Skip to main content

Advertisement

SpringerLink
Log in

Socioeconomic factors and individual lifestyles influencing the incidence of patella fractures: a national population-based survey in China

  • Original Paper
  • Published:
International Orthopaedics Aims and scope Submit manuscript

Abstract

Background

We aimed to do a national survey on the population-based incidence of patella fractures and related risk factors fracture in China.

Methods

All the data on patella fractures were available from the China National Fracture Survey (CNFS) between January and May in 2015. And in the CNFS, all eligible household members were selected from 24 urban cities and 24 rural counties of eight provinces of China, with stratified random sampling and the probability proportional to size method used. Questionnaire was sent to every participant for data collection and quality control was accomplished by our research team members.

Results

A total of 512,187 valid questionnaires were collected, and relevant data were abstracted. There were a total of 69 patients with 69 patella fractures that occurred in 2014, indicating that the incidence was 13.5 (95% CI, 10.3–16.7))/100,000 person-years. Slip, trip, or fall from standing height was the most common cause, leading to 69.6% (48/69) of patella factures, followed by traffic accidents (18.8%, 13/69). Home and road were the first two most common places, where 86.9% of the overall injuries occurred. Age of 45–64 and 65–74 years, alcohol consumption and previous history of fractures were identified as independent risk factors for patella fracture.

Conclusions

Specific public health policies focusing on decreasing alcohol consumption should be implemented. Individuals aged 45–64 and 65–74 should pay more attention to bone mass density and prevention of falls, especially those with previous history of fracture.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Crawford AH (1976) Fractures about the knee in children. Orthop Clin N Am 7:639–656

    CAS  Google Scholar 

  2. George R (1935) Bilateral bipartite patellae. Br J Surg 22:555–560

    Article  Google Scholar 

  3. Zhang Y, Su Y, Hao J, Punsoni M (2012) Clinical epidemiology of orthopedic trauma. Thieme, Stuttgart

    Book  Google Scholar 

  4. Boström Å (1972) Fracture of the patella: a study of 422 patellar fractures. Acta Orthop Scand Suppl 143:1–80

    Article  Google Scholar 

  5. Courtbrown CM, Caesar B (2006) Epidemiology of adult fractures: a review. Injury-international Journal of the Care of the Injured 37:691

    Article  Google Scholar 

  6. Larsen P, Courtbrown CM, Vedel JO, Vistrup S, Elsoe R (2016) Incidence and epidemiology of patellar fractures. Orthopedics 39:1

    Article  Google Scholar 

  7. Court-Brown CM, Biant L, Bugler KE, Mcqueen MM (2014) Changing epidemiology of adult fractures in Scotland. Scott Med J 59:30–34

    Article  Google Scholar 

  8. Bengnér U, Johnell O, Redlund-Johnell I (1986) Increasing incidence of tibia condyle and patella fractures. Acta Orthop Scand 57:334–336

    Article  Google Scholar 

  9. Curtis EM, Van dVR, Moon RJ, Jp VDB, Geusens P, De VF, van Staa TP, Cooper C, Harvey NC (2016) Epidemiology of fractures in the United Kingdom 1988–2012: variation with age, sex, geography, ethnicity and socioeconomic status. Bone 87:19

    Article  Google Scholar 

  10. Pasco JA, Lane SE, Brennan-Olsen SL, Holloway KL, Timney EN, Bucki-Smith G, Morse AG, Dobbins AG, Williams LJ, Hyde NK (2015) The epidemiology of incident fracture from cradle to senescence. Calcif Tissue Int 97:568–576

    Article  CAS  Google Scholar 

  11. Ray JM, Hendrix J (1992) Incidence, mechanism of injury, and treatment of fractures of the patella in children. J Trauma 32:464–467

    Article  CAS  Google Scholar 

  12. Chen W, Lv H, Liu S, Liu B, Zhu Y, Chen X, Yang G, Liu L, Zhang T, Wang H (2017) National incidence of traumatic fractures in China: a retrospective survey of 512 187 individuals. Lancet Global Health 5:e807

    Article  Google Scholar 

  13. Zhu Y, Liu S, Zhang X, Chen W, Zhang Y (2017) Incidence and risks for surgical site infection after adult tibial plateau fractures treated by ORIF: a prospective multicentre study. Int Wound J 14:982–988

  14. Scholes S, Panesar S, Shelton NJ, Francis RM, Mirza S, Mindell JS, Donaldson LJ (2014) Epidemiology of lifetime fracture prevalence in England: a population study of adults aged 55 years and over. Age Ageing 43:234–240

