Traumatic fractures in China from 2012 to 2014: a National Survey of 512,187 individuals

Lv, Hongzhi; Chen, W.; Zhang, T.; Hou, Zhiyong; Yang, Guang; Zhu, Yanbin; Wang, H.; Yin, Bing; Guo, Junfei; Liu, L.; Hu, Pan; Liu, S.; Liu, B.; Sun, Jing; Li, S.; Zhang, X.; Li, Yong; Zhang, Y.

doi:10.1007/s00198-020-05496-9

Cited by 20 publications

(20 citation statements)

References 40 publications

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“…Considering the relative lack of evidence from our models of the importance of lifestyle variables and dietary factors, including calcium and vitamin D, our findings indirectly support the results of recent genome wide association and mendelian randomisation studies which suggest that neither dietary calcium [32] nor vitamin D [32,33] are causally related to fracture risk, and new data from the China National Fracture Study showing no reduction in fracture risk associated with calcium or vitamin D supplement use [30]. However, within individual populations, lifestyle risk factors still apply, and these may differ in different populations, so that dietary and other recommendations may need to be individualised.…”

Section: Discussionsupporting

confidence: 78%

“…Previous research has suggested there are worldwide differences in osteoporotic fracture rates, with the greatest number of fractures occurring in Western populations (Europe, USA, and Australia) [ 3 ]. While there has been a recent stabilisation of increases in prevalence of fracture rates in Western populations, the prevalence in developing populations, including Asia, continues to rise [ 29 , 30 ]. Our results confirm that differences in fracture rates exist between individuals in a UK vs HK population cohort.…”

Section: Discussionmentioning

confidence: 99%

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Fracture Incidence and the Relevance of Dietary and Lifestyle Factors Differ in the United Kingdom and Hong Kong: An International Comparison of Longitudinal Cohort Study Data

et al. 2021

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Geographic variation in fracture risk may be due to divergent profiles of dietary, lifestyle, and other risk factors between populations. We investigated differences in fracture rates between two older-population cohorts: the European Prospective Investigation into Cancer and Nutrition (EPIC) Norfolk cohort (n = 7732) in the United Kingdom (UK), and the Mr and Ms Os cohort (n = 3956) in Hong Kong (HK). Data were collected by questionnaires, laboratory assessments, and hospital records. Incidence of hip, spine, and wrist fractures in the two cohorts was calculated and multivariable regression was used to explore variables important to fracture risk. Total hip, spine, and wrist fracture incidence was higher in the UK vs HK for women (13.70 vs 8.76 per 1000 person-years; p < 0.001), but not men (5.95 vs 5.37 per 1000 person-years; p = 0.337), and the proportions of different fractures also varied between cohorts (p < 0.001). Hip fracture was the most common UK fracture (accounting for 56.8% fractures in men and 52.6% in women), while wrist fracture was most common in HK (42.9% in men and 57.9% in women). The major contributor to total fracture risk in multivariable regression models of both cohorts and sexes, was age; with BMI also an important contributor to fracture risk HK men and UK women. The distribution of factors relevant to fracture risk, and the rates of different fractures, varied significantly between UK and HK cohorts. However, the importance of each factor in contributing to fracture risk was similar between the cohorts. The differences in fracture rates suggest targeted approaches may be required when developing interventions and public health recommendations to reduce the burden of osteoporosis in these two countries.

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Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Fracture Incidence and the Relevance of Dietary and Lifestyle Factors Differ in the United Kingdom and Hong Kong: An International Comparison of Longitudinal Cohort Study Data

et al. 2021

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“…Every year, millions of individuals in China suffer from fractures, and the incidence of fractures is increasing year by year as the population ages [ 1 , 2 ]. Although most fracture patients can be cured, about 10% of fracture patients particularly the elderly experience difficulty healing [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Platelet-Rich Plasma in the Treatment of Fractures: A Meta-Analysis

