Etiological and epidemiological analysis of patella fractures: evaluation of COVID-19 pandemic and lockdown era effects

Yıl 2024, Cilt: 7 Sayı: 5, 581 - 586, 27.09.2024

Nezih Ziroğlu , Alican Koluman , Miraçhan Kantarcı , Altuğ Duramaz , Cemal Kural

https://doi.org/10.32322/jhsm.1537719

Öz

Background: Patella fractures are relatively rare, but significant public health burden with consequences ranging from skin problems to extensor mechanism deficiencies and patellofemoral arthrosis due to their significant effects on pain, functionality, and quality of life. It was aimed to present basic etiological, and epidemiological information about patella fractures and to evaluate the impact of the COVID-19 Pandemic and lockdown era period.
Methods: All patellar fractures admitted to a stage-1 trauma center between 2016 and 2022 were collected retrospectively. Patient's gender, age, side, fracture classification, trauma mechanism, treatment method, admission day and season, accompanying extremity, and non-musculoskeletal/visceral pathologies were recorded and analyzed.
Results: A retrospective evaluation was conducted on 304 patients, with 181 (59.5%) males and 123 (40.5%) females, with an average age of 46±19 years. Most patients were between 30-65 (51.4%) and the most common cause was simple falls (74%). Fractures mostly occurred in the winter (35.2%) and on Sundays (19.7%). 9.9% of the patients were accompanied by extremity traumas and 6.9% by non-musculoskeletal injuries. Regarding the descriptive classification, transverse, distal pole, and proximal pole; and according to the AO/OTA classification, C1 was the most common.
Conclusion: The incidence of patella fractures is increasing. Non-surgical treatment is a priority, and the complication rates of surgical treatment are considerable. The study, which presents etiological and epidemiological data of level-1 trauma center patients, is a suitable sample for Türkiye. The study is unique in showing the potential effects of COVID-19 on the patient profile and treatment management of patella fractures.

Anahtar Kelimeler

kneecap, sesamoid bone, knee, genu, incidence, characteristic, patella fractures

Etik Beyan

Disclosure: The authors declare that there are no conflicts of interest and report no potential conflicts of interest or source of funding. The authors have no competing interests to declare. Ethical Declaration: All procedures performed in studies involving human participants followed the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Destekleyen Kurum

None

Patella Kırıklarının Etiyolojik ve Epidemiyolojik Analizi: COVID-19 Pandemisi ve Karantina Dönemi Etkilerinin Değerlendirilmesi

Öz

Arka plan: Patella kırıkları nispeten nadir görülen ancak ağrı, fonksiyonellik ve yaşam kalitesi üzerindeki önemli etkileri nedeniyle cilt problemlerinden ekstansör mekanizma eksikliklerine ve patellofemoral artroza kadar uzanan sonuçlarıyla önemli bir halk sağlığı yüküdür. Patella kırıkları hakkında temel etiyolojik ve epidemiyolojik bilgilerin sunulması ve COVID-19 Pandemisi ve karantina döneminin etkisinin değerlendirilmesi amaçlandı.
Yöntemler: 2016-2022 yılları arasında 1. aşama travma merkezine başvuran tüm patellar kırıkları retrospektif olarak toplandı. Hastaların cinsiyeti, yaşı, tarafı, kırığın sınıflandırılması, travma mekanizması, tedavi yöntemi, başvuru günü ve mevsimi, eşlik eden ekstremite ve kas-iskelet sistemi dışı/iç organ patolojileri kaydedilerek analiz edildi.
Bulgular: Yaş ortalaması 46±19 yıl olan, 181'i (%59,5) erkek, 123'ü (%40,5) kadın olmak üzere 304 hasta retrospektif olarak değerlendirildi. Hastaların çoğu 30-65 yaş aralığındaydı (%51,4) ve en sık neden basit düşmelerdi (%74). Kırıklar en çok kış aylarında (%35,2) ve pazar günleri (%19,7) meydana geldi. Hastaların %9,9'una ekstremite travmaları, %6,9'una kas-iskelet sistemi dışı yaralanmalar eşlik ediyordu. Tanımlayıcı sınıflandırmaya göre transvers, distal ve proksimal kutup kırıkları ve AO/OTA sınıflamasına göre C1 en yaygındı.
Sonuç: Patella kırıklarının görülme sıklığı artmaktadır. Cerrahi dışı tedavi önceliklidir ve cerrahi tedavinin komplikasyon oranları azımsanmayacak düzeydedir. Birinci düzey travma merkezi hastalarının etyolojik ve epidemiyolojik verilerinin sunulduğu çalışma, Türkiye için uygun bir örneklem oluşturmaktadır. Çalışma, COVID-19'un hasta profili ve patella kırıklarının tedavi yönetimi üzerindeki potansiyel etkilerini göstermesi açısından benzersizdir.

Anahtar Kelimeler

diz kapağı, sesamoid kemik, diz, genu, insidans, karakteristik, patella kırıkları

Kaynakça

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