踝关节骨折与其他脆性骨折的比较:美国骨科协会自有骨数据库的回顾与分析。

IF 2.4 2区 医学 Q2 ORTHOPEDICS
Foot & Ankle International Pub Date : 2023-09-01 Epub Date: 2023-06-09 DOI:10.1177/10711007231178536
Eric So, Christopher Juels, Ryan T Scott, Debra L Sietsema
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引用次数: 0

摘要

背景:老年人群中踝关节脆性骨折(AFX)持续增加。与非皱纹脆性骨折(NAFX)相比,对AFX特征的了解有限。美国骨科协会的“拥有骨骼”(OTB)是一项脆性骨折倡议。该稳健的数据集用于检查和比较AFX患者和NAFX患者的特征。方法:OTB数据库包含2009年1月至2022年3月期间的72617例脆性骨折,并在我们的二次队列比较分析中进行了回顾。排除后,AFX共有3229名患者,54772名患者属于NAFX队列。双变量分析和逻辑回归比较了AFX和NAFX组的人口统计学、骨健康因素、药物使用和既往脆性骨折。结果:AFX患者更年轻的可能性更高(67.6 岁)、女性(81.4%)、非高加索人(11.7%),并且与NAFX相比具有更高的BMI(30.6)。先前的AFX预测了未来AFX的风险。AFX发生的概率随着年龄和BMI的增加而增加。结论:既往AFX可独立预测后续AFX。因此,这些骨折应被视为前哨事件。与NAFLX患者相比,这些患者更有可能具有更高的BMI,女性,非高加索种族,并且更年轻。证据水平:III级,回顾性队列。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Comparison of Ankle Fractures Relative to Other Fragility Fractures: A Review and Analysis of the American Orthopaedic Association's Own the Bone Database.

Background: Ankle fragility fractures (AFX) continue to increase in the elderly population. There is limited knowledge of AFX characteristics compared to nonankle fragility fractures (NAFX). The American Orthopaedic Association's Own the Bone (OTB) is a fragility fracture initiative. This robust data set was used to examine and compare characteristics of patients presenting with AFX to those with NAFX.

Methods: The OTB database contained 72,617 fragility fractures between January 2009 and March of 2022 and were reviewed in our secondary cohort comparative analysis. After exclusions, AFX accounted for 3229 patients and 54,772 patients were in the NAFX cohort. Bivariate analysis and logistic regression compared the AFX and NAFX groups concerning demographics, bone health factors, medication use, and prior fragility fracture.

Results: AFX patients were found to have a higher likelihood to be younger (67.6 years old), female (81.4%), non-Caucasian (11.7%) and have a higher BMI (30.6) compared to NAFX. Prior AFX predicted the risk of a future AFX. The probability of an AFX increased with increased age and BMI.

Conclusion: A prior AFX is independently predictive of subsequent AFX. Therefore, these fractures should be considered a sentinel event. These patients are more likely to have higher BMI, to be of female gender, non-Caucasian race, and are younger compared to patients with NAFX.

Level of evidence: Level III, retrospective cohort.

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来源期刊
Foot & Ankle International
Foot & Ankle International 医学-整形外科
CiteScore
5.60
自引率
22.20%
发文量
144
审稿时长
2 months
期刊介绍: Foot & Ankle International (FAI), in publication since 1980, is the official journal of the American Orthopaedic Foot & Ankle Society (AOFAS). This monthly medical journal emphasizes surgical and medical management as it relates to the foot and ankle with a specific focus on reconstructive, trauma, and sports-related conditions utilizing the latest technological advances. FAI offers original, clinically oriented, peer-reviewed research articles presenting new approaches to foot and ankle pathology and treatment, current case reviews, and technique tips addressing the management of complex problems. This journal is an ideal resource for highly-trained orthopaedic foot and ankle specialists and allied health care providers. The journal’s Founding Editor, Melvin H. Jahss, MD (deceased), served from 1980-1988. He was followed by Kenneth A. Johnson, MD (deceased) from 1988-1993; Lowell D. Lutter, MD (deceased) from 1993-2004; and E. Greer Richardson, MD from 2005-2007. David B. Thordarson, MD, assumed the role of Editor-in-Chief in 2008. The journal focuses on the following areas of interest: • Surgery • Wound care • Bone healing • Pain management • In-office orthotic systems • Diabetes • Sports medicine
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