Explore the vast range of titles available.

Traumatic peripheral nerve injuries pose significant challenges to healthcare systems and individuals, affecting sensory function, causing neuropathic pain, and impairing quality of life. Despite their impact, comprehensive studies on the epidemiology and regional variance of these injuries are scarce. Understanding the incidence, trends, and anatomical distribution of such injuries is essential for targeted interventions and resource allocation. This observational study utilized register-based data from the Swedish National Patient Register covering the period from 2008 to 2022. Incidence rates, trends, and anatomical distribution of traumatic peripheral nerve injuries were analyzed using descriptive statistics, Poisson regression modeling, and regional comparisons. Higher incidences of peripheral nerve injuries were observed among men compared to women across all age groups. The hand and wrist were the most commonly affected sites. Regional variations in incidence rates were evident, with some regions consistently exhibiting higher rates compared to others. Notably, a decreasing trend in injuries was observed over the study period. This study underscores the importance of targeted interventions and preventive strategies, considering sex, age, and regional disparities. Further research incorporating individual patient-level data is warranted to enhance our understanding and inform tailored interventions to reduce the burden of these injuries.

Hand and wrist fractures are common orthopaedic injuries, with varied postoperative management strategies. Cast immobilization, traditionally used to ensure fracture stability, is increasingly debated in favour of early mobilization. However, significant regional differences persist. The aim of this study is to analyse regional, age, and sex differences in post-operative cast immobilization rates for hand and wrist fractures in Sweden between 2008 and 2023. This observational, population-based study utilized data from the Swedish National Patient Register, analysing post-operative cast immobilization rates among individuals aged 15 and older. Trends and disparities were examined over time by region, gender, and age group. The study found a significant increase in cast immobilization rates across Sweden, with notable differences based on sex and region. By 2023, immobilization rates for men had increased from 46% to 86%, while rates for women increased from 34% to 69%. The findings indicate a nationwide trend towards increased immobilization rates, highlighting gender- and region-based disparities. These differences underscore the need for standardized, evidence-based guidelines to ensure equitable and effective patient care across Sweden.

Background We aimed to use open source data to understand the incidence, trends, and regional differences of finger and partial hand amputations on a national level in individuals aged 15 or older in Sweden. Methods We analyzed 6,918 patients aged 15 and older who had experienced finger and partial hand amputations. Incidence rates, trends, and regional disparities were assessed using negative binomial regression models and Student’s t-tests. Future trend prediction was performed using Poisson regression. Results Finger amputations declined most, followed by partial hand and thumb amputations. Regional variations existed, with Stockholm having the lowest and Gotland highest incidence respectively. Overall, the incidence of finger, thumb and partial hand amputations in Sweden decreased slightly. Future trend analysis indicated decreasing incidence. Conclusion Although, lacking in definition, publicly available data can be used for monitoring of finger, thumb, and partial hand amputation incidence on a national level. Sex, age, and regional differences were observed, suggesting the need for targeted interventions to address disparities and mitigate the burden of finger and partial hand amputations on affected individuals.

Background Ankle fractures are the third most common fractures, often requiring surgical intervention to restore function and mobility. Understanding trends in ankle fracture surgeries is essential for optimizing treatment strategies and improving patient outcomes. The aim of this study is to provide a comprehensive analysis of ankle fracture surgeries in Sweden in order to highlight changes in demography and trends in surgical procedures. Methods Utilizing data from the National Patient Register, we conducted an observational population-based study of ankle fracture surgeries performed in Sweden between 2008 and 2022. Patients aged 15 years and above who underwent ankle fracture surgery were included in the analysis. Surgical procedures were identified using NOMESCO codes specific to ankle fractures. Demographic trends, surgical procedures and incidence rates were analyzed using descriptive statistics, incidence calculations and regression analyses. Results Women accounted for 55% of surgeries ( p  = 0.022), with a significant proportion (47%) occurring in individuals aged 65 and above. Although the overall incidence of ankle surgeries decreased by 6% ( p  = 0.008), notable age-specific trends emerged, including a decrease in surgeries among younger adults and an increase among the elderly. Plate and screw fixation remained the most commonly employed surgical technique, with a 21% increase in usage ( p  < 0.001), while the use of external fixation and intramedullary nailing increased significantly by 123% and 69%, respectively (both p  < 0.001). Conversely, the use of cerclage and/or pin fixation decreased by 74% ( p  < 0.001) over the study period. Conclusions Our study of open source data shows current trends in surgically treated ankle fractures in Sweden, highlighting a decreased incidence overall, notable shifts between age groups and several trends in surgical procedures. Despite limitations inherent to retrospective observational studies, such as the inability to establish causal relationships, our findings contribute to the understanding of ankle fracture management trends, highlighting areas for further investigation and improvement in orthopedic care.

