Cargando…

Epidemiology of inpatient tibia fractures in Singapore – A single centre experience

PURPOSE: There are no previous epidemiological studies to represent the trends of tibia fractures in the urban setting. The purpose of our study was to provide unique epidemiological information on the incidence of tibia fractures requiring admission in the urban population of Singapore. METHODS: Th...

Descripción completa

Detalles Bibliográficos
Autores principales: Decruz, Joshua, Antony Rex, Rex Premchand, Khan, Suheal Ali
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6488744/
https://www.ncbi.nlm.nih.gov/pubmed/30962125
http://dx.doi.org/10.1016/j.cjtee.2019.01.004
_version_ 1783414701819953152
author Decruz, Joshua
Antony Rex, Rex Premchand
Khan, Suheal Ali
author_facet Decruz, Joshua
Antony Rex, Rex Premchand
Khan, Suheal Ali
author_sort Decruz, Joshua
collection PubMed
description PURPOSE: There are no previous epidemiological studies to represent the trends of tibia fractures in the urban setting. The purpose of our study was to provide unique epidemiological information on the incidence of tibia fractures requiring admission in the urban population of Singapore. METHODS: This is a retrospective review of clinical and radiological records encompassing three years period from 2012 to 2014 in a tertiary hospital in Northern Singapore, which covers an adult population of 550,000. Clinical information included demographics, mechanism of injury, and Gustillo-Anderson classification. Radiological records were evaluated by two of the authors and fractures were classified using the AO classification after consensus was reached. RESULTS: There were 214 cases of tibia fractures with a population incidence of 13 in 100,000. Among the tibia fractures, 47% were diaphyseal, 43% proximal and 10% distal. Majority of patients were males with a male to female ratio of 3 to 1. The mean age of females was 64 years while that of males was 40 years. The commonest mechanism of injury was road traffic accident, which contributed to 42% of cases, with motorcyclists making up 78% of all road traffic accidents. Compound fractures made up 23% of all fractures, most of which were Gustillo-Anderson type III; 69% of patients underwent surgical intervention. CONCLUSION: The incidence of tibia fractures is 13/100,000 with a male-to-female ratio of 3:1. This incidence is lower than other studies, but the proportion of open fractures were surprisingly high at 23%. Distribution of fractures was unimodal with a peak in younger men and older women. This may signify a component of fragility among tibia fractures, especially proximal and distal fractures, which peaks above the age of 80 years old.
format Online
Article
Text
id pubmed-6488744
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-64887442019-05-06 Epidemiology of inpatient tibia fractures in Singapore – A single centre experience Decruz, Joshua Antony Rex, Rex Premchand Khan, Suheal Ali Chin J Traumatol Original article PURPOSE: There are no previous epidemiological studies to represent the trends of tibia fractures in the urban setting. The purpose of our study was to provide unique epidemiological information on the incidence of tibia fractures requiring admission in the urban population of Singapore. METHODS: This is a retrospective review of clinical and radiological records encompassing three years period from 2012 to 2014 in a tertiary hospital in Northern Singapore, which covers an adult population of 550,000. Clinical information included demographics, mechanism of injury, and Gustillo-Anderson classification. Radiological records were evaluated by two of the authors and fractures were classified using the AO classification after consensus was reached. RESULTS: There were 214 cases of tibia fractures with a population incidence of 13 in 100,000. Among the tibia fractures, 47% were diaphyseal, 43% proximal and 10% distal. Majority of patients were males with a male to female ratio of 3 to 1. The mean age of females was 64 years while that of males was 40 years. The commonest mechanism of injury was road traffic accident, which contributed to 42% of cases, with motorcyclists making up 78% of all road traffic accidents. Compound fractures made up 23% of all fractures, most of which were Gustillo-Anderson type III; 69% of patients underwent surgical intervention. CONCLUSION: The incidence of tibia fractures is 13/100,000 with a male-to-female ratio of 3:1. This incidence is lower than other studies, but the proportion of open fractures were surprisingly high at 23%. Distribution of fractures was unimodal with a peak in younger men and older women. This may signify a component of fragility among tibia fractures, especially proximal and distal fractures, which peaks above the age of 80 years old. Elsevier 2019-04 2019-02-27 /pmc/articles/PMC6488744/ /pubmed/30962125 http://dx.doi.org/10.1016/j.cjtee.2019.01.004 Text en © 2019 Chinese Medical Association. Production and hosting by Elsevier B.V. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original article
Decruz, Joshua
Antony Rex, Rex Premchand
Khan, Suheal Ali
Epidemiology of inpatient tibia fractures in Singapore – A single centre experience
title Epidemiology of inpatient tibia fractures in Singapore – A single centre experience
title_full Epidemiology of inpatient tibia fractures in Singapore – A single centre experience
title_fullStr Epidemiology of inpatient tibia fractures in Singapore – A single centre experience
title_full_unstemmed Epidemiology of inpatient tibia fractures in Singapore – A single centre experience
title_short Epidemiology of inpatient tibia fractures in Singapore – A single centre experience
title_sort epidemiology of inpatient tibia fractures in singapore – a single centre experience
topic Original article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6488744/
https://www.ncbi.nlm.nih.gov/pubmed/30962125
http://dx.doi.org/10.1016/j.cjtee.2019.01.004
work_keys_str_mv AT decruzjoshua epidemiologyofinpatienttibiafracturesinsingaporeasinglecentreexperience
AT antonyrexrexpremchand epidemiologyofinpatienttibiafracturesinsingaporeasinglecentreexperience
AT khansuhealali epidemiologyofinpatienttibiafracturesinsingaporeasinglecentreexperience