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Epidemiology, classification and treatment of patella fractures: an observational study of 3194 fractures from the Swedish Fracture Register
Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Ortopedi.
Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Ortopedi.ORCID-id: 0000-0002-5469-2730
2022 (Engelska)Ingår i: European Journal of Trauma and Emergency Surgery, ISSN 1863-9933, E-ISSN 1863-9941, Vol. 48, s. 4727-4734Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

BACKGROUND: Basic epidemiological data on patella fractures derived from large nationwide and multicenter studies are scarce. This observational register study describes patient epidemiology, fracture classification and treatment of patella fractures in adults in a Swedish population.

METHODS: We conducted an observational study on data derived from the Swedish Fracture Register (SFR) on all patella fractures classified as non-periprosthetic and non-pathological, registered between 2014 and 2018 in individuals aged ≥ 18years. Epidemiological data on sex, age, side, seasonal variation, trauma mechanism, fracture classification (according to AO/OTA), and treatment were analyzed.

RESULTS: 3194 patella fractures were analyzed, occurring at a median age of 67 (range 19-100) years. 64% of all patients were female. Most fractures were caused by low-energy trauma, with 70% due to falling from a standing height. 1796 (56%) of the fractures were transverse compared to 845 (26%) vertical fractures. Most fractures (N=2148, 67%) were treated non-operatively. Operative treatment consisted mainly of Tension Band Wiring (TBW) performed in 774 (24%) patients.

CONCLUSIONS: Patella fractures mainly occur in elderly women (> 65 years), commonly caused by low-energy trauma. The main treatment is non-operative (67%), except for transverse (AO/OTA C3) fractures. TBW remains the most used operative treatment of choice. These results may help health care providers, researchers and clinicians better understand the panorama of patella fractures in Sweden.

Ort, förlag, år, upplaga, sidor
Springer, 2022. Vol. 48, s. 4727-4734
Nyckelord [en]
Fracture epidemiology, Fracture treatment, Knee fracture, Patella fractures, Swedish Fracture Register, Trauma mechanism
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Ortopedi
Identifikatorer
URN: urn:nbn:se:umu:diva-195636DOI: 10.1007/s00068-022-01993-0ISI: 000802124700001PubMedID: 35644894Scopus ID: 2-s2.0-85131037051OAI: oai:DiVA.org:umu-195636DiVA, id: diva2:1663158
Tillgänglig från: 2022-06-02 Skapad: 2022-06-02 Senast uppdaterad: 2022-12-30Bibliografiskt granskad

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