Department of Orthopedics, Tongji Hospital, School of Medicine, Tongji University, Shanghai, China.
Department of Orthopaedics, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Front Public Health. 2024 May 9;12:1396167. doi: 10.3389/fpubh.2024.1396167. eCollection 2024.
The literature on the disease burden of knee dislocation is lacking. The aim of the study is to systematically assess the global burden, trends, causes, and influencing factors of knee dislocation.
The incidence and years lived with disability (YLDs) of knee dislocation were assessed globally, as well as at the regional and national levels from 1990 to 2019. Subsequent analyses focused on the age and gender distribution related to knee dislocation. An investigation into the main causes of knee dislocation followed. Finally, the Pearson correlation between age-standardized rates and social-demographic index (SDI) was calculated.
Although the age-standardized incidence and YLDs rate of knee dislocation decreased over the past 30 years, the incidence and YLDs number increased. The disease burden remained higher in males compared to females. Males and females showed different patterns of incidence rates in each age group, but their YLDs rates were similar. Over the past 30 years, the disease burden of knee dislocation increased in the older population while declining in the younger population. Falls had consistently emerged as the most important cause for both incidence and YLD rates. Additionally, a positive correlation between SDI and the disease burden of knee dislocation was found.
The disease burden of knee dislocation remains heavy. It is essential to recognize the evolving epidemiology of knee dislocation. Utilizing data-driven assessments can assist in formulating public health policies and strategies to improve overall well-being.
膝关节脱位的疾病负担相关文献较为缺乏。本研究旨在系统评估全球范围内膝关节脱位的负担、趋势、病因及影响因素。
本研究评估了 1990 年至 2019 年期间全球、各区域及各国膝关节脱位的发病率和伤残调整生命年（YLDs）。随后对膝关节脱位的年龄和性别分布相关因素进行了分析。探讨了膝关节脱位的主要病因。最后，计算了年龄标准化率与社会人口指数（SDI）之间的 Pearson 相关系数。
尽管过去 30 年来膝关节脱位的年龄标准化发病率和 YLDs 率有所下降，但发病率和 YLDs 数量却有所增加。与女性相比，男性的疾病负担仍更高。男性和女性在各年龄组的发病率模式不同，但 YLDs 率相似。过去 30 年来，膝关节脱位的疾病负担在老年人群中增加，而在年轻人群中下降。跌倒一直是发病率和 YLDs 率最重要的原因。此外，还发现 SDI 与膝关节脱位的疾病负担呈正相关。
膝关节脱位的疾病负担仍然较重。认识膝关节脱位的不断演变的流行病学情况至关重要。利用数据驱动评估可以帮助制定改善整体健康状况的公共卫生政策和策略。
