JHSM
Journal of Health Sciences and Medicine

Journal of Health Sciences and Medicine (JHSM) is an unbiased, peer-reviewed, and open access international medical journal. The Journal publishes interesting clinical and experimental research conducted in all fields of medicine, interesting case reports, and clinical images, invited reviews, editorials, letters, comments, and related knowledge.

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Original Article
Etiological and epidemiological analysis of patella fractures: evaluation of COVID-19 pandemic and lockdown era effects
Abstract
Aims: Patella fractures are relatively rare, but significant public health burden with consequences ranging from skin problems to extensor mechanism deficiencies and patellofemoral arthrosis due to their significant effects on pain, functionality, and quality of life. It was aimed to present basic etiological, and epidemiological information about patella fractures and to evaluate the impact of the COVID-19 Pandemic and lockdown era period.
Methods: All patellar fractures admitted to a level-1 trauma center between 2016 and 2022 were collected retrospectively. Patient’s gender, age, side, fracture classification, trauma mechanism, treatment method, admission day and season, accompanying extremity, and non-musculoskeletal/visceral pathologies were recorded and analyzed.
Results: A retrospective evaluation was conducted on 304 patients, with 181 (59.5%) males and 123 (40.5%) females, with an average age of 46±19 years. Most patients were between 30-65 (51.4%) and the most common cause was simple falls (74%). Fractures mostly occurred in the winter (35.2%) and on Sundays (19.7%). 9.9% of the patients were accompanied by extremity traumas and 6.9% by non-musculoskeletal injuries. Regarding the descriptive classification, transverse, distal pole, and proximal pole; and according to the AO/OTA classification, C1 was the most common. Although an increase in the number of cases was observed over the years, this changed during the pandemic period and an upward trend restarted after the pandemic. Although surgical treatment rates, like the number of cases, decreased during the pandemic period, they still catch up with and exceed pre-pandemic periods over the years.
Conclusion: The incidence of patella fractures is increasing. Non-surgical treatment is a priority, and the complication rates of surgical treatment are considerable. The study, which presents etiological and epidemiological data of level-1 trauma center patients, is a suitable sample for Turkiye. The study is unique in showing the potential effects of COVID-19 on the patient profile and treatment management of patella fractures.

Keywords : Kneecap, sesamoid bone, knee, genu, incidence, characteristic

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Article available in :
Volume 7, Issue 5, 2024
Page : 581-586
https://doi.org/10.32322/jhsm.1537719
Article Information
Received : 23 Ağu 2024
Accepted : 21 Eyl 2024
Published : 27 Eyl 2024
Corresponding Author :

Nezih Ziroğlu: Department of Orthopedics and Traumatology, Acıbadem University, Acıbadem Atakent Hospital, İstanbul, Turkiye

[email protected]
Citation : Ziroğlu N, Koluman A, Kantarcı M, Duramaz A, Kural C. Etiological and epidemiological analysis of patella fractures: evaluation of COVID-19 pandemic and lockdown era effects. J Health Sci Med. 2024;7(5):581-586.

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