ArticleBMC musculoskeletal disorders2019
The influence of ageing on the incidence and site of trauma femoral fractures: a cross-sectional analysis.
Article in BMC musculoskeletal disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 41 citations in OpenAlex.
- Distinct Patient Characteristics and Risk Profiles in Upper vs. Lower Leg Fractures: Insights from a Comprehensive Cohort Study.Diagnostics (Basel, Switzerland) · 2025Article
- Minimally invasive total hip arthroplasty versus minimally invasive hemiarthroplasty for geriatric femoral neck fractures: efficacy and impact on inflammatory and stress markers.American journal of translational research · 2025Article
- Article
- Epidemiological characteristics of traumatic spinal fractures among the elderly in China.Scientific reports · 2024Article
- Functional and Radiological Results Following Revision Blade Plating and Cephalomedullary Nailing in Aseptic Trochanteric and Subtrochanteric Nonunion.Journal of clinical medicine · 2024Article
- Associated Factors of Functional Ability in Older Persons Undergoing Hip Surgery Immediately Post-Hospital Discharge: A Prospective Study.Journal of clinical medicine · 2023Article
- Risk factors, classification, and operative choices of femur fractures at a Tertiary Hospital: first report from Somalia.Scientific reports · 2023Review
- Is Nail-Canal Diameter Discordance a Risk Factor for the Excessive Sliding of Cephalomedullary Nails in Geriatric Intertrochanteric Fracture Surgery?Medicina (Kaunas, Lithuania) · 2023Article
- The biomechanical behavior of 3D printed human femoral bones based on generic and patient-specific geometries.3D printing in medicine · 2022Article
- Effect of Age on the Patterns of Traumatic Femoral Fractures: Seven Years of Experience at a Regional Tertiary Hospital.Orthopaedic surgery · 2022Article
- Total hip arthroplasty for failed acetabular fracture: a double-center comparative study on failed proximal femur fracture.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Trauma workload during COVID19 lockdown: an analysis of incidence in 4 million people.Irish journal of medical science · 2022Article
- Epidemiological status and risk factors of deep vein thrombosis in patients with femoral neck fracture.Journal of orthopaedic surgery and research · 2022Observational
- Patterns, Management, and Outcome of Traumatic Femur Fracture: Exploring the Experience of the Only Level 1 Trauma Center in Qatar.International journal of environmental research and public health · 2021Observational
- Does auxiliary cerclage wiring provide intrinsic stability in cephalomedullary nailing of trochanteric and subtrochanteric fractures?International orthopaedics · 2021Article
- A novel closed reduction technique for treating femoral shaft fractures with intramedullary nails, haemostatic forceps and the lever principle.BMC musculoskeletal disorders · 2021Article
- Cement augmentation of an angular stable plate osteosynthesis for supracondylar femoral fractures - biomechanical investigation of a new fixation device.BMC musculoskeletal disorders · 2020Article
- Impact of Adapting the Abbreviated Injury Scale (AIS)-2005 from AIS-1998 on Injury Severity Scores and Clinical Outcome.International journal of environmental research and public health · 2019Article
- Efficacy and Safety of Long-Term Intravenous Tranexamic Acid Administration for Blood Management in Revision Surgery for Femoral Shaft Nonunion: A Retrospective Case-Control Study.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/HemostasisArticle
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
backgroundThis study aimed to determine the influence of ageing on the incidence and site of femoral fractures in trauma patients, by taking the sex, body weight, and trauma mechanisms into account.
methodsThis retrospective study reviewed data from adult trauma patients aged ≥20 years who were admitted into a Level I trauma center, between January 1, 2009 and December 31, 2016. According to the femoral fracture locations, 3859 adult patients with 4011 fracture sites were grouped into five subgroups: proximal type A (n = 1359), proximal type B (n = 1487), proximal type C (n = 59), femoral shaft (n = 640), and distal femur (n = 466) groups. A multivariate logistic regression analysis was applied to identify independent effects of the univariate predictive variables on the occurrence of fracture at a specific site. A two-dimensional plot was presented visually with age and the propensity score accounts for the risk of a fracture at a specific femoral site.
resultsThis analysis revealed that older age was an independent variable that could positively predict the occurrence of proximal type A (OR [95%CI]: 1.03 [1.03-1.04], p < 0.001) and B fractures (1.02 [1.01-1.02], p < 0.001), and negatively predict the occurrence of proximal type C (0.96 [0.94-0.98], p < 0.001), shaft (0.95 [0.95-0.96], p < 0.001), and distal fractures (0.98 [0.98-0.99], p < 0.001). DISCUSSION: Using the propensity scores which account for the risk of a fracture in a specific femoral site, this study revealed that the older patients were at a higher risk of developing proximal type A and type B fractures, while a lower risk of developing fractures in the shaft and distal femur. This incidence of fracture site can largely be explained by age-related factors, including a decrease in bone strength and falling being the most common mechanism of trauma in older patients.
conclusionsThis study revealed a difference in the involvement of age in the incidence of femoral fracture sites in the trauma patients.
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