Lower extremity fractures in falls

P. Hadjizacharia, Bellal A Joseph, H. Aziz, V. Pandit, L. S. Chan, D. Demetriades, Peter M Rhee

Research output: Contribution to journalArticle

Abstract

Introduction Lower extremity fractures are very common in victims of falls. These fractures are usually associated with other bodily injuries and can lead to permanent disability if appropriate management is not provided. The aim of this study was to evaluate the incidence and outcomes of associated injuries in victims of falls with lower extremity fractures. Methods This is a retrospective review (1995–2006) of all fall-related trauma patients evaluated at our Level I trauma center. Injuries were categorized as: isolated femur fractures (FF), isolated tibia fractures (TF), and both femur and tibia fractures (FTF). Data were analyzed for differences in patterns of injury, associated fractures and injuries, and mortality and morbidity according to age groups within patients with minor body injuries expressed by Abbreviated Injury Score (AIS)<3. Results Three hundred and thirty-two patients (64.8%) had FF, 164 patients (32%) had TF, and 16 patients (3.2%) presented with FTF. The incidence of severe trauma was 9.4% (Injury Severity Score, ISS˃25). A higher incidence of ISS˃25 was observed in patients with FF. Increased mortality was observed in the elderly group, especially in patients with an isolated femur fracture. Conclusion Patients with a combination of femur and tibia fractures have a significantly higher risk of associated injuries compared to patients with either a femur or a tibia fracture. Elderly patients (≥65 years of age) have higher morbidity and mortality compared to younger patients after falls. Clinicians evaluating these patients should be aware of these injury patterns. Further studies assessing the impact of age and pattern of injury in patients following falls are warranted.

Original languageEnglish (US)
Pages (from-to)331-336
Number of pages6
JournalEuropean Journal of Trauma and Emergency Surgery
Volume40
Issue number3
DOIs
StatePublished - Nov 26 2014

Fingerprint

Lower Extremity
Femur
Wounds and Injuries
Tibia
Mortality
Incidence
Morbidity
Injury Severity Score
Trauma Centers
Age Groups

Keywords

  • Extremity fractures
  • Falls
  • Injury severity

ASJC Scopus subject areas

  • Surgery
  • Emergency Medicine
  • Orthopedics and Sports Medicine
  • Critical Care and Intensive Care Medicine

Cite this

Lower extremity fractures in falls. / Hadjizacharia, P.; Joseph, Bellal A; Aziz, H.; Pandit, V.; Chan, L. S.; Demetriades, D.; Rhee, Peter M.

In: European Journal of Trauma and Emergency Surgery, Vol. 40, No. 3, 26.11.2014, p. 331-336.

Research output: Contribution to journalArticle

Hadjizacharia, P, Joseph, BA, Aziz, H, Pandit, V, Chan, LS, Demetriades, D & Rhee, PM 2014, 'Lower extremity fractures in falls', European Journal of Trauma and Emergency Surgery, vol. 40, no. 3, pp. 331-336. https://doi.org/10.1007/s00068-013-0358-3
Hadjizacharia P, Joseph BA, Aziz H, Pandit V, Chan LS, Demetriades D et al. Lower extremity fractures in falls. European Journal of Trauma and Emergency Surgery. 2014 Nov 26;40(3):331-336. https://doi.org/10.1007/s00068-013-0358-3
Hadjizacharia, P. ; Joseph, Bellal A ; Aziz, H. ; Pandit, V. ; Chan, L. S. ; Demetriades, D. ; Rhee, Peter M. / Lower extremity fractures in falls. In: European Journal of Trauma and Emergency Surgery. 2014 ; Vol. 40, No. 3. pp. 331-336.
@article{5c4a9066011e4eac9faa87a1102be22f,
title = "Lower extremity fractures in falls",
abstract = "Introduction Lower extremity fractures are very common in victims of falls. These fractures are usually associated with other bodily injuries and can lead to permanent disability if appropriate management is not provided. The aim of this study was to evaluate the incidence and outcomes of associated injuries in victims of falls with lower extremity fractures. Methods This is a retrospective review (1995–2006) of all fall-related trauma patients evaluated at our Level I trauma center. Injuries were categorized as: isolated femur fractures (FF), isolated tibia fractures (TF), and both femur and tibia fractures (FTF). Data were analyzed for differences in patterns of injury, associated fractures and injuries, and mortality and morbidity according to age groups within patients with minor body injuries expressed by Abbreviated Injury Score (AIS)<3. Results Three hundred and thirty-two patients (64.8{\%}) had FF, 164 patients (32{\%}) had TF, and 16 patients (3.2{\%}) presented with FTF. The incidence of severe trauma was 9.4{\%} (Injury Severity Score, ISS˃25). A higher incidence of ISS˃25 was observed in patients with FF. Increased mortality was observed in the elderly group, especially in patients with an isolated femur fracture. Conclusion Patients with a combination of femur and tibia fractures have a significantly higher risk of associated injuries compared to patients with either a femur or a tibia fracture. Elderly patients (≥65 years of age) have higher morbidity and mortality compared to younger patients after falls. Clinicians evaluating these patients should be aware of these injury patterns. Further studies assessing the impact of age and pattern of injury in patients following falls are warranted.",
keywords = "Extremity fractures, Falls, Injury severity",
author = "P. Hadjizacharia and Joseph, {Bellal A} and H. Aziz and V. Pandit and Chan, {L. S.} and D. Demetriades and Rhee, {Peter M}",
year = "2014",
month = "11",
day = "26",
doi = "10.1007/s00068-013-0358-3",
language = "English (US)",
volume = "40",
pages = "331--336",
journal = "Unfallchirurgie",
issn = "0340-2649",
publisher = "Urban und Vogel",
number = "3",

