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Epidemiology of lower limb fractures in Ukrainian population

Authors: Grygorieva N.V., Vlasenko R.O., Povoroznyuk V.V. - Іnstitute of gerontology NAMS Ukraine named after D.F. Chebotarev, Kyiv, Ukraine

Categories: Rheumatology, Traumatology and orthopedics

Sections: Medical forums

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The article was published on p. 72

 

Lower limb fractures (LLF) account for approximately one third of all fractures and may result in substantial mortality and morbidity. Age, osteoporosis, road collision, obesity and different diseases (osteoarthritis, Parkinsonism, cataract, dementia etc.) are the risk factors of LLF. Fractures are a considerable public health burden but information on their epidemiology in Ukraine is limited.

Material and methods. We identified 665 subjects from 76 765 citizens, living in Vinnitsa region, who had a first time (incident) diagnosis of LLF recorded in the regional Hospital database from 1.01.2011 to 31.12.2011.
Results. Frequency the LLF of was 42.4 % from the total fractures in all patients and 44.4 % from the total fractures in patient aged 50 years and older. The most common anatomic site of LLF was the tibia and/or fibula (48.9 % of all incident lower limb fractures), followed by the hip (29.5 %), and the tarsal/metatarsal bones (21.6 %). Incidence of fracture in patient 50 years and old was 519.8 per 10 000 patient for all LLF, 212.3 per 10 000 patient for tibia and/or fibula fractures and 226.9 per 10 000 patient for hip fracture.
Lower limb fractures were more common among males than among females in the younger age groups (up to 39 years old). Among subjects 50 years and older the incidence of LLF was higher in women than in men, and the difference increased with increasing age.
Incidence of the tibia and/or fibula fractures was 340.7 per 10 000 patient in the age group 60–69 years old, 44.9 per 10 000 patient in age group 70–79 years old, and 102.4 per 10 000 patient in age group 80–89 years old.
Conclusion. Our study provided the new information about the epidemiology of lower limb fractures in Ukrainian population according the age. This information is important for planning of the prevention and treatment strategy in patients of different ages.  

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