Incidence of femur fractures and its subtypes in the state of Mato Grosso between 2018 and 2024

Autores

  • Elias Mendes Leal Neto Centro Universitário de Várzea Grande - UNIVAG
  • Daniel Virgilio Soares da Silva Centro Universitário de Várzea Grande - UNIVAG
  • Gabriela Carvalho Liama Centro Universitário de Várzea Grande - UNIVAG
  • Manwa Mohamad Mahfouz Centro Universitário de Várzea Grande - UNIVAG
  • Letícia Moreira Serigiolli Centro Universitário de Várzea Grande - UNIVAG
  • Mateus Andrade Machado Centro Universitário de Várzea Grande - UNIVAG
  • Renan Urt Mansur Bumlai Centro Universitário de Várzea Grande - UNIVAG

DOI:

https://doi.org/10.5281/zenodo.18510334

Palavras-chave:

Femoral fracture, Incidence, Epidemiology, DataSUS, Mato Grosso

Resumo

Femoral fracture is a consequence of several adverse conditions that may affect an individual, such as trauma or osteoporosis, and it can occur in people of all ages. Due to the lack of literature on this topic in the state of Mato Grosso, this study aimed to investigate the incidence of different types of femoral fractures in Mato Grosso, Brazil. This is a retrospective, population-based, and observational study, using data from the SIH/DataSUS system. The main variables analyzed were types of femoral fracture, sex, and length of hospital stay. Data were recorded in an Excel spreadsheet and analyzed using R software version 4.5. A total of 14,842 patients were included, of whom 59.32% were male and 40.68% were female. The year with the highest incidence was 2024, with 73.55 cases per 100,000 inhabitants. The most frequent type of fracture was proximal femoral fracture, which also showed the highest mean length of hospital stay (6.65 days). Furthermore, older adults presented the highest incidence and hospitalization rates for proximal fractures, whereas younger individuals had more diaphyseal fractures. The mortality rate was 1.73%. The year 2024 presented the highest incidence of femoral fractures. Males were the most affected, especially older men, who also accounted for the highest number of hospitalizations related to these fractures. This study has limitations, as other relevant variables are not available in the information system. Therefore, further original studies may complement these findings.

Biografia do Autor

Renan Urt Mansur Bumlai, Centro Universitário de Várzea Grande - UNIVAG

Graduado em Medicina pela Faculdade de Medicina da USP (2001-2006). Ortopedista e Traumatologista pelo IOC HC/ FMUSP (2008-2011). Especialista em cirurgia do quadril pelo IOC HC/ FMUSP (2011- 2012). Mestre em Ciencias Aplicadas a Atencao Hospitalar pelo HUJM/UFMT (2018). Membro titular da Sociedade Brasileira de Ortopedia e Traumatologia (SBOT). Membro titular da Sociedade Brasileira de Quadril (SBQ). Professor da Faculdade de Medicina do UNIVAG e Coordenador da Ortopedia e Traumatologia do Hospital Santa Rosa e Hospital Ortopédico.

Referências

1. Agarwal-Harding K, Meara J, Greenberg S, Hagander L, Dyer G. Estimating the global incidence of femur fracture. 2013.

2. Egol KA, Koval KJ, Zuckerman JD. Handbook of Fractures. 5th ed. Philadelphia, PA: Wolters Kluwer Health; 2015

3. Barney J, Piuzzi NS, Akhondi H. Femoral Head Avascular Necrosis. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Updated July 3, 2023. Available from: https://www.ncbi.nlm.nih.gov/books/NBK546658/. Accessed February 13, 2025.

4. Lara Júnior AF, Ferreira LGS, Darmstadter HE, Garrido FHF, Heleno RG, Marçal MGS. Tratamento de pseudoartrose de fratura de fêmur diafisária após falha da dinamização de haste intramedular – relato de caso com técnica simples. Brazilian Journal of Development. 2022;8(10):68952-68955. doi:10.34117/bjdv8n10-261.

