Abstract
Objective To compare and analyze the epidemiological features of adult acetabular fractures from 2010 through 2011 between East China and West China. Methods The data of adult acetabular fractures treated from January 2010 through December 2011 in 63 hospitals in West China and East China were collected through the PACS system and case reports checking system. The data from 35 hospitals in East China were assigned into East group and those from 28 hospitals in West China into West group. The analytic items included gender, age, age distribution, AO classification and Letournel-Judet classification. Results A total of 2,009 cases were included, involving 1,510 males and 499 females with a male to female ratio of 3.03∶1. The high risk age was from 41 to 50 years (26.13%) and the predominant type AO type 62-A (52.17%). The male to female ratio was 3.17∶1 in East group and 2.59∶1 in West group, showing no significant difference (P>0.05); the average age was 44.8 years in East group and 43.3 years in West group, showing no significant difference (P>0.05). The age distribution showed that the peak ranges were from 31 to 40 years old and from 41 to 50 years old in West group (both 26.29%), and from 41 to 50 years old in East group (26.09%). The high-risk type of fracture was 62-A in both groups, but the proportion of type 62-A in East group (53.52%) was significantly higher than that in West group (47.42%) (P<0.05). The male to female ratio in type 62-A fractures was 3.41∶1 in East group, significantly higher than that in West group (2.30∶1) (P<0.05). In both groups, the high-risk Letournel-Judet type was posterior wall fracture. Conclusions There were more male acetabular fractures than female ones in both East and West China. The peak age was from 41 to 50 years in the east area and from 31 to 50 years in the west area. In both East and West China, the high-risk type of fracture was 62-A and posterior wall fractures were the most common type. Key words: Acetabulum; Fractures, bone; Epidemiology; Case-control studies; Adult
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