Huang

et al. 2022

Computational and Mathematical Methods in Medicine

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Background. Although numerous studies have reported the effectiveness of platelet-rich plasma (PRP) in promoting and enhancing bone healing, many orthopedic physicians remain skeptical of platelet-rich plasma in the treatment of fractures. The objective of this meta-analysis was to assess the efficacy of PRP in the treatment of fractures. Methods. We search for research on PRP treatment of fractures in Pubmed, Embase, Medline, and Cochrane libraries. Two independent reviewers assessed included studies and met to develop a consensus on included studies. We also assessed the risk of bias using Review Manager 5.3 software. Results. The present meta-analysis included 10 randomized controlled trials (RCT) containing 652 patients. In the fixed-effect meta-analysis of 10 RCTs, 8 RCTs found that fracture patients benefited from PRP treatment. The use of PRP reduced the time of fracture healing in 4 RCTs. Three RCTs found that PRP adjuvant therapy enhanced bone mineral density in the fracture trace and reduced the time of bone regeneration in mandibular fractures patients ( standardized mean difference SMD = − 1.99 , 95 % confidence interval CI = − 2.64 – − 1.35 ). And 3 RCTs found that PRP adjuvant therapy decreased the risk of revision surgery in fracture patients ( SMD = 1.83 , 95 % CI = 1.10 – 3.04 ). Conclusion. PRP adjuvant therapy is beneficial for the treatment of fracture patients, particularly those with mandibular fractures, and decreased the risk of revision surgery in fracture patients.

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“…It is mostly caused by high-energy impact injuries such as vehicle accidents and falls from heights. Schatzker type VI fractures usually manifest as comminuted fractures which involve the entire tibial condyle and articular surface [ 5 ]. They are often accompanied by damage to the cruciate ligament and meniscus, causing serious changes in the normal anatomical relationship of the tibial condyle [ 6 ].…”

Section: Resultsmentioning

confidence: 99%

Clinical Application Study of Minimally Invasive Double-Reverse Traction in Complex Tibial Plateau Fractures

Cao

Xue

Yan

et al. 2022

BioMed Research International

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The aim of this study was to evaluate the clinical application of double-reverse traction for minimally invasive reduction of complex tibial plateau fractures. A retrospective analysis was performed to identify all patients admitted to the Department of Orthopedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, from March 2017 to December 2019 with Schatzker type VI tibial plateau fractures. 12 patients were identified (7 men and 5 women) with an average age of 46.15 ± 13 (39-58) years old. All patients were treated with double-reverse traction and closed reduction. After the fracture was reduced, the bone plate was fixed by percutaneous minimally invasive implantation. Outcomes assessed in this study include operation time and intraoperative blood loss. Imaging was performed during the postoperative follow-up, and functional recovery was evaluated at the final follow-up according to the Hospital for Special Surgery (HSS) score and the International Knee Joint Literature Committee (IKDC) functional score. Patients were followed up for 12.54 ± 1.5 (8-15) months. The average operation time was 63.63 ± 21 (35-120) minutes, and the average intraoperative blood loss was 105.45 ± 21 (60-200) mL. The Rasmussen imaging score was either excellent or good in all cases. The knee joint HSS score was 86.15 ± 6 (79-90) points, and the IKDC score was 80.01 ± 11 (75-90) points. No complications, such as wound infection, incision disunion, loosening of internal fixation, and internal fixation failure, occurred. In the treatment of Schatzker VI type complex tibial plateau fracture, the dual-reverse traction minimally invasive technique has the advantages of safety and effectiveness, less soft tissue injury, and allowing early joint movement, which is worthy of clinical promotion.

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Traumatic fractures in China from 2012 to 2014: a National Survey of 512,187 individuals

Cited by 20 publications

References 40 publications

Fracture Incidence and the Relevance of Dietary and Lifestyle Factors Differ in the United Kingdom and Hong Kong: An International Comparison of Longitudinal Cohort Study Data

Fracture Incidence and the Relevance of Dietary and Lifestyle Factors Differ in the United Kingdom and Hong Kong: An International Comparison of Longitudinal Cohort Study Data

Efficacy of Platelet-Rich Plasma in the Treatment of Fractures: A Meta-Analysis

Clinical Application Study of Minimally Invasive Double-Reverse Traction in Complex Tibial Plateau Fractures

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