Epidemiology of osteoporotic ankle fractures in South Korea: a nationwide retrospective cohort study (2006–2022)
- 06.03.2025
- Original Article
Erschienen in:
- Verfasst von
-
Jung-Wee Park
Jung-Wee Park
- Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Seongnam, South Korea
- Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul, South Korea
-
Ha-Young Kim
Ha-Young Kim
- Division of Endocrinology and Metabolism, Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, South Korea
-
Kyoung Min Kim
Kyoung Min Kim
- Division of Endocrinology, Department of Internal Medicine, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, South Korea
-
Jaiyong Kim
Jaiyong Kim
- Department of Big Data Research and Development, National Health Insurance Service, Wonju, South Korea
-
Hoyeon Jang
Hoyeon Jang
- Department of Big Data Research and Development, National Health Insurance Service, Wonju, South Korea
-
Jihye Kim
Korrespondierender Autor Jihye Kim
-
Jihye Kim and HoeJeong Chung contributed equally.
- Department of Big Data Research and Development, National Health Insurance Service, Wonju, South Korea
-
-
HoeJeong Chung
Korrespondierender Autor HoeJeong Chung
-
Jihye Kim and HoeJeong Chung contributed equally.
- Department of Orthopedic Surgery, Wonju College of Medicine, Yonsei University, Wonju Severance Christian Hospital, 26426, Ilsanro, Wonju, South Korea
-
- Erschienen in
- Osteoporosis International | Ausgabe 5/2025
Abstract
Purpose
Ankle fractures, ranking as one of the very common osteoporotic fractures, pose a substantial socioeconomic burden. We aimed to investigate the incidence of elderly ankle fractures, refracture risks, and mortality rates in South Korea.
Methods
Utilizing the Korean National Health Insurance Service (NHIS) registry from January 2006 to December 2022, individuals over 50 years with ankle fractures were identified. Osteoporotic ankle fractures were defined using admission diagnoses, procedural codes, and cast-related codes. Incidence rates, refracture rates, and one-year mortality rates were analyzed with standardization adjusted for gender and age distribution.
Results
From 2006 to 2022, annual ankle fracture incidence rose from 193.90 to 278.83 per 100,000 person-years. Women exhibited 1.93 times higher incidence than men, with a notable increase in women. Most common in ages 60 to 69, ankle fracture rates increased until 2019 and after 2020 but decreased between 2019 and 2020. The one-year ankle refracture rates and osteoporotic refracture rates increased from 3.55% and 4.56% in 2007 to 9.32% and 10.37% in 2021, respectively. The one-year mortality rate after ankle fractures decreased from 2.10% in 2007 to 1.49% in 2021.
Conclusion
This study offers insights into the epidemiology of osteoporotic ankle fractures in South Korea, revealing increasing incidence, gender differences, age-related patterns, and trends in refracture and mortality rates over the study period.
Summary
This study examines the incidence, refracture risk, and mortality of osteoporotic ankle fractures in South Korea using a nationwide dataset (2006-2022). The incidence of ankle fractures increased significantly, especially in women, and refracture rates also rose, highlighting an unmet need for better osteoporosis management.
Anzeige
- Titel
- Epidemiology of osteoporotic ankle fractures in South Korea: a nationwide retrospective cohort study (2006–2022)
- Verfasst von
-
Jung-Wee Park
Ha-Young Kim
Kyoung Min Kim
Jaiyong Kim
Hoyeon Jang
Jihye Kim
HoeJeong Chung
- Publikationsdatum
- 06.03.2025
- Verlag
- Springer London
- Erschienen in
-
Osteoporosis International / Ausgabe 5/2025
Print ISSN: 0937-941X
Elektronische ISSN: 1433-2965 - DOI
- https://doi.org/10.1007/s00198-025-07429-w
Dieser Inhalt ist nur sichtbar, wenn du eingeloggt bist und die entsprechende Berechtigung hast.
