medigraphic.com
Órgano Oficial del Hospital Angeles Health System

2022, Number 2

<< Back Next >>

Acta Med 2022; 20 (2)

Epidemiological profile of ankle fractures in the Regional Hospital ''General Ignacio Zaragoza'' of the ISSSTE, CDMX

Taffinder VDS, Esquivel SA, Antonio RCE

Language: Spanish
References: 16
Page: 127-131
PDF size: 180.52 Kb.


ABSTRACT

Introduction: The epidemiology of ankle fractures is poorly understood in Mexico. Objective: To present the epidemiological profile of ankle fractures at the Hospital Regional "General Ignacio Zaragoza" of the ISSSTE in Mexico City. Material and methods: We reviewed the records of the Automated Hospital Discharge Subsystem (SAEH) of the ISSSTE for the period January 2010-December 2019 to search pediatric and adult patients who were discharged due to ankle fractures. The following information was obtained: age, gender, type of ankle fracture according to the Danis-Weber classification, and length of hospital stay. Descriptive and inferential statistical analysis was performed. Results: 2144 patients were identified (55.6% female and 44.4% male). 6.15% of the fractures occurred in ≤ 18 years, 12.3% in 19-30 years, 36.5% in 31-50 years, 31% in 50-65 years, and 14% in those over 65 years. Weber type A, B, and C fractures represented 11.1%, 64.8%, and 24.1%, respectively. Weber C fractures were significantly more frequent in males than in females (29.4 versus 19.8%, p < 0.001). Conclusions: Ankle fractures were more frequent in young adults, in women and the most common were Weber type B.


REFERENCES

  1. Thur CK, Edgren G, Jansson KA, Wretenberg P. Epidemiology of adult ankle fractures in Sweden between 1987 and 2004: a population- based study of 91,410 Swedish inpatients. Acta Orthop. 2012; 83 (3): 276-281.

  2. Goost H, Wimmer MD, Barg A, Kabir K, Valderrabano V, Burger C. Fractures of the ankle joint: investigation and treatment options. Dtsch Arztebl Int. 2014; 111 (21): 377-388.

  3. Han SM, Wu TH, Wen JX et al. Radiographic analysis of adult ankle fractures using combined Danis-Weber and Lauge-Hansen classification systems. Sci Rep. 2020; 10 (1): 7655.

  4. Clingenpeel J, Herbert K, Greenfield B. Chapter 28 - extremity trauma. In: Olympia RP, O'Neill RM, Silvis MLBT-UCMS, eds. Elsevier; 2018: 168-177. doi: https://doi.org/10.1016/B978-0-323-46215-0.00028-8

  5. Cordova CB, Dunn JC, Kusnezov N, Bader JM, Waterman BR, Orr JD. Comparing clinician use of three ankle fracture classifications. JAAPA. 2018; 31 (2): 36-39.

  6. Arastu MH, Demcoe R, Buckley RE. Current concepts review: ankle fractures. Acta Chir Orthop Traumatol Cech. 2012; 79 (6): 473-483.

  7. Makkozzay PTH. Complicaciones de las fracturas de tobillo. Ortho-tips. 2006; 4: 262-280.

  8. Court-Brown CM, Caesar B. Epidemiology of adult fractures: a review. Injury. 2006; 37 (8): 691-697.

  9. Elsoe R, Ostgaard SE, Larsen P. Population-based epidemiology of 9,767 ankle fractures. Foot Ankle Surg. 2018; 24 (1): 34-39.

  10. Koval KJ, Lurie J, Zhou W, Sparks MB, Cantu R, Sporer SM. Ankle fractures in the elderly: what you get depends on where you live and who you see. J Orthop Trauma. 2005; 19 (9): 635-659.

  11. Van Staa TP, Dennison EM, Leufkens HG, Cooper C. Epidemiology of fractures in England and Wales. Bone. 2001; 29 (6): 517-522.

  12. Domínguez GLG, Orozco VSL. Frecuencia y tipos de fracturas clasificadas por la Asociación para el Estudio de la Osteosíntesis en el Hospital General de León durante un año. Acta Med. 2017; 15 (4): 275-286.

  13. Díez GMP, Macías HSI, Ramírez PE, Chávez ADD, Soria BMÁ, Granados RR, Ballesteros RF. Características epidemiológicas de pacientes adultos atendidos por fracturas en el Instituto Nacional de Rehabilitación. Invest Discap. 2013; 2 (2): 51-54.

  14. Juto H, Nilsson H, Morberg P. Epidemiology of adult ankle fractures: 1756 cases identified in Norrbotten County during 2009-2013 and classified according to AO/OTA. BMC Musculoskelet Disord. 2018; 19 (1): 441.

  15. Miranda García EF. Características clínico-epidemiológicas de las fracturas de tobillo tratadas quirúrgicamente en el hospital Goyeneche 2010-2015.

  16. Van Zuuren WJ, Schepers T, Beumer A, Sierevelt I, van Noort A, van den Bekerom MPJ. Acute syndesmotic instability in ankle fractures: a review. Foot Ankle Surg. 2017; 23 (3): 135-141. doi: 10.1016/j.fas.2016.04.001.




2020     |     www.medigraphic.com