Abstract:Objective To analyze the sex and age,characteristic of patients suffering ankle fracture as well as its lateral and seasonal distribution.Methods According to the database of Nanjing Drum Tower Hospital,the clinical data of 1080 ankle fracture cases from January 2005 to December 2016 were collected and analyzed.The sex and age characteristic,as well as lateral and seasonal distribution were analyzed statistically.Results There were 598 male patients (55.4%,598/1 080) and 482 female patients (44.6%,482/1 080) in 1080 patients suffering ankle fracture totally.The incidence of ankle fracture in men under the age of 60 (62.2%,460/740) was more than that in women (37.8%,280/740).Besides,women over 60 years old (59.4%,200/340) was more likely suffering from ankle fracture than men of the same age (40.6%,138/340).The incidence rate of left ankle fractures (45.4%,496/1 080) is lower than that of right ones (51.0%,551/1 080).When comparing with other age groups,men from 30 to 59 years old and women from 60 to 69 years old have a higher risk of ankle fracture.The incidences in 14~19 years old and over 70 years old groups in winter were relatively high,while 20~29,30~39,40~49,50~59 year-old groups were relatively uniform distribution in all seasons.Conclusion Ankle fractures,which is prone to be the right side,are more commom in men under 60 years old and women over 60 years old. Adolescents and the elderly are relatively easy to suffer,the remaining present a uniform distribution in all seasons.
[1]Zhang Y,Su Y,Hao J,et al.Clinical epidemiology of orthopedic trauma [M].Australia:Thieme,2012:540-560
[2]Kemler E,van de Port I,Schmikli S,et al.Effects of soft bracing or taping on a lateral ankle sprain:a non-randomised controlled trial evaluating recurrence rates and residual symptoms at one year[J] J Foot Ankle Res,2015,8(1):1-8.
[3]Elsoe R,∅stgaard SE,Larsen P,et al.Populationbased epidemiology of 9767 ankle frctures[J].Foot & Ankle Surgery,2018,24(1):34-39.
[4]Gunnes M,Dan M,Johnell O,et al.How well can a previous fracture indicate a new fracture?A questionnaire study of 29,802 postmenopausal women[J].Acta Orthop Scand,1998,69(5):508-512.
[5]Karlsson MK,Hasserius R,Obrant KJ,et al.Individuals who sustain nonosteoporotic fractures continue to also sustain fragility fractures[J].Calcified Tissue International,1993,53(4):229-231.
[6]Seeley DG,Kelsey J,Jergas M,et al.Predictors of ankle and foot fractures in older women[J].Bone Miner Res,1996,11(9):1347-1355.
[7]Burge R,Dawsonhughes B,Solomon DH,et al.Incidence and economic burden of osteoporosis-related fractures in the United States,20052025.[J].Journal of Bone &Mineral Research,2010,22(3):465-475.
[8]Avery JG.Epidemic of fractures during period of snow and ice.[J].British Medical Journal,1981,282(6264):603-605.
[9]张如云,张奇,杨宗酉,等.成人踝关节损伤的流行病学分析[J].中国骨科临床与基础研究杂志,2014,6(3):139-143.
[10]Hasselman CT,Vogt MT,Stone KL,et al.Foot and ankle fractures in elderly white women.Incidence and risk factors[J].J Bone Joint Surg(Am),2003,85(5):820-824.
[11]方岩,朱涛,刘文斌,等.影响骨质疏松性骨折的危险因素和评估方法[J].中国骨质疏松杂志,2011,17(10):925-932.
[12]刘文志.踝关节扭伤的治疗体会[J].实用骨科杂志,2005,11(6):550-551.
[13]Courtbrown CM,Mcbirnie J,Wilson G.Adult ankle fractures--an increasing problem?[J].Acta Orthopaedica Scandinavica,1998,69(1):43.
[14]Bucholz RW,Heckman JD,CourtbrownCM.洛克伍德格林骨折[M].北京:北京大学医学出版社,2016:443-467.
[15]Jacobsen SJ,Goldberg J,Miles TP,et al.Seasonal variation in the incidence of hip fracture among white persons aged 65 years and older in the United States,1984-1987[J].American Journal of Epidemiology,1991,133(10):996-1004.
[16]Douglas S,Bunyan A,Chiu KH,et al.Seasonal variation of hip fracture at three latitudes[J].Injury-international Journal of the Care of the Injured,2000,31(1):11-19.