Epidemiology of lower extremities fractures in the population in Vinnitsa region

Authors

  • Vladyslav Povoroznyuk SI «Institute of Gerontology named after D. F. Chebotarev of NAMS Ukraine», Kyiv, Ukraine
  • Nataliia Grygorieva SI «Institute of Gerontology named after D. F. Chebotarev of NAMS Ukraine», Kyiv, Ukraine
  • Mykola Korzh Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv, Ukraine https://orcid.org/0000-0002-0489-3104
  • Sergey Strafun SI «Institute of Traumatology and Orthopaedics of the National Academy of Medical Sciences of Ukraine», Kyiv, Ukraine
  • Roman Vlasenko SI «Institute of Gerontology named after D. F. Chebotarev of NAMS Ukraine», Kyiv, Ukraine

DOI:

https://doi.org/10.15674/0030-5987201815-14

Keywords:

lower extremities fracture, femur fracture, tibia fractures, foot fracture, age, gender

Abstract

Lower extremities fractures are ⅓ to ½ of all fractures, that can increase morbidity and mortality. Nowadays there are studies devoted to the age and gender peculiarities of femur fractures in Ukraine, but data of other fractures location is restricted.

Objective: to study the frequency and structure of lower extremities fractures depending on the age, sex, location in the population in Vinnitsa region during 2011–2012.

Methods: the study was conducted as multicentral epidemiological study RSOF (Registry System of Osteoporotic Fractures). Population of Vinnitsa region was analyzed according to Ukrainian State Committee. We assessed the frequency of lower extremity fractures, its location depending on the age and gender.

Results: the frequency of lower extremities fractures is 446,2 per 100 000 in male and 347,45 in female, it increases in patients older than 50 years old (493,1 and 540,1 respectively). Femur fractures prevail in women: 103,0 per 100 000 of population in men and 132,0 in women, after 50 years — 172,1 и 252,4 respectively. Such indexes are connected with the increasing of proximal femur fractures— 158,5 and 228,7 per 100 000 of population. We observed tibia shaft fractures in men more often (226,4 and 162,2 in women) foot fractures (107,2, in women — 43,6 per 100 000).

Conclusion: the frequency of lower extremities fractures in population of Vinnitsa region has the age and gender depended peculiari­ties, which must to be taken into consideration during planning of prophylaxis measures.

Author Biographies

Vladyslav Povoroznyuk, SI «Institute of Gerontology named after D. F. Chebotarev of NAMS Ukraine», Kyiv

SI «Institute of Gerontology named after D. F. Chebotarev of NAMS Ukraine», Kyiv

MD, Prof. in Orthopaedics and Traumatology

 

Nataliia Grygorieva, SI «Institute of Gerontology named after D. F. Chebotarev of NAMS Ukraine», Kyiv

SI «Institute of Gerontology named after D. F. Chebotarev of NAMS Ukraine», Kyiv

MD, Prof. in Medicine

Mykola Korzh, Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv

Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv

MD, Prof. in Orthopaedics and Traumatology

Sergey Strafun, SI «Institute of Traumatology and Orthopaedics of the National Academy of Medical Sciences of Ukraine», Kyiv

SI «Institute of Traumatology and Orthopaedics of the National Academy of Medical Sciences of Ukraine», Kyiv

MD, Prof. in Orthopaedics and Traumatology

 

Roman Vlasenko, SI «Institute of Gerontology named after D. F. Chebotarev of NAMS Ukraine», Kyiv

SI «Institute of Gerontology named after D. F. Chebotarev of NAMS Ukraine», Kyiv

MD

 

