Jussi Laurila1, Tuomas T Huttunen2, Pekka Kannus3, Minna Kääriäinen4, Ville M Mattila5. 1. Division of Orthopaedics and Traumatology, Hämeenlinna Central Hospital, Ahvenistontie 20, 13530, Hämeenlinna, Finland; Faculty of Medicine and Health Technology, Tampere University, Teiskontie 35, PL2000, Tampere, 33521, Finland. Electronic address: Jussi.laurila@khshp.fi. 2. Division of Orthopaedics and Traumatology, Department of Trauma, Musculoskeletal Surgery and Rehabilitation, Tampere University Hospital, Tampere, Finland; Department of Emergency, Pain Medicine and Anesthesiology, Tampere University Hospital, Tampere, Finland; Faculty of Medicine and Health Technology, Tampere University, Teiskontie 35, PL2000, Tampere, 33521, Finland. Electronic address: tuomas.huttunen@tuni.fi. 3. Injury & Osteoporosis Research Center, UKK Institute for Health Promotion Research, Kaupinpuistokatu 1, 33500, Tampere, Finland. Electronic address: Pekka.kannus@outlook.com. 4. Division of Plastic Surgery, Musculoskeletal Surgery and Rehabilitation, Tampere University Hospital, Tampere, Finland. Electronic address: minna.kaariainen@pshp.fi. 5. Division of Orthopaedics and Traumatology, Department of Trauma, Musculoskeletal Surgery and Rehabilitation, Tampere University Hospital, Tampere, Finland; Faculty of Medicine and Health Technology, Tampere University, Teiskontie 35, PL2000, Tampere, 33521, Finland. Electronic address: ville.mattila@tuni.fi.
Abstract
INTRODUCTION: Tibial shaft fracture is common, accounting for 2% of all adult fractures. Large epidemiological follow ups are lacking and previous studies have shown great variation in incidence rates and trends. The aim of this population-based nationwide study was to analyze all tibial shaft fractures in Finland in 1997-2014 and to provide an update on current epidemiological data. PATIENTS AND METHODS: Patient data was collected from the Finnish National Hospital Discharge Register (NHDR) from 1997 to 2014. The study covered the entire adult (18 years and older) population. The primary outcome was the annual number of hospitalization due to a fresh tibial shaft fracture. RESULTS: A total of 14,150 patients with a fresh tibial shaft fracture were identified during the 18-year study period. The total fracture incidence decreased from 27.3 per 100,000 person-years in 1997 to 13.5 per 100,000 person-years in 2014. In men, the incidence was 34.9 in 1997 vs. 15.6 in 2014, while in women the corresponding numbers were 20.2 in 1997 vs. 11.5 in 2014. CONCLUSIONS: The incidence of tibial shaft fractures has markedly decreased in Finland between 1997 and 2014, mainly because of a declining trend in the incidence of fall-induced low-energy fractures. Reasons for this development are uncertain and therefore more comprehensive population-based epidemiological studies are needed to reveal the factual reasons behind the decrease.
INTRODUCTION: Tibial shaft fracture is common, accounting for 2% of all adult fractures. Large epidemiological follow ups are lacking and previous studies have shown great variation in incidence rates and trends. The aim of this population-based nationwide study was to analyze all tibial shaft fractures in Finland in 1997-2014 and to provide an update on current epidemiological data. PATIENTS AND METHODS: Patient data was collected from the Finnish National Hospital Discharge Register (NHDR) from 1997 to 2014. The study covered the entire adult (18 years and older) population. The primary outcome was the annual number of hospitalization due to a fresh tibial shaft fracture. RESULTS: A total of 14,150 patients with a fresh tibial shaft fracture were identified during the 18-year study period. The total fracture incidence decreased from 27.3 per 100,000 person-years in 1997 to 13.5 per 100,000 person-years in 2014. In men, the incidence was 34.9 in 1997 vs. 15.6 in 2014, while in women the corresponding numbers were 20.2 in 1997 vs. 11.5 in 2014. CONCLUSIONS: The incidence of tibial shaft fractures has markedly decreased in Finland between 1997 and 2014, mainly because of a declining trend in the incidence of fall-induced low-energy fractures. Reasons for this development are uncertain and therefore more comprehensive population-based epidemiological studies are needed to reveal the factual reasons behind the decrease.
Authors: Philipp Hemmann; Maximilian Friederich; Daniel Körner; Tim Klopfer; Christian Bahrs Journal: BMC Musculoskelet Disord Date: 2021-05-19 Impact factor: 2.362
Authors: Willem-Jan Metsemakers; Kirsten Kortram; Nando Ferreira; Mario Morgenstern; Alexander Joeris; Hans-Christoph Pape; Christian Kammerlander; Sanjit Konda; Jong-Keon Oh; Peter V Giannoudis; Kenneth A Egol; William T Obremskey; Michael H J Verhofstad; Michael Raschke Journal: BMC Musculoskelet Disord Date: 2021-01-09 Impact factor: 2.362