2021 SORTED Annual Report

Fracture Classification

Adult fracture location

Total fractures

A total of 962 adult fractures were treated in 2021. Figure 6 shows the case numbers and locations of all fractures in adult patients. More than three-quarters (76.1%) of adult fractures were pelvis/lower limb fractures with 23.9% being upper limb fractures. Fractures of the femur accounted for 30.7% of all adult fractures.

Adult Fracture Locations >100 81-100 61-80 41-60 21-40 1-20

Fractures are classified according to a modification of the Fracture and Dislocation Compendium – Combined Orthopaedic Trauma Association and AO Foundation Classification system – Journal of Orthopaedic Trauma – 2018 (see Appendix for further details and reference for this classification system). A total of 1304 fractures were treated surgically in this period. Of these, 770 (59.0%) were upper-limb fractures, 534 (41.0%) were pelvic and lower limb fractures. It should be noted that at RNSH, any fractures involving the distal radius and more distal to this are treated by a separate unit and this data is not reported here. A total of 70 (5.9%) fractures were classified as open; more detail on the Gustillo-Anderson grade and wound management of the open fractures is available but not presented in this report.

Upper-limb fractures

Clavicle: 70

Scapula: 6

Humerus: 78

Pelvic/lower-limb fractures

Ulna: 45

Radius: 31

Pelvic Ring: 26

Acetabulum: 19

Femur: 295

Patella: 15

Tibia: 159

Fibula: 113

Malleolus: 39

Foot: 66

Adult Fracture Locations >100 81-100 61-80 41-60 21-40 1-20

Figure 6: Case numbers and fracture locations for adult patients

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SORTED Annual Report 2021

SORTED Annual Report 2021

Clavicle: 70

Scapula: 6

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