References

  1. Buryanov, O. A., & Golka, G. G. (2014). Traumatology and orthopedics. Kyiv. (in Ukrainian)
  2. Sklyarenko, Ye. T. (2005). Traumatology and orthopedics. Kyiv (in Ukrainian)
  3. Pichkhadze, I. M. (2003). Clinico-biomechanical classification of fractures of the extremities and pelvis for the choice of tactics of surgical treatment: a method. recommend. Moscow. (in Russian)
  4. Fractures of the Lower Limb (includes foot) (PDF Download Available). (1985, November 1). Retrieved from https://www.researchgate.net/publication/254506497_Fractures_of_the_Lower_Limb_includes_foot
  5. Liporace, F. A., Egol, K. A., Tejwani, N., Zuckerman, J. D., & Koval, K. J. (2005). What’s new in hip fractures? Current concepts. American journal of orthopedics, 34(2), 66-74.
  6. Beerekamp, M., De Muinck Keizer, R., Schep, N., Ubbink, D., Panneman, M., & Goslings, J. (2017). Epidemiology of extremity fractures in the Netherlands. Injury, 48(7), 1355-1362. doi: https://doi.org/10.1016/j.injury.2017.04.047
  7. Berecki-Gisolf, J., McClure, R., Seubsman, S., & Sleigh, A. (2012). Reporting of lifetime fractures: methodological considerations and results from the Thai Cohort Study. BMJ Open, 2(4), e001000. doi: https://doi.org/10.1136/bmjopen-2012-00100
  8. Clelland, S. J., Chauhan, P., & Mandari, F. N. (2016). The epidemiology and management of tibia and fibula fractures at Kilimanjaro Christian Medical Centre (KCMC) in Northern Tanzania. Pan African Medical Journal, 25. doi: https://doi.org/10.11604/pamj.2016.25.51.10612
  9. Cummings, S. R., & Melton, L. J. (2002). Epidemiology and outcomes of osteoporotic fractures. The Lancet, 359(9319), 1761-1767. doi: https://doi.org/10.1016/s0140-6736(02)08657-9
  10. Donaldson, L. J., Reckless, I. P., Scholes, S., Mindell, J. S., & Shelton, N. J. (2008). The epidemiology of fractures in England. Journal of Epidemiology & Community Health, 62(2), 174-180. doi: https://doi.org/10.1136/jech.2006.056622
  11. Ferguson, K., McGlynn, J., Jenkins, P., Madeley, N., Kumar, C., & Rymaszewski, L. (2015). Fifth metatarsal fractures – is routine follow-up necessary? Injury, 46(8), 1664-1668. doi: https://doi.org/10.1016/j.injury.2015.05.041
  12. Filipov, O. (2014). Epidemiology and social burden of the femoral neck fractures. Journal of IMAB - Annual Proceeding (Scientific Papers), 20(4), 516-518. doi: https://doi.org/10.5272/jimab.2014204.516
  13. Fisher, A., O'Brien, E., & Davis, M. (2009). Trends in hip fracture epidemiology in Australia: Possible impact of bisphosphonates and hormone replacement therapy. Bone, 45(2), 246-253. doi: https://doi.org/10.1016/j.bone.2009.04.244
  14. Ismail, A. A., O'Neill, T. W., Cockerill, W., Finn, J. D., Cannata, J. B., Hoszowski, K., … Silman, A. J. (2000). Validity of self-report of fractures: results from a prospective study in men and women across Europe. Osteoporosis International, 11(3), 248-254. doi: https://doi.org/10.1007/s001980050288
  15. Kannus, P., Niemi, S., Parkkari, J., Palvanen, M., Vuori, I., & Järvinen, M. (2006). Nationwide decline in incidence of hip fracture. Journal of Bone and Mineral Research, 21(12), 1836-1838. doi: https://doi.org/10.1359/jbmr.060815
  16. Kay, M. C., Register-Mihalik, J. K., Gray, A. D., Djoko, A., Dompier, T. P., & Kerr, Z. Y. (2017). The Epidemiology of severe injuries sustained by national collegiate athletic association student-athletes, 2009–2010 through 2014–2015. Journal of Athletic Training, 52(2), 117-128. doi: https://doi.org/10.4085/1062-6050-52.1.01
  17. Pasco, J. A., Brennan, S. L., Henry, M. J., Nicholson, G. C., Sanders, K. M., Zhang, Y., & Kotowicz, M. A. (2011). Changes in hip fracture rates in southeastern Australia spanning the period 1994-2007. Journal of Bone and Mineral Research, 26(7), 1648-1654. doi: https://doi.org/10.1002/jbmr.393
  18. Ponzer, S., Nåsell, H., Bergman, B., & Törnkvist, H. (1999). Functional Outcome and Quality of Life in Patients With Type B Ankle Fractures: A Two-Year Follow-Up Study. Journal of Orthopaedic Trauma, 13(5), 363-368. doi: https://doi.org/10.1097/00005131-199906000-00007
  19. Somersalo, A., Paloneva, J., Kautiainen, H., Lönnroos, E., Heinänen, M., & Kiviranta, I. (2014). Incidence of fractures requiring inpatient care. Acta Orthopaedica, 85(5), 525-530. doi: https://doi.org/10.3109/17453674.2014.908340