}

TY - JOUR

T1 - Lower extremity fractures in falls

AU - Hadjizacharia, P.

AU - Joseph, Bellal A

AU - Aziz, H.

AU - Pandit, V.

AU - Chan, L. S.

AU - Demetriades, D.

AU - Rhee, Peter M

PY - 2014/11/26

Y1 - 2014/11/26

N2 - Introduction Lower extremity fractures are very common in victims of falls. These fractures are usually associated with other bodily injuries and can lead to permanent disability if appropriate management is not provided. The aim of this study was to evaluate the incidence and outcomes of associated injuries in victims of falls with lower extremity fractures. Methods This is a retrospective review (1995–2006) of all fall-related trauma patients evaluated at our Level I trauma center. Injuries were categorized as: isolated femur fractures (FF), isolated tibia fractures (TF), and both femur and tibia fractures (FTF). Data were analyzed for differences in patterns of injury, associated fractures and injuries, and mortality and morbidity according to age groups within patients with minor body injuries expressed by Abbreviated Injury Score (AIS)<3. Results Three hundred and thirty-two patients (64.8%) had FF, 164 patients (32%) had TF, and 16 patients (3.2%) presented with FTF. The incidence of severe trauma was 9.4% (Injury Severity Score, ISS˃25). A higher incidence of ISS˃25 was observed in patients with FF. Increased mortality was observed in the elderly group, especially in patients with an isolated femur fracture. Conclusion Patients with a combination of femur and tibia fractures have a significantly higher risk of associated injuries compared to patients with either a femur or a tibia fracture. Elderly patients (≥65 years of age) have higher morbidity and mortality compared to younger patients after falls. Clinicians evaluating these patients should be aware of these injury patterns. Further studies assessing the impact of age and pattern of injury in patients following falls are warranted.

AB - Introduction Lower extremity fractures are very common in victims of falls. These fractures are usually associated with other bodily injuries and can lead to permanent disability if appropriate management is not provided. The aim of this study was to evaluate the incidence and outcomes of associated injuries in victims of falls with lower extremity fractures. Methods This is a retrospective review (1995–2006) of all fall-related trauma patients evaluated at our Level I trauma center. Injuries were categorized as: isolated femur fractures (FF), isolated tibia fractures (TF), and both femur and tibia fractures (FTF). Data were analyzed for differences in patterns of injury, associated fractures and injuries, and mortality and morbidity according to age groups within patients with minor body injuries expressed by Abbreviated Injury Score (AIS)<3. Results Three hundred and thirty-two patients (64.8%) had FF, 164 patients (32%) had TF, and 16 patients (3.2%) presented with FTF. The incidence of severe trauma was 9.4% (Injury Severity Score, ISS˃25). A higher incidence of ISS˃25 was observed in patients with FF. Increased mortality was observed in the elderly group, especially in patients with an isolated femur fracture. Conclusion Patients with a combination of femur and tibia fractures have a significantly higher risk of associated injuries compared to patients with either a femur or a tibia fracture. Elderly patients (≥65 years of age) have higher morbidity and mortality compared to younger patients after falls. Clinicians evaluating these patients should be aware of these injury patterns. Further studies assessing the impact of age and pattern of injury in patients following falls are warranted.

KW - Extremity fractures

KW - Falls

KW - Injury severity

UR - http://www.scopus.com/inward/record.url?scp=85028174843&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85028174843&partnerID=8YFLogxK

U2 - 10.1007/s00068-013-0358-3

DO - 10.1007/s00068-013-0358-3

M3 - Article

AN - SCOPUS:85028174843

VL - 40

SP - 331

EP - 336

JO - Unfallchirurgie

JF - Unfallchirurgie

SN - 0340-2649

IS - 3

ER -