Age-, gender- and Arbeitsgemeinschaft fur Osteosynthesefragen type-specific clinical characters of adult tibial plateau fractures in eighty three hospitals in China

作者：Yuwen, Peizhi; Lv, Hongzhi; Chen, Wei; Wang, Yefang; Yu, Yiyang; Hao, Jiandong; Liu, Song; Zhang, Tao; Feng, Chen; Guo, Jialiang; Yin, Bing; Zhang, Yingze^*

来源：International Orthopaedics, 2018, 42(3): 667-672.

DOI：10.1007/s00264-018-3769-2

• Tibial plateau fractures
• Altitudes
• Sex distribution
• Age distribution
• AO classification
• Epidemiology

The purpose of this study was to verify the age-, gender- and Arbeitsgemeinschaft fur Osteosynthesefragen (AO) type-specific clinical characters of adult tibial plateau fractures in 83 hospitals in China and to investigate whether altitude has potential relationships with adult tibial plateau fractures.
A retrospective investigation was performed on consecutive patients with tibial plateau fractures treated in 83 hospitals in China between January 2010 and December 2011, data including age, gender and imaging were collected retrospectively through the PACS system and case reports checking system, imaging were classified into six types under fully qualified estimation based on AO classification. To further investigate imparities among different altitudes in China, all data were classified into four groups according to the centre altitudes of each city, G1 = plains group (< 500 m), G2 = hills group (500-1000 m), G3 = mountain areas group (1000-2000 m), and G4 = plateau group (> 2000 m). Comparison of gender distribution, age distribution and AO type were done.
A total of 6,227 adult tibial plateau fractures were included. Men in the age range of 40-44 years were the most affected patients, and the overall high-risk injury type was 44-B. In four groups, the same peak age showed, namely, 40-44 years in males and 55-59 years in females. Age distribution showed no statistically significant difference in four groups (P > 0.05), while sex distribution and AO type indicated statistically significant differences (P < 0.05). Note an inversion of sex ratio among people over 60 years.
Our study showed that men in the 40-44 year age range are the most affected patients, and different sex distribution as well as injury type of adult tibial plateau fractures differed with various altitudes in China.

• 出版日期2018-3
• 单位河北医科大学