5. Fu BS, Zheng ZH. Surgical treatments for femoral shaft fractures: a narrative review. Malays Orthop J. 2023;17(3):5-8. doi: 10.5704/MOJ.2311.002.

6. Gadegone W, Gadegone P. Antegrade and retrograde femoral nailing. In: Banerjee A, Biberthaler P, Shanmugasundaram S, editors. Handbook of Orthopaedic Trauma Implantology. Singapore: Springer; 2023. Available from: https://doi.org/10.1007/978-981-15-6278-5_11-1.

7. Hellwinkel JE. Innovations in treatment of femoral fractures throughout history. J Orthopaedic Experience Innov. 2024;5(2). https://doi.org/10.60118/001c.94220.

8. Romeo NM, Deitch JR. Femur injuries and fractures treatment & management. Medscape. Updated May 5, 2023. Available from: https://emedicine.medscape.com/article/90779-treatment?form=fpf. Accessed February 11, 2025.

9. Pavan BA, Zucoloto ML, Nunes AA, Souza MM de, Martinez EZ. Seasonal variations in incidence of femoral fractures in the state of Rio Grande do Sul, southern Brazil. Fisioter Mov. 2022;35:e35144. Available from: https://doi.org/10.1590/fm.2022.35144.

10. Guedes A. Fraturas do fêmur em idosos no Brasil - incidência, letalidade e custos (2008-2018). Rev Cient HSI. 2022;6(3):165-171. https://doi.org/10.35753/rchsi.v6i3.333.

11. Araújo LB, Garces TS, Sousa GJB, Moreira TMM, Pereira MLD, Damasceno LLV, Gomes IM, Gomes LA. Tendência de hospitalizações por fratura de fêmur no Brasil: uma série temporal. Braz J Develop. 2020;6(5):28499-28510. Available from: https://ojs.brazilianjournals.com.br/ojs/index.php/BRJD/article/view/10213. Accessed February 13, 2025.

12. Silva J, Linhares D, Ferreira M, Amorim N, Neves N, Pinto R. Tendências epidemiológicas das fraturas do fêmur proximal na população idosa em Portugal. Acta Med Port. 2018;31(10):562-567. Portuguese. doi: 10.20344/amp.10464.

13. Hungria Neto JS, Dias CR, Almeida JDB de. Características epidemiológicas e causas da fratura do terço proximal do fêmur em idosos. Rev Bras Ortop. 2011;46(6):660–667. Available from: https://doi.org/10.1590/S0102-36162011000600007.

14. Engström Z, Wolf O, Hailer YD. Epidemiology of pediatric femur fractures in children: the Swedish Fracture Register. BMC Musculoskelet Disord. 2020;21:796. doi: 10.1186/s12891-020-03796-z.

15. Lo JC, Zheng P, Grimsrud CD, Chandra M, Ettinger B, Budayr A, Lau G, Baur MM, Hui RL, Neugebauer R. Racial/ethnic differences in hip and diaphyseal femur fractures. Osteoporos Int. 2014;25(9):2313-2318. doi: 10.1007/s00198-014-2750-1.

16. Soares DS, Mello LM de, Silva AS da, Nunes AA. Análise dos fatores associados a quedas com fratura de fêmur em idosos: um estudo caso-controle. Rev Bras Geriatr Gerontol. 2015;18(2):239–248. Available from: https://doi.org/10.1590/1809-9823.2015.14022.

17. Leonora Dias da Silva E, Abrahão G, Silva G, Paiva Luciano A. Perfil epidemiológico das internações por fratura de fêmur em idosos no Brasil entre 2013 e 2022. RESP. 2023;1(2). Available from: https://respcientifica.com.br/index.php/resp/article/view/14. Accessed February 13, 2025

18. Peterle VCU, Geber Junior JC, Darwin Junior W, Lima AV, Bezerra Junior PE, Novaes MRCG. Indicators of morbidity and mortality by femur fractures in older people: a decade-long study in Brazilian hospitals. Acta Ortop Bras. 2020;28(3):142–148. Available from: https://doi.org/10.1590/1413-785220202803228393.

