/year. CONCLUSIONS: The present study shows an incidence of 8.7/100,000/year of distal femur fractures. After the age of 60 years, a rapid increase in the incidence of distal femoral fractures was observed in both genders, with a considerable female predominance.
Authors: A C Ng; M T Drake; B L Clarke; S A Sems; E J Atkinson; S J Achenbach; L J Melton Journal: Osteoporos Int Date: 2011-09-10 Impact factor: 4.507
Authors: Otto Robertsson; Svetlana Bizjajeva; Anne Marie Fenstad; Ove Furnes; Lars Lidgren; Frank Mehnert; Anders Odgaard; Alma Becic Pedersen; Leif Ivar Havelin Journal: Acta Orthop Date: 2010-02 Impact factor: 3.717
Authors: J L Marsh; Theddy F Slongo; Julie Agel; J Scott Broderick; William Creevey; Thomas A DeCoster; Laura Prokuski; Michael S Sirkin; Bruce Ziran; Brad Henley; Laurent Audigé Journal: J Orthop Trauma Date: 2007 Nov-Dec Impact factor: 2.512
Authors: Philipp Hemmann; Maximilian Friederich; Daniel Körner; Tim Klopfer; Christian Bahrs Journal: BMC Musculoskelet Disord Date: 2021-05-19 Impact factor: 2.362
Authors: Natalie Lundin; Tuomas T Huttunen; Anders Enocson; Alejandro I Marcano; Li Felländer-Tsai; Hans E Berg Journal: Acta Orthop Date: 2021-01-28 Impact factor: 3.717
Authors: Christopher Bliemel; Dan Anrich; Tom Knauf; Ludwig Oberkircher; Daphne Eschbach; Antonio Klasan; Florian Debus; Steffen Ruchholtz; Martin Bäumlein Journal: Arch Orthop Trauma Surg Date: 2020-08-27 Impact factor: 3.067