ArticleActa orthopaedica2025
Incidence, treatment, and mortality of ankle fractures: a Danish population-based cohort study.
Article in Acta orthopaedica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The diagnostic accuracy of artificial intelligence in detecting foot and ankle fractures: a systematic review and meta-analysis of diagnostic test accuracy.Journal of orthopaedic surgery and research · 2026Pooled it
- Early weight-bearing after ankle fracture surgery: a systematic review and meta-analysis of functional outcomes and safety.Journal of orthopaedic surgery and research · 2025Pooled it
- Factors associated with surgical site infection after ankle fracture fixation: a retrospective study in northern Sweden.Acta orthopaedica · 2026Observational
- Evaluating the Costs of Surgically Managed Ankle Fractures Treated in an Inpatient vs Outpatient Setting: A Systematic Review and Meta-analysis.Foot & ankle orthopaedics · 2026Article
- Minimally Invasive Intramedullary Fixation vs Plate Fixation of Distal Fibular Fractures in Elderly Patients: A Natural Experiment.Foot & ankle international · 2026Article
- Impact of Initial Immobilization Method on Outcomes in Unstable Weber B Ankle Fractures: A Retrospective Cohort Study.Foot & ankle orthopaedics · 2026Article
- Medial Malleolar Fracture Fixation with Stainless Steel, Titanium, Magnesium, and PLGA Screws: A Finite Element Analysis.Journal of functional biomaterials · 2026Article
- Biomechanical Assessment of Syndesmotic and Deltoid Ligament Strain in Pronation-External Rotation Type Ankle Injuries by Musculoskeletal Computer Simulation.Foot & ankle orthopaedics · 2026Article
- An Acta Orthopaedica educational article: Weightbearing assessment to guide nonoperative treatment of lateral malleolar fractures: the paradigm change.Acta orthopaedica · 2025Review
- Nationwide incidence of lateral malleolar fracture surgery across 6 European countries: has recent evidence changed clinical practice?Acta orthopaedica · 2025Article
- Lower all-cause 30-day mortality during summer following foot and ankle fracture surgery: a Swedish perioperative register-based study.Acta orthopaedica · 2025Article
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3 authors.
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Abstract
background and purposePrevious studies have shown large variation in the incidence of ankle fractures. Nationwide data covering longer periods is necessary to gain knowledge of the current trends. The aim of this study was to describe the trends in incidence, treatment, and mortality of ankle fracture during a 20-year period.
methodsAnkle fractures in patients ≥ 18 years old were identified in the Danish National Patient Register using the validated diagnosis and surgical procedure codes for ankle fractures. Incidence rates per 100,000 and incidence rate ratio (IRR) are reported with 95% confidence intervals (CI).
resultsWe identified 155,740 ankle fractures. The overall mean incidence rate during the period 1997-2018 was 164 (CI 163-165) per 100,000 person-years, being 154 (CI 152-155) for men and 203 (CI 202-205) for women. The incidence rate increased from 155 (CI 131-179) during 1997-2006 to 173 (CI 147-199) during 2007-2018, corresponding to an IRR of 1.12 (CI 1.10-1.12). This increase was primarily driven by an increase in women, with an IRR of 1.21 (CI 1.20-1.23) and for patients above 50 years, with an IRR of 1.22 (CI 1.08-1.10). The proportion of patients surgically treated increased from 21% in 1997-2006 to 25% in 2007-2018. The 1-year mortality risk was higher for patients above 65 years with an ankle fracture compared with the general population of the same age, with an IRR of 1.47 (CI 1.42-1.53).
conclusionThe incidence of ankle fracture increased from 1997 to 2018, primarily due to an increased incidence in women and in the elderly population. The proportion of surgically treated patients increased from 21% to 26%. Excess mortality after ankle fracture in patients above 65 years was observed.
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