TY - JOUR PY - 2022// TI - The epidemiology of adult fractures according to the AO/OTA fracture classification JO - Ulusal travma ve acil cerrahi dergisi A1 - Bilge, Onur A1 - Dundar, Zerrin Defne A1 - Atılgan, Numan A1 - Yaka, Haluk A1 - Kekeç, Ahmet Fevzi A1 - Karagüven, Doğaç A1 - Doral, Mahmut Nedim SP - 209 EP - 216 VL - 28 IS - 2 N2 - BACKGROUND: The epidemiology of adult fractures has been changing timely, in a multifactorial fashion. The aim of this study was to put forward a recent 5-year epidemiological analysis of adult fractures, according to the current AO/OTA fracture classification, in the current decade of action for road safety.

METHODS: 5324 adult patients who were diagnosed with at least one fracture related with orthopedics and traumatology in a level-one trauma center were included in this retrospective, epidemiological descriptive study. The patients were grouped according to their ages as; 18-35, 36-55, 56-69, and ≥70. The fractures were examined according to the AO/OTA classification.

RESULTS: 5865 fractures were present in 5324 patients. The mean age of the patients was 48.6±21.5. The number of patients according to the age groups was as follows; 1947 (36.6%), 1636 (30.7%), 881 (16.5%), and 860 (16.2%), respectively. The most frequent three fractures according to the AO/OTA fracture classification were; 7 (hand 19.6%), 23 (distal forearm, 12.1%), and 8 (foot, 11.8%). About 54.4% and 45.4% of the patients were treated non-surgically and surgically, respectively. About 0.2% of the patients preferred an alternative treatment. Overall mortality rate was 0.4%.

CONCLUSION: To the best of our knowledge, this study represents the first analysis of adult fractures according to the AO/OTA classification, over a 5-year period. As a future prospect, further multi-centric epidemiological studies are warranted to constitute a sustainable action plan for the prevention of major traumas.

Language: en

LA - en SN - 1306-696X UR - http://dx.doi.org/10.14744/tjtes.2020.26374 ID - ref1 ER -