Bone and Joint Injury
Epidemiological characteristics of geriatric acetabular fracture in western China during 2015-2020
Fan Zhiqiang, Zhang Yunfei, Li Meng, Liu Zhong, Fei Chen, Zhou Fengjin, Deng Hongli, Wang Pengfei, Wang Hu, Zhuang Yan
Published 2022-05-15
Cite as Chin J Trauma, 2022, 38(5): 430-435. DOI: 10.3760/cma.j.cn501098-20211129-00616
Abstract
ObjectiveTo analyze the epidemiological characteristics of geriatric acetabular fractures in western China.
MethodsA retrospective case series study was made on data of geriatric patients with acetabular fracture hospitalized in 4 grade A hospitals in western China from 2015 to 2020. The investigation content included gender, age, incidence rate, injury mechanism, combined injuries, comorbidities, fracture types and treatment plans.
ResultsA total of 299 geriatric patients with acetabular fractures were included, including 203 males and 96 females, aged 60-97 years [(68.6±7.6)years]. The mean age of the patients was increased from 67.5 years to 71.1 years. The incidence rate was increased from 36 cases per year to 64 cases per year. The injury mechanism was mainly traffic accidents (42.47%), followed by falls (30.44%). Thoracic injury was the most common type of combined injuries (39.81%). Hypertension was the main comorbidity (28.76%). The most common fracture type was anterior column posterior hemitransverse fracture (31.32%). Of 299 patients, 210 received surgical treatment, with the surgery rate of 70.23%.
ConclusionsGeriatric acetabular fracture is characterized by gradually increased age and incidence rate, traffic accidents as the main cause of injury, thoracic injury as the main combined injury, hypertension as the main comorbidity, anterior column posterior hemitransverse fracture as the main fracture type and surgery as the main treatment option.
Key words:
Geriatric; Acetabulum; Fractures, bone; Epidemiology; Comorbidities
Contributor Information
Fan Zhiqiang
Department of Orthopedics, Honghui Hospital, Xi ′an Jiaotong University, Xi′an 710054, China
Zhang Yunfei
Department of Orthopedics, Tangdu Hospital, Air Force Medical University, Xi′an 710038, China
Li Meng
Department of Orthopedics, First Affiliated Hospital of Xi′an Jiaotong University, Xi′an 710061, China
Liu Zhong
Department of Orthopedics, 521 Hospital of Ordnance Industry, Xi′an 710065, China
Fei Chen
Department of Orthopedics, Honghui Hospital, Xi ′an Jiaotong University, Xi′an 710054, China
Zhou Fengjin
Department of Orthopedics, Honghui Hospital, Xi ′an Jiaotong University, Xi′an 710054, China
Deng Hongli
Department of Orthopedics, Honghui Hospital, Xi ′an Jiaotong University, Xi′an 710054, China
Wang Pengfei
Department of Orthopedics, Honghui Hospital, Xi ′an Jiaotong University, Xi′an 710054, China
Wang Hu
Department of Orthopedics, Honghui Hospital, Xi ′an Jiaotong University, Xi′an 710054, China
Zhuang Yan
Department of Orthopedics, Honghui Hospital, Xi ′an Jiaotong University, Xi′an 710054, China