    Article  Google Scholar 

  15. Clark MK, Sowers MF, Dekordi F, Nichols S (2003) Bone mineral density and fractures among alcohol-dependent women in treatment and in recovery. Osteoporos Int 14:396–403

    Article  Google Scholar 

  16. Albrand G, Munoz F, Sornayrendu E, Duboeuf F, Delmas PD (2003) Independent predictors of all osteoporosis-related fractures in healthy postmenopausal women: the OFELY study. Bone 32:78–85

    Article  CAS  Google Scholar 

  17. Williams FM, Cherkas LF, Spector TD, Macgregor AJ (2005) The effect of moderate alcohol consumption on bone mineral density: a study of female twins. Ann Rheum Dis 64:309–310

    Article  CAS  Google Scholar 

  18. Seeman E (2001) Effects of tobacco and alcohol use on bone [M]// Osteoporosis. Two-Volume Set 2001:771–794 

  19. Kanis JA, Johansson H, Johnell O, Oden A, De LC, Eisman JA, Pols H, Tenenhouse A (2005) Alcohol intake as a risk factor for fracture. Osteoporos Int 16:737

    Article  Google Scholar 

  20. Klotzbuecher CM, Ross PD, Landsman PB, Iii TAA, Berger M (2000) Patients with prior fractures have an increased risk of future fractures: a summary of the literature and statistical synthesis. J Bone Miner Res Off J Am Soc Bone Miner Res 15:721–739

    Article  CAS  Google Scholar 

  21. Kanis JA, Johnell O, Laet CD, Johansson H, Oden A, Delmas P, Eisman J, Fujiwara S, Garnero P, Kroger H (2004) A meta-analysis of previous fracture and subsequent fracture risk. Bone 35:375–382

    Article  CAS  Google Scholar 

  22. Huntjens KM, van Geel TA, van Helden S, van den Bergh J, Willems P, Winkens B, Geusens PP, Brink PR (2013) The role of the combination of bone and fall related risk factors on short-term subsequent fracture risk and mortality. BMC Musculoskelet Disord 14:121

    Article  Google Scholar 

  23. Gunnes M, Mellström D, Johnell O (1998) How well can a previous fracture indicate a new fracture? A questionnaire study of 29,802 postmenopausal women. Acta Orthop Scand 69:508–512

    Article  CAS  Google Scholar 

Download references

Acknowledgments

We are grateful to Q Zhang and H Wang of the Department of Orthopedics and to X Zhang of the Department of Statistics and Epidemiology for their kind assistance.

Funding support

This study was supported by the Hebei Province Medical Science Special Major Projects Research Fund.

Author information

Author notes

  1. Yanbin Zhu and Song Liu contributed equally to this work.

Authors and Affiliations

  1. Department of Orthopaedic Surgery, the Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, 050051, People’s Republic of China

    Yanbin Zhu, Song Liu, Wei Chen, Lin Wang & Yingze Zhang

  2. Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang, Hebei, 050051, People’s Republic of China

    Yanbin Zhu, Song Liu, Wei Chen, Lin Wang & Yingze Zhang

  3. Department of Statistics and Epidemiology, Hebei Medical University, Shijiazhuang, Hebei, 050000, People’s Republic of China

    Xiaolin Zhang

  4. Chinese Academy of Engineering, Beijing, 100088, People’s Republic of China

    Yingze Zhang

Authors
  1. Yanbin Zhu
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Song Liu
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Wei Chen
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Lin Wang
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Xiaolin Zhang
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Yingze Zhang
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

Yingze Zhang designed the study; Wei Chen and Lin Wang searched relevant studies; Xiaolin Zhang analyzed and interpreted the data; Yanbin Zhu and Song Liu wrote the manuscript; and Yingze Zhang approved the final version of the manuscript.

Corresponding author

Correspondence to Yingze Zhang.

Ethics declarations

Competing interests

The authors declare that they have no conflict of interest.

Electronic supplementary material

ESM 1

(XLSX 47711 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Zhu, Y., Liu, S., Chen, W. et al. Socioeconomic factors and individual lifestyles influencing the incidence of patella fractures: a national population-based survey in China. International Orthopaedics (SICOT) 43, 687–695 (2019). https://doi.org/10.1007/s00264-018-3985-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00264-018-3985-9

Keywords

Search

Navigation