Skip to main content
Top
Published in: International Orthopaedics 1/2018

01-01-2018 | Original Paper

Population-based epidemiology and incidence of distal femur fractures

Authors: Rasmus Elsoe, Adriano Axel Ceccotti, Peter Larsen

Published in: International Orthopaedics | Issue 1/2018

Login to get access

Abstract

Purpose

The literature lacks recent epidemiological studies on the incidence, trauma mechanism and fracture classification of distal femur fractures. The aim of the present study was to provide up-to-date information concerning the incidence of distal femur fractures in a large and complete population and to report on the distribution of fracture classification, trauma mechanisms and patient baseline demographics.

Methods

The approach for this study was via a retrospective reviews of records.

Results

A total of 293 patients were treated for 302 distal femur fractures between 2005 and 2010. The mean age at the time of fracture was 62.2 years. The mean age was 44.0 years for males and 71.6 years for females. The gender distribution was 33.4% males and 66.6% females. The overall incidence of distal femur fractures was 8.7/100,000/year. After the age of 60 years, a rapid increase in the incidence of distal femoral fractures was observed in both genders, with a large female predominance. Low-energy injuries were the most common mode of injury in both genders (97%), with approximately 61% being the result of a fall from standing height. AO classification type A (extra-articular fractures) was the most common of all fractures (38.6%). Eighty-four patients (28.7%) were admitted with periprosthetic fractures, corresponding to an overall incidence of periprosthetic fractures of 2.4/100,000/year.

Conclusions

The present study shows an incidence of 8.7/100,000/year of distal femur fractures. After the age of 60 years, a rapid increase in the incidence of distal femoral fractures was observed in both genders, with a considerable female predominance.
Literature
1.
go back to reference Court-Brown CM (2015) Rockwood and Green’s fractures in adults. Walters Kluwer, USA Court-Brown CM (2015) Rockwood and Green’s fractures in adults. Walters Kluwer, USA
3.
go back to reference Kolmert L, Wulff K (1982) Epidemiology and treatment of distal femoral fractures in adults. Acta Orthop Scand 53:957–962CrossRefPubMed Kolmert L, Wulff K (1982) Epidemiology and treatment of distal femoral fractures in adults. Acta Orthop Scand 53:957–962CrossRefPubMed
6.
go back to reference Martinet O, Cordey J, Harder Y et al (2000) The epidemiology of fractures of the distal femur. Injury 31(Suppl 3):C62–C63CrossRefPubMed Martinet O, Cordey J, Harder Y et al (2000) The epidemiology of fractures of the distal femur. Injury 31(Suppl 3):C62–C63CrossRefPubMed
11.
go back to reference Marsh JL, Agel J et al (2007) Fracture and dislocation classification compendium - 2007: Orthopaedic Trauma Association classification Database and Outcome Committee. J Orthop Trauma 21(10 Suppl):S1–133 Marsh JL, Agel J et al (2007) Fracture and dislocation classification compendium - 2007: Orthopaedic Trauma Association classification Database and Outcome Committee. J Orthop Trauma 21(10 Suppl):S1–133
12.
go back to reference Zhang Y (2012) Clinical epidemiology of orthopaedic trauma. Thieme, New York Zhang Y (2012) Clinical epidemiology of orthopaedic trauma. Thieme, New York
Metadata
Title
Population-based epidemiology and incidence of distal femur fractures
Authors
Rasmus Elsoe
Adriano Axel Ceccotti
Peter Larsen
Publication date
01-01-2018
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 1/2018
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-017-3665-1

Other articles of this Issue 1/2018

International Orthopaedics 1/2018 Go to the issue