Department of Orthopedics, Traumatology and Hand Surgery, Kuopio University Hospital, Kuopio.
Department of Orthopedics, Traumatology and Hand Surgery, Kuopio University Hospital, Kuopio; Kuopio Musculoskeletal Research Unit, University of Eastern Finland, Kuopio; University Hospital, Kuopio, Finland.
Acta Orthop. 2022 Feb 11;93:327-333. doi: 10.2340/17453674.2022.2071.
Ankle fractures are one of the most common fractures requiring operative treatment. They occur most commonly in postmenopausal women and younger men and recent studies suggest that the incidence of ankle fractures is increasing. In this registry study, we analyze inpatient data of operatively treated ankle fractures during a period of 33 years from our comprehensive nationwide register data.
The data on operatively treated ankle fracture patients between January 1, 1987 and December 31, 2019 was collected from the Finnish National Hospital Discharge Register and analyzed.
118,929 ankle fractures were treated operatively. These included lateral malleolar fractures (33%), bior trimalleolar fractures (51%), medial malleolar fractures (7%), and other fractures (9%). Mean age was 53 (SD 17) years for women and 43 (16) for men. The average annual incidence rate was 69 per 100,000 person-years. Over the past 3 decades incidence has leveled off for women and has started to decline for men. However, the incidence is increasing in the elderly women group (over 70 years of age). In the over 50 age group, comorbidities have increased over the years, being more common in men than in women. The incidence of ankle fractures was higher during the winter months (November-March).
The number of operatively treated ankle fractures has leveled off during the last 33 years. However, nowadays we operate on more difficult fractures in elderly patients with comorbidities.
踝关节骨折是最常见的需要手术治疗的骨折之一。它们最常发生在绝经后妇女和年轻男性中，最近的研究表明，踝关节骨折的发病率正在增加。在这项注册研究中，我们分析了来自我们全面的全国登记数据的 33 年来接受手术治疗的踝关节骨折的住院患者数据。
1987 年 1 月 1 日至 2019 年 12 月 31 日期间，从芬兰国家住院患者登记处收集了接受手术治疗的踝关节骨折患者的数据，并进行了分析。
118929 例踝关节骨折接受了手术治疗。这些骨折包括外踝骨折（33%）、双踝骨折（51%）、内踝骨折（7%）和其他骨折（9%）。女性的平均年龄为 53（17）岁，男性为 43（16）岁。平均年发病率为 69/10 万人年。在过去的 30 年中，女性的发病率趋于平稳，男性的发病率开始下降。然而，在 70 岁以上的老年女性中，发病率呈上升趋势。在 50 岁以上的年龄组中，多年来合并症有所增加，男性比女性更为常见。踝关节骨折的发病率在冬季（11 月至 3 月）较高。
在过去的 33 年中，接受手术治疗的踝关节骨折数量已趋于平稳。然而，如今我们在患有合并症的老年患者中治疗更复杂的骨折。
