Seasonal Characteristics of Proximal Tibial Fractures
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Date
2021
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Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Ievads: Lielā lielakaula proksimālās daļas lūzumu epidemioloģijas izprašana var mums palīdzēt gan novērst, gan ārstēt šāda veida lūzumus savlaicīgi un kvalitatīvi kā arī saskaņā ar jaunākajām vadlīnijām. Šī pētījuma mērķis ir noteikt lielā lielakaula proksimālā daļas lūzumu raksturojumu saistībā ar trauma mehānismiem vasaras un ziemas periodos.
Materiāli un metodes: Pētījuma rezultāti tika analizēti mūsdienu literatūras par proksimālā lielā lielakaula proksimālās daļas lūzumiem, to epidemioloģiju un gadalaiku iespējamo ietekmi uz to kontekstā. Pētījuma sagatavošanā tika izmantoti 50 dažāda veida izdevumi, tai skaitā, raksti, tiešsaistes grāmatas un interneta avoti.
Literatūras apskata rezultāti: Literatūras analīze parādīja, ka lielā lielakaula proksimālās daļas lūzumus parasti novēroja jaunākiem vīriešiem un vecākām sievietēm. Raksturīgākie traumas mehānismi vasaras periodā bija transportlīdzekļu negadījumi, savukārt ziemas sezonā biežāk bija sastopamas ar kritieniem saistītas traumas. Turklāt tika arī konstatēts, ka lielā lielakaula proksimālās daļas lūzumi ir bieži sastopama ziemas sporta veidu trauma. Tomēr pieejamie materiāli par gadalaiku ietekmi uz lūzumiem šobrīd ir nepilnīgi un būtu nepieciešama tālāka izpēte.
Secinājums: Tika konstatēts, ka lielā lielakaula proksimālās daļas lūzumi parasti ir vecākām sievietēm un jaunākiem vīriešiem. Vīrieši visbiežāk tika savainoti mehānisko transporta līdzekļu negadījumos, bet sievietes - ikdienišķos kritienos (zemas enerģijas negadījumos). Tika konstatēts, ka ar augstas enerģijas transporta līdzekļu negadījumiem saistītie lūzumi biežāk sastopami vasaras periodā, savukārt ziemas periodā biežāki ir ar kritieniem saistīti lūzumi. Ziemas sporta veidu izraisītos negadījumos, piemēram, slēpošanas un snovborda, bija palielināts lielā lielakaula proksimālās daļas lūzumu risks. AO tips 41B bija visizplatītākais lielā lielakaula proksimālās daļas lūzuma veids, kam sekoja AO tips C.
Introduction: Currently, the incidences of proximal tibial fractures are relatively rare but can lead to potentially severe disability with its complications and thus fractures of the proximal tibia pose a potentially costly burden on society and an individual. Understanding the epidemiology of the proximal tibial fractures can help us prevent or to treat this type of fractures in a timely and well-executed manner according to the latest guidelines. This study aims to determine the characteristics of proximal tibial fractures, in relation to trauma mechanisms in summer and winter periods. Materials and methods: The following results were analysed in the context of the contemporary literature about proximal tibial fractures and their epidemiology and the possible effect of seasons on the fractures. 50 publications of different types were used in writing this paper including articles, online books and internet sources. Results of the literature review: The analysis of literature showed that proximal tibial fractures were commonly observed in younger males and older females. The most typical mechanisms of injury were motor vehicle accidents during summer periods whereas fall-related injuries were more common in the winter season. Additionally, the incidence of proximal tibial fractures was found to have a role in winter sports-related injuries. However, it was discovered that materials available discussing the seasonal impact on fractures were limited at this point and would require further research. Conclusion: Proximal tibial fractures were found to typically affect older females and younger males. Males were commonly injured in high-energy motor vehicle accidents (MVAs) whereas women were more commonly injured by simple falls (low-energy accidents). MVA-related fractures were found to be more common in the summer period while fall-related fractures were more common during the winter period. Winter sports such as skiing and snowboarding had an increased risk for proximal tibial fractures. AO type 41B was the most common type of proximal tibial fracture followed by AO type C.
Introduction: Currently, the incidences of proximal tibial fractures are relatively rare but can lead to potentially severe disability with its complications and thus fractures of the proximal tibia pose a potentially costly burden on society and an individual. Understanding the epidemiology of the proximal tibial fractures can help us prevent or to treat this type of fractures in a timely and well-executed manner according to the latest guidelines. This study aims to determine the characteristics of proximal tibial fractures, in relation to trauma mechanisms in summer and winter periods. Materials and methods: The following results were analysed in the context of the contemporary literature about proximal tibial fractures and their epidemiology and the possible effect of seasons on the fractures. 50 publications of different types were used in writing this paper including articles, online books and internet sources. Results of the literature review: The analysis of literature showed that proximal tibial fractures were commonly observed in younger males and older females. The most typical mechanisms of injury were motor vehicle accidents during summer periods whereas fall-related injuries were more common in the winter season. Additionally, the incidence of proximal tibial fractures was found to have a role in winter sports-related injuries. However, it was discovered that materials available discussing the seasonal impact on fractures were limited at this point and would require further research. Conclusion: Proximal tibial fractures were found to typically affect older females and younger males. Males were commonly injured in high-energy motor vehicle accidents (MVAs) whereas women were more commonly injured by simple falls (low-energy accidents). MVA-related fractures were found to be more common in the summer period while fall-related fractures were more common during the winter period. Winter sports such as skiing and snowboarding had an increased risk for proximal tibial fractures. AO type 41B was the most common type of proximal tibial fracture followed by AO type C.
Description
Medicīna
Medicine
Veselības aprūpe
Health Care
Medicine
Veselības aprūpe
Health Care
Keywords
Lielā lielakaula proksimālās daļas lūzums, sezonas raksturojums, ziema, vasara, sezona, Proximal tibial fracture, seasonal characteristics, winter, summer, season