[Influence of the COVID-19 pandemic on fracture epidemiology exemplified by tibial plateau fractures]. / Einfluss der COVID-19-Pandemie auf die Frakturepidemiologie am Beispiel der Tibiaplateaufraktur.
Unfallchirurgie (Heidelb)
; 126(12): 967-974, 2023 Dec.
Article
en De
| MEDLINE
| ID: mdl-36576535
ABSTRACT
BACKGROUND:
During the COVID-19 pandemic interventions, such as contact restrictions, lockdowns and postponement of elective surgeries were taken to ease the burden on the healthcare system. Among the population, these interventions led to changes in recreational behavior as well as personal transportation.OBJECTIVE:
This paper examines the epidemiological data of tibial plateau fractures (TPF) before and during the pandemic and to what extent pandemic control measures had an impact. MATERIAL ANDMETHODS:
In this retrospective monocentric study of a German level 1 trauma center, the intra-articular tibial plateau fractures of the years 2019 and 2020 were compared regarding incidence, demographics, cause of the accident, and treatment strategy. Fracture classification was according to Schatzker, AO/OTA, and Moore.RESULTS:
Incidence showed a decrease of -8.5% as well as a shift in the age incidence curves. There was a decrease in incidence during lockdown periods but also an increase in late summer 2020 compared to 2019. Tripping accidents (+12.4%) and bicycle accidents (+6.6%) increased in the pandemic year, whereas motorized traffic accidents (-7%) and skiing accidents (-10%) decreased. In terms of fracture morphology, 2020 showed an increase in impression fractures and a decrease in complex fractures. The number of surgically treated patients decreased by 7.3%.CONCLUSION:
The 12 months of pandemic resulted in only a slight incidence decrease of intra-articular tibial plateau fractures. The pandemic control measures showed effects within the calendar year and led directly and indirectly to a change in incidence, cause of the accident, fracture entities and care strategy.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
1_ASSA2030
/
2_ODS3
/
4_TD
Problema de salud:
1_doencas_transmissiveis
/
2_accidentes_transito
/
2_enfermedades_transmissibles
/
2_muertes_prematuras_enfermedades_notrasmisibles
/
4_pneumonia
Asunto principal:
Fracturas de la Tibia
/
COVID-19
/
Fracturas de la Meseta Tibial
Tipo de estudio:
Screening_studies
Límite:
Humans
Idioma:
De
Revista:
Unfallchirurgie (Heidelb)
Año:
2023
Tipo del documento:
Article