{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T17:03:20Z","timestamp":1761930200672},"reference-count":39,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T00:00:00Z","timestamp":1632960000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T00:00:00Z","timestamp":1632960000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Klinikum rechts der Isar der Technischen Universit\u00e4t M\u00fcnchen"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Unfallchirurgie"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Sprunggelenk- und Fu\u00dfverletzungen geh\u00f6ren zu den h\u00e4ufigsten Krankheitsbildern in der Traumatologie. Ziel dieser Studie war es, die demografischen Ver\u00e4nderungen von Patienten mit Fu\u00df- und Sprunggelenkverletzungen, das zeitliche Auftreten und die Entwicklung \u00fcber die Jahre in einer Notaufnahme zu untersuchen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Retrospektive Datenauswertung von Patienten, welche aufgrund einer Fu\u00df- und Sprunggelenkverletzung in der Notaufnahme im Zeitraum von 2010 bis 2017 behandelt wurden. Die Patienten wurden mittels ICD-Codes identifiziert und die demografischen Ver\u00e4nderungen, das zeitliche Auftreten und die Entwicklung \u00fcber die Jahre analysiert. Mittels Quantil-Quantil-Diagramm wurden kontinuierliche Variablen auf Normalverteilung getestet und, falls zutreffend, mittels t\u2011Test oder nichtparametrischem Mann-Whitney-U-Test auf Signifikanz \u00fcberpr\u00fcft.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Insgesamt wurden 6581 Fu\u00df- und Sprunggelenkverletzungen in die Analyse eingeschlossen. Das mittlere Alter von Patienten mit einer Fu\u00dffraktur war 39\u202f\u00b1\u200917,4\u00a0Jahre und mit einer Sprunggelenkfraktur 47\u202f\u00b1\u200919,2\u00a0Jahre (<jats:italic>p<\/jats:italic>\u202f&lt;\u20090,001). Ligament\u00e4re Verletzungen des Sprunggelenks traten insbesondere bei j\u00fcngeren Patienten in den Sommermonaten auf. Die Altersverteilung bei Sprunggelenkfrakturen zeigte f\u00fcr M\u00e4nner einen H\u00e4ufigkeitsgipfel zwischen dem 30. und 39.\u00a0Lebensjahr und bei Frauen ein vermehrtes Auftreten ab dem 50.\u00a0Lebensjahr. In der Altersgruppe zwischen 65\u00a0und 75\u00a0Jahren stellten Trimalleolarfrakturen die zweith\u00e4ufigste Sprunggelenkfraktur dar. Frakturen des Fu\u00dfes betrafen am h\u00e4ufigsten Patienten im Alter von 20 bis 29\u00a0Jahren, wobei bei Frauen ein 2.\u00a0H\u00e4ufigkeitsgipfel zwischen dem 50.\u00a0und 59.\u00a0Lebensjahr zu beobachten war.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>Ligament\u00e4re Verletzungen des Sprunggelenks sind h\u00e4ufige Krankheitsbilder in der Notaufnahme und betreffen v.\u202fa. j\u00fcngere Patienten. Sprunggelenkfrakturen zeigten f\u00fcr Frauen eine bimodale Altersverteilung, und insbesondere Bi- und Trimalleolarfrakturen waren vermehrt bei Frauen ab dem 65.\u00a0Lebensjahr zu beobachten. Aufgrund der erh\u00f6hten Pr\u00e4valenz von Fu\u00df- und Sprunggelenkfrakturen bei \u00e4lteren Frauen sollte in diesem Patientenkollektiv eine weitere Osteoporoseabkl\u00e4rung veranlasst werden.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00113-021-01081-9","type":"journal-article","created":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T11:09:01Z","timestamp":1633000141000},"page":"801-810","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Analyse von 6581 Fu\u00df- und Sprunggelenkverletzungen einer Notaufnahme im Zeitraum von 2010\u20132017"],"prefix":"10.1007","volume":"125","author":[{"given":"Patrick","family":"Pfl\u00fcger","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markus","family":"Wurm","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Biberthaler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominik","family":"Pf\u00f6rringer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moritz","family":"Cr\u00f6nlein","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,9,30]]},"reference":[{"key":"1081_CR1","doi-asserted-by":"publisher","first-page":"1184","DOI":"10.3113\/FAI.2008.1184","volume":"29","author":"SA Anderson","year":"2008","unstructured":"Anderson\u00a0SA, Li\u00a0X, Franklin\u00a0P et al (2008) Ankle fractures in the elderly: initial and long-term outcomes. 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