Department of Molecular Medicine and Surgery, Karolinska University Hospital, Karolinska Institute, Stockholm, Sweden.
The Division of Orthopedics and Biotechnology, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institute, Stockholm, Sweden; Faculty of Medicine and Health Technology, Tampere University, Tampere University Hospital, Tampere, Finland; Department of Emergency, Anesthesia and Pain Medicine, Tampere University Hospital, Tampere, Finland.
Injury. 2021 Jun;52(6):1410-1417. doi: 10.1016/j.injury.2021.03.013. Epub 2021 Mar 14.
Fractures of the pelvis and acetabulum are major injuries, often associated with hospitalization, reduced function and sometimes life-threatening conditions. Current data on nationwide incidence and treatment is sparse. Existing epidemiological studies are either single-centered or investigating only in-patients. The aim of this study was to investigate the epidemiology and treatment of pelvic and acetabular fractures in a nationwide register study including all adult patients in Sweden during 2001-2016.
We used the Swedish National Patient Register to collect data on the entire Swedish population aged ≥18 years from 2001 to 2016. Variables included age, gender, fracture type and treatment.
We found a total of 87,308 pelvic and acetabular fractures (71% females) in Sweden during the 16-year study period and the incidence increased from 64 to 80 per 100,000 person-years from 2001 to 2016. The incidence of pelvic fractures increased from 58 to 73 per 100,000 person-years and the majority of the patients (74%) were female. The incidence of acetabular fracture increased from 8.7 to 11 per 100,000 person years and the majority of the patients (58%) were male. Only 2.0% of all patients with a pelvic fracture were treated surgically, as compared to 15% for acetabular fractures. The rate of surgical treatment was higher for males compared to females for both pelvic (4.4 and 1.2% respectively) and acetabular (19 and 10% respectively) fractures.
The incidence of pelvic and acetabular fractures increased markedly in Sweden from 2001-2016. Pelvic fractures were more common among females and acetabular among males. The surgical rate was higher for acetabular compared to pelvic fractures. Major gender differences in treatment choices were found with higherproportion of men treated surgically for both fracture types, and in all age groups.
骨盆和髋臼骨折是严重的损伤，常伴有住院、功能下降，有时还伴有危及生命的情况。目前全国范围内发病率和治疗情况的数据很少。现有的流行病学研究要么是单中心的，要么只调查住院患者。本研究旨在通过一项全国性登记研究，调查 2001 年至 2016 年期间瑞典所有成年患者的骨盆和髋臼骨折的流行病学和治疗情况。
我们使用瑞典国家患者登记处收集了 2001 年至 2016 年期间瑞典所有年龄≥18 岁人群的数据。变量包括年龄、性别、骨折类型和治疗方法。
在 16 年的研究期间，我们共发现瑞典有 87308 例骨盆和髋臼骨折（71%为女性），发病率从 2001 年的 64/10 万增至 2016 年的 80/10 万。骨盆骨折的发病率从 58/10 万增至 73/10 万，大多数患者（74%）为女性。髋臼骨折的发病率从 8.7/10 万增至 11/10 万，大多数患者（58%）为男性。只有 2.0%的骨盆骨折患者接受了手术治疗，而髋臼骨折患者的手术治疗率为 15%。男性骨盆（分别为 4.4%和 1.2%）和髋臼（分别为 19%和 10%）骨折的手术治疗率均高于女性。
2001-2016 年，瑞典骨盆和髋臼骨折的发病率显著增加。女性骨盆骨折更常见，而男性髋臼骨折更常见。髋臼骨折的手术治疗率高于骨盆骨折。在治疗选择方面存在显著的性别差异，两种骨折类型的男性接受手术治疗的比例都较高，而且在所有年龄组中都是如此。