19. Rocha MA, Carvalho WS, Zanqueta C, Lemos SC. Estudo epidemiológico retrospectivo das fraturas do fêmur proximal tratados no Hospital Escola da Faculdade de Medicina do Triângulo Mineiro. Rev Bras Ortop. 2001;36(8):311-316.

20. Rojas LG, Padilla MD, Cervantes RE, et al. Fragility fracture systems, Latin America perspective. OTA Int. 2022;5(3S):e178. doi: 10.1097/OI9.0000000000000178.

21. Souza e Silva M, Regiani Barbosa VdC, Hernandes Júnior PR, Agra da Silva C, Bastos Neto RM, Nicácio Costa VE. Analysis of the epidemiological panorama of hospitalizations for femur fracture in Brazil from 2018 to 2020. Int J Health Sci. 2022;2(22). doi: 10.22533/at.ed.1592222230049.

22. Santos Júnior JE, Silva RBB da. Femur fractures in the elderly in Northeast Brazil: epidemiological data and expenses for the SUS. RSD. 2021;10(14):e180101421984. Available from: https://rsdjournal.org/index.php/rsd/article/view/21984. Accessed February 13, 2025.

23. Gutzeit EM, Lopez TV, Cortijo de Campos S, et al. Assessment of the profile of victims of femur fractures treated at an urgent and emergency hospital in the Brazilian western Amazon. 2022. Available from: https://doi.org/10.56238/colleinternhealthscienv1-024. Accessed February 13, 2025.

24. Paiva M de M, Leal DP, Kuroki PK, et al. Distal femoral fractures from high-energy trauma: a retrospective review of complication rate and risk factors. Acta Ortop Bras. 2022;30(spe2):e256896. Available from: https://doi.org/10.1590/1413-785220223002e256896.

25. Classificação Internacional de Doenças. CID 10 - Classificação Internacional de Doenças. CID10. Available from: https://cid10.com.br. Accessed February 13, 2025.

26. Brasil. Secretaria de Estado de Saúde de Mato Grosso. Dados abertos - Pesquisa temática. Available from: http://appweb3.saude.mt.gov.br/dw/pesquisa/tema. Accessed February 28, 2025.

27. Brasil. Ministério da Saúde. Datasus - Informações de saúde Tabnet. Available from: https://datasus.saude.gov.br/informacoes-de-saude-tabnet/. Accessed February 28, 2025.

28. Mello N. Censo 2022: maioria dos municípios de MT se declaram pardos; veja lista. G1. December 26, 2023. Available from: https://g1.globo.com/mt/mato-grosso/noticia/2023/12/26/censo-2022-maioria-dos-municipios-de-mt-se-declaram-pardos-veja-lista.ghtml. Accessed February 28, 2025.

29. Ibrahim YB, Mohamed AY, Ibrahim HS, et al. Risk factors, classification, and operative choices of femur fractures at a tertiary hospital: first report from Somalia. Sci Rep. 2023;13(1):12847. doi: 10.1038/s41598-023-39671-9. Erratum in: Sci Rep. 2023;13(1):13295.

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Publicado

2026-02-06

Como Citar

Leal Neto, E. M., Soares da Silva, D. V., Liama, G. C., Mahfouz, M. M., Serigiolli, L. M., Machado, M. A., & Bumlai, R. U. M. (2026). Incidence of femur fractures and its subtypes in the state of Mato Grosso between 2018 and 2024. International Journal of Health and Surgical Research, 2(2), 85–100. https://doi.org/10.5281/zenodo.18510334

Edição

v. 2 n. 2 (2026): Inovações nas Ciências da Saúde

Seção

Artigos

Licença

Copyright (c) 2026 Daniel Virgilio Soares da Silva, Elias Mendes Leal Neto, Gabriela Carvalho Liama, Manwa Mohamad Mahfouz, Letícia Moreira Serigiolli, Mateus Andrade Machado, Renan Urt Mansur Bumlai

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