Bormann Markus, Neidlein Claas, Keppler Alexander Martin, Prall Wolf Christian, Böcker Wolfgang, Fürmetz Julian
Muskuloskelettales Universitätszentrum München, Ludwig-Maximilians-Universität München (LMU), Marchioninistr. 15, 81377, München, Deutschland.
Abteilung für Knie‑, Hüft‑, Schulter- und Ellenbogenchirurgie, Schön Klinik München, Harlachinger Str. 51, 81547, München, Deutschland.
Unfallchirurgie (Heidelb). 2023 Dec;126(12):967-974. doi: 10.1007/s00113-022-01263-z. Epub 2022 Dec 28.
During the COVID-19 pandemic interventions, such as contact restrictions, lockdowns and postponement of elective surgeries were taken to ease the burden on the healthcare system. Among the population, these interventions led to changes in recreational behavior as well as personal transportation.
This paper examines the epidemiological data of tibial plateau fractures (TPF) before and during the pandemic and to what extent pandemic control measures had an impact.
In this retrospective monocentric study of a German level 1 trauma center, the intra-articular tibial plateau fractures of the years 2019 and 2020 were compared regarding incidence, demographics, cause of the accident, and treatment strategy. Fracture classification was according to Schatzker, AO/OTA, and Moore.
Incidence showed a decrease of -8.5% as well as a shift in the age incidence curves. There was a decrease in incidence during lockdown periods but also an increase in late summer 2020 compared to 2019. Tripping accidents (+12.4%) and bicycle accidents (+6.6%) increased in the pandemic year, whereas motorized traffic accidents (-7%) and skiing accidents (-10%) decreased. In terms of fracture morphology, 2020 showed an increase in impression fractures and a decrease in complex fractures. The number of surgically treated patients decreased by 7.3%.
The 12 months of pandemic resulted in only a slight incidence decrease of intra-articular tibial plateau fractures. The pandemic control measures showed effects within the calendar year and led directly and indirectly to a change in incidence, cause of the accident, fracture entities and care strategy.
在新冠疫情期间，采取了诸如接触限制、封锁和择期手术延期等干预措施，以减轻医疗系统的负担。在人群中，这些干预措施导致了娱乐行为以及个人交通方式的改变。
本文研究疫情之前和期间胫骨平台骨折（TPF）的流行病学数据，以及疫情防控措施在多大程度上产生了影响。
在德国一家一级创伤中心进行的这项回顾性单中心研究中，比较了2019年和2020年关节内胫骨平台骨折的发病率、人口统计学特征、事故原因和治疗策略。骨折分类依据Schatzker、AO/OTA和Moore分类法。
发病率下降了8.5%，年龄发病率曲线也发生了变化。封锁期间发病率下降，但与2019年相比，2020年夏末发病率有所上升。在疫情年份，绊倒事故（+12.4%）和自行车事故（+6.6%）增加，而机动车交通事故（-7%）和滑雪事故（-10%）减少。在骨折形态方面，2020年嵌压骨折增加，复杂骨折减少。接受手术治疗的患者数量减少了7.3%。
12个月的疫情仅导致关节内胫骨平台骨折的发病率略有下降。疫情防控措施在日历年内显示出效果，直接或间接地导致了发病率、事故原因、骨折类型和治疗策略的改变。
