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  • Quick shot presentation
  • QSP13.08

Epidemiology of proximal humeral fractures in patients 65-years and older: No increase in the incidence, fracture type and treatment options in the 5 years period

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E 1

Session

Oral Quick Shot Presentation 13

Topic

  • Skeletal trauma and sports medicine

Authors

Rok Bergman (Ljubljana / SI)

Abstract

Abstract text (incl. references and figure legends)

Background. Proximal humeral fractures (PHF) represent one of most common fractures in elderly people. Some epidemiological data suggests increasing incidence of this injuries by time. The aim of our study was to analyze epidemiological data of patients with PHF treated in the trauma level 1 center from the year 2015 to 2020. Incidence, fracture type and treatment options were analyzed. Material & Methods. In the retrospective study we included all elderly patients aged above 65 years PHF which were treated in the level 1 trauma center from 2015-2020. Patients" records were reviewed. The primary objective was the number and the type of fractures. Secondary objective of the study was the type of treatment for the 3-part and 4-part PHF. For this matter detailed analyses for the years 2015 and 2020 was conducted.Results. Number of treated patients with PHF was 399 in year 2015 and 428 in 2020. Average age of patients was 78.9 years and 79.1 years respectively. Additionally, there is stable number of treated patients for every single year reported from 2015 to 2020. Detailed analyses for the years 2015 and 2020 revealed no significant difference in fracture type. Nonoperative treatment remained the most frequent modality. No significant difference was noted in number of interventions or implants used, although there is increased trend toward treatment with reverse shoulder arthroplasty. Conclusions. Despite quickly increasing numbers of elderly people in population, the number of patients with PHF in a 5-year window remain stable. Furthermore, no significant difference in fracture type and modality of treatment was noted between years 2015 and 2020. Based on the epidemiological results we do not expect higher incidence of PHF or number of surgical interventions in elderly in the next decade. Reference. Below.

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Reference. Miha Ambrožič, Rok Bergman, Luka Hodnik, Roman Luštrik, Franc Štefanič, Matej Cimerman et al. Decision-making and treatment results of complex proximal humerus fracutres in geriatric patients: retrospective study from a level 1 trauma center. Signa Vitae. 2022. doi: 10.22514"sv.2022.040.

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