  20. Ivers, R. Q., Cumming, R. G., Mitchell, P., & Peduto, A. J. (2002). The accuracy of self-reported fractures in older people. Journal of Clinical Epidemiology, 55(5), 452-457. doi: https://doi.org/10.1016/s0895-4356(01)00518-2
  21. Kelsey, J. L., Keegan, T. H., Prill, M. M., Quesenberry, C. P., & Sidney, S. (2005). Risk factors for fracture of the shafts of the tibia and fibula in older individuals. Osteoporosis International, 17(1), 143-149. doi: https://doi.org/10.1007/s00198-005-1947-8
  22. Povoroznyuk, V. V., & Forosenko, V.S. (2004). The epidemiology of osteoporotic fractures of proximal femur. Problems of osteology, 7(3–4), 14–22. (in Ukrainian)
  23. Povorozniuk, V., Grigoryeva, N., Korzh, M., Strafun, S., Kanis, J., McCloskey, E., Vaida, V., Klymovytsky, F., Vlasenko, R., & Forosenko, V. (2017). Еpidemiology of proximal femur fractures in ukraine: results of two retrospective studies. Orthopaedics, traumatology and prosthetics, 4, 68–74. doi: https://doi.org/10.15674/0030-59872016468-74 (in Ukrainian)
  24. Povoroznyuk, V. V., Grygorieva, N. V., & Korzh, M. O. (2016). Epidemiology of proximal femur fractures in Ukraine: results of STOP study (System of registration of osteoporotic fractures), Trauma, 17(5), 14–20. doi: https://doi.org/10.22141 / 1608-1706.5.17.2016.83870 (in Ukrainian)
  25. ICD 10 — International Classification of Diseases of the 10th revision (current version: 2016). Available from: http://mkb-10.com/index.php?pid=18001
  26. Method for calculation of incidence rates. Available from: http://bono-esse.ru/blizzard/Medstat/Zabolevaemost/stat_zab_3.html
  27. Public health indicators: formulas and examples. Available from: http://statistica.ru/local-portals/medicine/pokazateli-zdorovya-naseleniya-formuly-i-primery
  28. Grygorieva, N. V., & Zubach, O. B. (2016). Risk factors for fractures of the proximal femur of the patients in older age groups. Trauma, 17(6), 53-61. doi: https://doi.org/10.22141 / 1608-1706.6.17.2016.88618 (in Ukrainian)
  29. Hansen, M., Mehler, D., & Voltmer W. (2002). The extraarticular proximal tibial fractures. Unfallchirurg, 105(10), 858-872.
  30. Kaye, J. A, & Jick, H. (2004). Epidemiology of lower limb fractures in general practice in the United Kingdom. Injury Prevention, 10, 368–374. doi: https://doi.org/10.1136/ip.2004.005843
  31. Perruccio, A. V., Gandhi, R., & Rampersaud, Y. R. (2013). Heterogeneity in health status and the influence of patient characteristics across patients seeking musculoskeletal orthopaedic care – a cross-sectional study. BMC Musculoskeletal Disorders, 14(1). doi: https://doi.org/10.1186/1471-2474-14-83
  32. Armstrong, M. E., Cairns, B. J., Banks, E., Green, J., Reeves, G. K., & Beral, V. (2012). Different effects of age, adiposity and physical activity on the risk of ankle, wrist and hip fractures in postmenopausal women. Bone, 50(6), 1394-1400. doi: https://doi.org/10.1016/j.bone.2012.03.014
  33. Pasco, J. A., Lane, S. E., Brennan-Olsen, S. L., Holloway, K. L., Timney, E. N., Bucki-Smith, G., … Kotowicz, M. A. (2015). The epidemiology of incident fracture from cradle to senescence. Calcified Tissue International, 97(6), 568-576. doi: https://doi.org/10.1007/s00223-015-0053-y
  34. Scholes, S., Panesar, S., Shelton, N. J., Francis, R. M., Mirza, S., Mindell, J. S., & Donaldson, L. J. (2013). Epidemiology of lifetime fracture prevalence in England: a population study of adults aged 55 years and over. Age and Ageing, 43(2), 234-240. doi: https://doi.org/10.1093/ageing/aft167
  35. Baron, J. A., Karagas, M., Barrett, J., Kniffin, W., Malenka, D., Mayor, M., & Keller, R. B. (1996). Basic epidemiology of fractures of the upper and lower limb among americans over 65 years of age. Epidemiology, 7(6), 612-618. doi: https://doi.org/10.1097/00001648-199611000-00008

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How to Cite

Povoroznyuk, V. ., Grygorieva, N., Korzh, M., Strafun, S., & Vlasenko, R. (2023). Epidemiology of lower extremities fractures in the population in Vinnitsa region. ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (1), 5–14. https://doi.org/10.15674/0030-5987201815-14

Issue

No. 1 (2018)

Section

ORIGINAL ARTICLES

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Copyright (c) 2018 Vladyslav Povoroznyuk, Nataliia Grygorieva, Mykola Korzh, Sergey Strafun, Roman Vlasenko

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