Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, Marchioninistraße 15, 81377, Munich, Germany.
Devision of Knee, Hip, Shoulder and Ellbow Surgery, Schoen Clinic Munich, Harlachinger Straße 51, 81547, Munich, Germany.
Eur J Trauma Emerg Surg. 2023 Feb;49(1):401-409. doi: 10.1007/s00068-022-02076-w. Epub 2022 Sep 3.
Mobility patterns of western societies have been changing due to ongoing demographic change. Therefore, continuously updated epidemiological data on fracture morphology and treatment strategies are needed.
This retrospective single-center study included all tibial plateau fractures (TPF) between January 2011 and December 2020 in a level-I trauma center in Central Europe. Epidemiology, trauma mechanism and fracture morphology were analyzed. Age- and sex-specific differences regarding fracture classification (Schatzker, AO/OTA, Moore) and changes during the study period are highlighted.
A total of 607 patients (55.2% women, 44.8% men, mean age 52.9 years (± 17.9)) were included in the study, 462 (76.1%) thereof having undergone surgical treatment. Over the decade, an increase in mean age (+ 7.4 years; p = 0.10), incidence (+ 68%; p < 0.05) and low-energy trauma was observed, with the highest peak in elderly women. Within classifications, AO/OTA 41-B3 (24.9%), Schatzker II (26.8%) and Moore V (46.6%) fractures were the most common.
Incidence (+ 68%), mean age and fractures with signs of knee dislocation of tibial plateau fracture increased over the last decade and low-energy trauma mechanism are more frequent. As the increase in incidence is mainly seen in older women, the comorbidities and need for immediate postoperative full weight-bearing have to be considered in treatment strategies.
由于人口结构的持续变化，西方社会的流动模式一直在发生变化。因此，需要不断更新有关骨折形态和治疗策略的流行病学数据。
本回顾性单中心研究纳入了 2011 年 1 月至 2020 年 12 月期间在中欧一家一级创伤中心治疗的所有胫骨平台骨折（TPF）患者。分析了流行病学、创伤机制和骨折形态。重点分析了年龄和性别特异性骨折分类（Schatzker、AO/OTA、Moore）差异以及研究期间的变化。
共纳入 607 例患者（女性 55.2%，男性 44.8%，平均年龄 52.9±17.9 岁），其中 462 例（76.1%）接受了手术治疗。在过去十年中，平均年龄（增加 7.4 岁；p=0.10）、发生率（增加 68%；p<0.05）和低能量创伤均有所增加，其中女性老年人的发生率最高。在分类中，AO/OTA 41-B3（24.9%）、Schatzker II（26.8%）和 Moore V（46.6%）骨折最为常见。
过去十年中，胫骨平台骨折发生率（增加 68%）、平均年龄和伴有膝关节脱位迹象的骨折均有所增加，低能量创伤机制更为常见。由于发病率的增加主要见于老年女性，因此在治疗策略中需要考虑到合并症和术后立即完全负重的需求。
