Sarkışla Devlet Hastanesi Ortopedi ve Travmatoloji Kliniği, 58400 Sarkışla, Sivas, Türkiye.
Jt Dis Relat Surg. 2021;32(2):323-332. doi: 10.52312/jdrs.2021.20. Epub 2021 Jun 11.
The aim of this study was to evaluate the impact of novel coronavirus-2019 (COVID-19) on the epidemiological characteristics of orthopedic fractures.
A total of 2,960 patients (1,755 males, 1,205 females; mean age: 39.6 years; range, 1 to 98 years) with orthopedic fractures were included in the study: 552 patients during the pandemic period (March 10th and July 1st, 2020) and 1,158 control patients in the same period 2019 and 1,250 control patients in 2018. Epidemiological characteristics, injury mechanisms, fracture locations and treatment details of the patients were analyzed and compared between 2018, 2019 and 2020 for adult and pediatric populations.
Of a total of 552 patients, 485 were adults and 67 were pediatric patients. In the control groups, of 1,158 patients (2019), 770 were adults and 378 were pediatric patients and, of 1,250 patients (2018), 857 were adults and 393 were pediatric patients. The proportion of proximal femur and hand fractures significantly increased during the pandemic period (p=0.025 and p=0.038, respectively). The most frequent surgical indication in the pandemic period was proximal femoral fracture. The proportion of home accidents as an injury mechanism significantly increased in the pandemic period compared to 2018 and 2019 (48.5% vs. 18.6% and 20.6%, respectively; p=0.000). The proportion of female pediatric patients significantly increased during the pandemic period compared to 2018 and 2019 (44.8% vs. 25.4% and 27.2%, respectively, p=0.004). The proportion of forearm fractures (p=0.001) also increased, and the proportion of tibia-fibula fractures (p=0.03) decreased. The most frequent surgical indication in pediatric patients was distal humeral fracture in both groups.
During the pandemic period, proximal femoral fractures in the elderly remained a concern. In-home preventative strategies may be beneficial to reduce the incidence of hip fractures in the elderly.
本研究旨在评估 2019 年冠状病毒病（COVID-19）对骨科骨折的流行病学特征的影响。
共纳入 2960 名（男 1755 例，女 1205 例；平均年龄 39.6 岁；范围 1-98 岁）骨科骨折患者：552 例为大流行期间（2020 年 3 月 10 日至 7 月 1 日），1158 例为同期 2019 年对照患者，1250 例为同期 2018 年对照患者。分析并比较了成人和儿童人群 2018 年、2019 年和 2020 年患者的流行病学特征、损伤机制、骨折部位和治疗细节。
552 例患者中，485 例为成人，67 例为儿科患者。在对照组中，1158 例（2019 年）患者中，770 例为成人，378 例为儿科患者，1250 例（2018 年）患者中，857 例为成人，393 例为儿科患者。大流行期间，股骨近端和手部骨折的比例显著增加（p=0.025 和 p=0.038）。大流行期间最常见的手术指征是股骨近端骨折。与 2018 年和 2019 年相比，家庭事故作为损伤机制的比例在大流行期间显著增加（48.5%比 18.6%和 20.6%；p=0.000）。与 2018 年和 2019 年相比，大流行期间女性儿科患者的比例显著增加（44.8%比 25.4%和 27.2%；p=0.004）。前臂骨折（p=0.001）的比例也增加，而胫腓骨骨折（p=0.03）的比例减少。在两组儿科患者中，最常见的手术指征是肱骨远端骨折。
大流行期间，老年人的股骨近端骨折仍是一个关注点。在家中采取预防策略可能有助于减少老年人髋部骨折的发生率。
