da Silva Adriana Cano Buric, Pontin José Carlos Baldocchi, Cortes Damasceno Ana Paula, Arrebola Lucas Simões, Souza Cairo Dos Reis, Luzo Marcos Vinicius Malheiros
Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, SP, Brazil.
Universidade Federal de São Paulo, Instituto Saúde e Sociedade da Baixada Santista, Departamento de Ciências do Movimento Humano e Reabilitação, Santos, SP, Brazil.
Acta Ortop Bras. 2025 Jan 10;32(6):e282171. doi: 10.1590/1413-785220243206e282171. eCollection 2024.
To evaluate the epidemiological profile of patients diagnosed with ankle fracture admitted to a tertiary hospital.
Retrospective Cross-Sectional Observational Study.
Individuals aged ≥18 (eighteen) years, diagnosed with ankle fracture, who underwent surgical and/or conservative treatment at a tertiary hospital in the city of São Paulo.
Medical records with incomplete data, patients transferred to other hospital services.
There was a higher prevalence of: mechanism of trauma due to motorcycle accidents (27.9%), surgical treatment (92.7%), with a higher frequency of use of plates and screws (68.5%). The most common type of fracture were bimalleolar and trimalleolar (23.8%; 20.5%), classified as AO44B2 and AO44B3, both with 17.8%.
Ankle fractures in this study were predominantly seen in male patients, aged from 30 to 39 years, with the main mechanism of injury being a motorcycle accident. There was a correlation between mechanism of injury and fracture classification , with the most common being types 44B2 and 44B3, and the use of an external fixator in 9.1% of cases. The death rate was significant when related to associated injuries, in polyfractured patients.
评估一家三级医院收治的踝关节骨折患者的流行病学特征。
回顾性横断面观察研究。
年龄≥18岁、诊断为踝关节骨折、在圣保罗市一家三级医院接受手术和/或保守治疗的个体。
数据不完整的病历、转至其他医院科室的患者。
以下情况的患病率较高：摩托车事故导致的创伤机制（27.9%）、手术治疗（92.7%），钢板和螺钉的使用频率较高（68.5%）。最常见的骨折类型是双踝和三踝骨折（23.8%；20.5%），分类为AO44B2和AO44B3，两者均为17.8%。
本研究中的踝关节骨折主要见于30至39岁的男性患者，主要损伤机制为摩托车事故。损伤机制与骨折分类之间存在相关性，最常见的是44B2型和44B3型，9.1%的病例使用了外固定架。在多发骨折患者中，与相关损伤相关的死亡率较高。
