Decruz Joshua, Antony Rex Rex Premchand, Khan Suheal Ali
Department of Orthopaedic Surgery, Khoo Teck Puat Hospital, Singapore.
Department of Orthopaedic Surgery, Khoo Teck Puat Hospital, Singapore.
Chin J Traumatol. 2019 Apr;22(2):99-102. doi: 10.1016/j.cjtee.2019.01.004. Epub 2019 Feb 27.
There are no previous epidemiological studies to represent the trends of tibia fractures in the urban setting. The purpose of our study was to provide unique epidemiological information on the incidence of tibia fractures requiring admission in the urban population of Singapore.
This is a retrospective review of clinical and radiological records encompassing three years period from 2012 to 2014 in a tertiary hospital in Northern Singapore, which covers an adult population of 550,000. Clinical information included demographics, mechanism of injury, and Gustillo-Anderson classification. Radiological records were evaluated by two of the authors and fractures were classified using the AO classification after consensus was reached.
There were 214 cases of tibia fractures with a population incidence of 13 in 100,000. Among the tibia fractures, 47% were diaphyseal, 43% proximal and 10% distal. Majority of patients were males with a male to female ratio of 3 to 1. The mean age of females was 64 years while that of males was 40 years. The commonest mechanism of injury was road traffic accident, which contributed to 42% of cases, with motorcyclists making up 78% of all road traffic accidents. Compound fractures made up 23% of all fractures, most of which were Gustillo-Anderson type III; 69% of patients underwent surgical intervention.
The incidence of tibia fractures is 13/100,000 with a male-to-female ratio of 3:1. This incidence is lower than other studies, but the proportion of open fractures were surprisingly high at 23%. Distribution of fractures was unimodal with a peak in younger men and older women. This may signify a component of fragility among tibia fractures, especially proximal and distal fractures, which peaks above the age of 80 years old.
以往尚无流行病学研究能呈现城市环境中胫骨骨折的趋势。本研究的目的是提供关于新加坡城市人口中需住院治疗的胫骨骨折发病率的独特流行病学信息。
这是一项对临床和放射学记录的回顾性研究，涵盖了2012年至2014年在新加坡北部一家三级医院的三年期间，该医院覆盖了55万成年人口。临床信息包括人口统计学、损伤机制和Gustillo-Anderson分类。放射学记录由两位作者进行评估，在达成共识后使用AO分类对骨折进行分类。
共有214例胫骨骨折，人群发病率为十万分之十三。在胫骨骨折中，47%为骨干骨折，43%为近端骨折，10%为远端骨折。大多数患者为男性，男女比例为3比1。女性的平均年龄为64岁，男性为40岁。最常见的损伤机制是道路交通事故，占病例的42%，其中骑摩托车者占所有道路交通事故的78%。开放性骨折占所有骨折的23%，其中大多数为Gustillo-Anderson III型；69%的患者接受了手术干预。
胫骨骨折的发病率为十万分之十三，男女比例为3:1。这一发病率低于其他研究，但开放性骨折的比例高达23%，令人惊讶。骨折分布呈单峰型，在年轻男性和老年女性中出现峰值。这可能表明胫骨骨折中存在一定程度的脆性成分，尤其是近端和远端骨折，在80岁以上年龄组达到峰值。
