Weiss Rüdiger J, Montgomery Scott M, Ehlin Anna, Al Dabbagh Zewar, Stark André, Jansson Karl-Ake
Department of Molecular Medicine and Surgery, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden.
Acta Orthop. 2008 Aug;79(4):526-33. doi: 10.1080/17453670710015535.
There is a lack of national epidemiological data on the characteristics of patients with tibial shaft fractures. We therefore analyzed data on Swedish patients with tibial shaft fractures in this nationwide population study based on data from 1998 through 2004.
Data on all patients with tibial shaft fractures were extracted from the Swedish National Hospital Discharge Register.
We identified 10,627 hospital admissions for tibial shaft fractures, corresponding to an annual incidence rate of 17 per 100,000 person-years (pyr). The number of hospital admissions decreased by 12% during the period 1998-2004, mostly from a reduction in male incidence. The median (SD) age at admission was 28 (22) years for men and 51 (26) years for women. The two major mechanisms of injury were falls on the same level (48%) and transport accidents (21%). Surgical procedures were dominated by osteosynthesis with nail (48%), followed by closed reduction and plaster cast (27%), and external fixation (12%). 12% of all tibial shaft fractures were classified as open, corresponding to an incidence rate of 2.3 per 100,000 pyr, which declined during 1998-2004.
This nationwide study of tibial shaft fractures shows a falling off of fracture incidence, a finding that can be used to advantage by healthcare providers.
目前缺乏关于胫骨干骨折患者特征的全国性流行病学数据。因此，在这项基于1998年至2004年数据的全国性人群研究中，我们分析了瑞典胫骨干骨折患者的数据。
从瑞典国家医院出院登记处提取所有胫骨干骨折患者的数据。
我们确定了10627例胫骨干骨折的住院病例，相当于年发病率为每10万人年17例（pyr）。1998年至2004年期间，住院病例数减少了12%，主要是男性发病率下降。男性入院时的中位（标准差）年龄为28（22）岁，女性为51（26）岁。两种主要的受伤机制是同一水平跌倒（48%）和交通事故（21%）。手术方式以髓内钉内固定为主（48%），其次是闭合复位石膏固定（27%）和外固定（12%）。所有胫骨干骨折中有12%被归类为开放性骨折，相当于发病率为每10万人年2.3例，在1998年至2004年期间有所下降。
这项关于胫骨干骨折的全国性研究显示骨折发病率呈下降趋势，这一发现可供医疗服务提供者利用。
