Wood Alexander M, Robertson Greg A J, MacLeod Kirsty, Porter Anna, Court-Brown Charles M
Alexander M Wood, Orthopaedic Department, Leeds General Infirmary, Great George St, Leeds LS1 3EX, United Kingdom.
World J Orthop. 2017 Jul 18;8(7):545-552. doi: 10.5312/wjo.v8.i7.545.
To describe the epidemiology of sport-related open fractures from one centre's adult patient population over a 15-year period.
A retrospective review of a prospectively-collected database was performed: The database contained information all sport-related open fractures, sustained from 1995 to 2009 in the Edinburgh, Mid and East Lothian Populations.
Over the 15-year period, there were 85 fractures recorded in 84 patients. The annual incidence of open sport-related fractures was 0.01 per 1000 population. The mean age at injury was 29.2 years (range 15-67). There were 70 (83%) males and 14 females (17%). The 6 most common sports were soccer ( = 19, 22%), rugby ( = 9, 11%), cycling ( = 8, 9%), hockey ( = 8, 9%); horse riding ( = 6, 7%) and skiing ( = 6, 7%). The five most common anatomical locations were finger phalanges ( = 30, 35%); tibial diaphysis ( = 19, 23%); forearm ( = 12, 14%); ankle ( = 7, 8%) and metacarpals ( = 5, 6%). The mean injury severity score was 7.02. According to the Gustilo-Anderson classification system, 45 (53%) fractures were grade 1; 28 (33%) fractures were grade 2; 8 (9%) fractures were grade 3a; and 4 (5%) fractures were grade 3b. Out of the total number of fractures, 7 (8%) required plastic surgical intervention as part of management. The types of flaps used were split skin graft ( = 4), fasciocutaneous flaps ( = 2); and adipofascial flap ( = 1).
We analysed the epidemiology of open fractures secondary to sport in one centre over a 15-year period. Soccer and rugby were the most common causative sports while fractures of the finger phalanx and of the tibial diaphysis were the most common sites. Open fractures are uncommon in sport; however, when they are sustained they usually occur on muddy sport fields or forest tracks and therefore must be treated appropriately. It is important that clinicians and sports therapists have knowledge of these injuries, in order to ensure they are managed optimally.
描述一个中心15年间成年患者群体中与运动相关的开放性骨折的流行病学情况。
对前瞻性收集的数据库进行回顾性分析：该数据库包含1995年至2009年在爱丁堡、中洛锡安和东洛锡安人群中发生的所有与运动相关的开放性骨折的信息。
在这15年期间，84例患者共记录到85处骨折。与运动相关的开放性骨折的年发病率为每1000人中有0.01例。受伤时的平均年龄为29.2岁（范围15 - 67岁）。男性70例（83%），女性14例（17%）。6种最常见的运动项目为足球（19例，22%）、橄榄球（9例，11%）、自行车运动（8例，9%）、曲棍球（8例，9%）、骑马（6例，7%）和滑雪（6例，7%）。5个最常见的解剖部位为手指指骨（30例，35%）、胫骨干（19例，23%）、前臂（12例，14%）、踝关节（7例，8%）和掌骨（5例，6%）。平均损伤严重程度评分为7.02。根据 Gustilo - Anderson 分类系统，45处骨折（53%）为1级；28处骨折（33%）为2级；8处骨折（9%）为3a级；4处骨折（5%）为3b级。在所有骨折中，可以7处（8%）需要整形手术干预作为治疗的一部分。所使用的皮瓣类型为中厚皮片移植（4例）、筋膜皮瓣（2例）和脂肪筋膜瓣（1例）。
我们分析了一个中心15年间运动继发开放性骨折的流行病学情况。足球和橄榄球是最常见的致伤运动项目，而手指指骨骨折和胫骨干骨折是最常见的部位。开放性骨折在运动中并不常见；然而，一旦发生，通常发生在泥泞的运动场地或森林小道上，因此必须进行适当治疗。临床医生和运动治疗师了解这些损伤很重要，以确保对其进行最佳处理。
