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Tibial plateau fractures are associated with a long-term increased risk of mortality: a matched cohort study of 7950 patients

  • Trauma Surgery
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

Disregarding proximal femoral fractures, the current literature includes only limited information regarding mortality following lower extremity fractures. Information regarding risk of mortality related to specific fracture patterns is essential when planning treatment modalities. The primary aim of this study was to report the long-term cumulative survival rate in patients with a tibial plateau fracture compared to an age- and gender-matched reference population.

Materials and methods

Patients who sustained a tibial plateau fracture in Denmark between 1996 and 2000 were included in the study. Survival status was monitored until 2015. We compared the mortality rate with a tenfold reference population matched on age and gender without a prior tibial plateau fracture. The study was based on register data from the Danish National Patient Register.

Results

The study included 7950 patients sustaining 8065 tibial plateau fractures. The cohort had a mean follow-up period of 13.9 years. Patients with a tibial plateau fracture had a 1.52 (95% CI 1.46–1.58) times higher hazard ratio (HR) of death compared to the age- and gender-matched reference population. The 30-day, 6-month and 1-year mortality rates were 1.2%, 3.3% and 4.9%, respectively.

Conclusion

Patients with a proximal tibial plateau fracture have a higher cumulative risk of death during the mean 13.9-year observational period compared to an age- and gender-matched reference population.

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References

  1. Katsoulis M, Benetou V, Karapetyan T et al (2017) Excess mortality after hip fracture in elderly persons from Europe and the USA: the CHANCES project. J Intern Med 281:300–310. https://doi.org/10.1111/joim.12586

    Article  CAS  PubMed  Google Scholar 

  2. Haentjens P, Magaziner J, Colón-Emeric CS et al (2010) Meta-analysis: excess mortality after hip fracture among older women and men. Ann Intern Med 152:380–390. https://doi.org/10.7326/0003-4819-152-6-201003160-00008

    Article  PubMed  PubMed Central  Google Scholar 

  3. Wolinsky FD, Fitzgerald JF, Stump TE (1997) The effect of hip fracture on mortality, hospitalization, and functional status: a prospective study. Am J Public Health 87:398–403

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Cummings SR, Melton LJ (2002) Epidemiology and outcomes of osteoporotic fractures. Lancet (London, England) 359:1761–1767. https://doi.org/10.1016/S0140-6736(02)08657-9

    Article  Google Scholar 

  5. Bliuc D, Nguyen ND, Milch VE et al (2009) Mortality risk associated with low-trauma osteoporotic fracture and subsequent fracture in men and women. JAMA 301:513–521. https://doi.org/10.1001/jama.2009.50

    Article  CAS  PubMed  Google Scholar 

  6. Somersalo A, Paloneva J, Kautiainen H et al (2016) Increased mortality after lower extremity fractures in patients %3c 65 years of age. Acta Orthop 87:622–625. https://doi.org/10.1080/17453674.2016.1210533

    Article  PubMed  PubMed Central  Google Scholar 

  7. Moloney GB, Pan T, Van Eck CF et al (2016) Geriatric distal femur fracture: are we underestimating the rate of local and systemic complications? Injury 47:1732–1736. https://doi.org/10.1016/j.injury.2016.05.024

    Article  PubMed  Google Scholar 

  8. Jordan RW, Chahal GS, Davies M, Srinivas K (2014) A comparison of mortality following distal femoral fractures and hip fractures in an elderly population. Adv Orthop Surg 2014:1–4. https://doi.org/10.1155/2014/873785

    Article  Google Scholar 

  9. Streubel PN, Ricci WM, Wong A, Gardner MJ (2011) Mortality after distal femur fractures in elderly patients. Clin Orthop Relat Res 469:1188–1196. https://doi.org/10.1007/s11999-010-1530-2

    Article  PubMed  Google Scholar 

  10. Larsen P, Elsoe R (2018) Patella fractures are not associated with an increased risk of mortality in elderly patients. Injury 49:1901–1904. https://doi.org/10.1016/j.injury.2018.07.003

    Article  PubMed  Google Scholar 

  11. Streubel PN (2013) Mortality after periprosthetic femur fractures. J Knee Surg 26:27–30. https://doi.org/10.1055/s-0033-1333905

    Article  PubMed  Google Scholar 

  12. Elsoe R, Larsen P, Nielsen NP et al (2015) Population-based epidemiology of tibial plateau fractures. Orthopedics 38:e780–e786. https://doi.org/10.3928/01477447-20150902-55

    Article  PubMed  Google Scholar 

  13. Henry P, Wasserstein D, Paterson M et al (2015) Risk factors for reoperation and mortality after the operative treatment of tibial plateau fractures in Ontario, 1996–2009. J Orthop Trauma 29:182–188. https://doi.org/10.1097/BOT.0000000000000237

    Article  PubMed  Google Scholar 

  14. Lynge E, Sandegaard JL, Rebolj M (2011) The Danish National Patient Register. Scand J Public Health 39:30–33. https://doi.org/10.1177/1403494811401482

    Article  PubMed  Google Scholar 

  15. Pedersen CB (2011) The Danish Civil Registration System. Scand J Public Health 39:22–25. https://doi.org/10.1177/1403494810387965

    Article  PubMed  Google Scholar 

  16. Andersen JS, Olivarius NDF, Krasnik A (2011) The Danish National Health Service Register. Scand J Public Health 39:34–37. https://doi.org/10.1177/1403494810394718

    Article  PubMed  Google Scholar 

  17. von Elm E, Altman DG, Egger M et al (2014) The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: guidelines for reporting observational studies. Int J Surg 12:1495–1499. https://doi.org/10.1016/j.ijsu.2014.07.013

    Article  Google Scholar 

  18. Elsoe R, Larsen P, Petruskevicius J, Kold S (2017) Complex tibial fractures are associated with lower social classes and predict early exit from employment and worse patient-reported QOL: a prospective observational study of 46 complex tibial fractures treated with a ring fixator. Strateg Trauma Limb Reconstr. https://doi.org/10.1007/s11751-017-0301-y

    Article  Google Scholar 

  19. Court-Brown CM, Aitken SA, Ralston SH, McQueen MM (2011) The relationship of fall-related fractures to social deprivation. Osteoporos Int 22:1211–1218. https://doi.org/10.1007/s00198-010-1315-1

    Article  CAS  PubMed  Google Scholar 

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Funding

The authors did not receive benefits or grants in any form from a commercial party related directly or indirectly to the subject of this article.

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Authors and Affiliations

  1. Department of Orthopaedic Trauma Surgery, Aalborg University Hospital, 18-22 Hobrovej, 9000, Aalborg, Denmark

    Rasmus Elsoe

  2. Department of Occupational Therapy and Physiotherapy, Aalborg University Hospital, Aalborg, Denmark

    Peter Larsen

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  1. Rasmus Elsoe
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  2. Peter Larsen
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Correspondence to Rasmus Elsoe.

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Elsoe, R., Larsen, P. Tibial plateau fractures are associated with a long-term increased risk of mortality: a matched cohort study of 7950 patients. Arch Orthop Trauma Surg 140, 1705–1711 (2020). https://doi.org/10.1007/s00402-020-03408-4

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