Background Spinal fractures are a group of complex injuries whose management varies according to a number of factors. The aim of this study was to analyze trends in the management of spinal fracture surgery in Sweden from 2008 to 2023 with a focus on disparities based on gender, surgery method, age and geographical location. A secondary aim was to predict future incidence of spinal fracture surgeries. Methods Comprehensive open source data was obtained from the Swedish National Board of Health and Welfare. The data was stratified based on gender, surgery method, age and geographical location per year and analyzed for trends. Future trends were projected using regression modeling. The student’s T-test was used to compare means. Results The incidence of spinal fracture surgery decreased overall from 2008 to 2023 while maintaining an increased incidence for males compared to females. The highest incidence for osteosynthesis was 2.7 per 100 000 inhabitants in 2008 and 1 in 2023. This trend is projected to be reversed in 2030. Several surgery methods have decreased in usage and are projected to reach close to 0 in 2030. The patient group that underwent spinal fracture surgery had a higher mean age in 2023 compared to 2008. The incidence of spinal fracture surgery varied significantly across Sweden where region Östergötland performed 6.3 surgeries per 100 000 inhabitants and region Örebro performed 1.4. Conclusions We found several trends where males may undergo spinal fractures surgery more commonly than females. Probable influencing factors may be increased life-spans and osteoporosis. This may also explain the observed shift towards older age groups in spinal fracture surgery. The decreased use of several surgery methods may reflect changes in operational techniques, demographics, and more standardized care. Geographical disparities may indicate different local health care protocols and uneven healthcare utilization and access. Trial registration Not applicable.

Introduction Orthopedic injuries to the foot constitute a significant portion of lower extremity injuries, necessitating an understanding of trends for effective preventive strategies and resource allocation. Demographic shifts, improved traffic safety, and lifelong physical activity may alter incidence rates, trauma mechanisms, and fracture distribution. This study explores the prevalence of foot fractures in Sweden using publicly available data. Methods Utilizing data from the Swedish National Board of Health and Welfare (SNBHW) spanning 2008–2022, retrospective study focuses on foot fractures in Sweden. Analysis includes calculating annual incidence rates per 100,000 person-years, assessing temporal trends, and exploring seasonal variations. Poisson regression analysis was used for projections into 2035. Results Between 2008–2022, the average annual foot fracture incidence was 11,942, with notable fluctuations influenced by the COVID-19 pandemic. Age and sex disparities impact rates, and seasonal variance highlights increased incidence in summer. By 2035, foot fractures will decreasae amongst several demographic groups. Conclusion This study provides insights into temporal trends, sex differences, and seasonal variations foot fracture patterns in Sweden. The identified trends suggest the utilization of targeted preventive strategies, efficient resource allocation, and informed healthcare planning. Despite limitations, this research offers valuable insights into foot fractures within the Swedish population, utilizing publicly aggregated data.

Introduction Septic arthritis of the knee is a serious condition that requires prompt surgical intervention to prevent irreversible joint damage and systemic complications. Incision and debridement is the standard treatment approach for managing knee septic arthritis. However, limited research exists on long-term trends in these surgical procedures. This study aims to analyse the trends in knee incision and debridement surgeries for septic arthritis in Sweden over a 16-year period (2008–2023), focusing on demographic variations and projections through 2030. Methods A retrospective, population-based study was conducted using data from the Swedish National Patient Register (NPR) for the period of January 1, 2008, to December 31, 2023. All patients aged ≥ 15 years who underwent knee incision and debridement surgery for septic arthritis were included. Demographic data were categorized by age, sex, and geographical region. Incidence rates were calculated per 100,000 inhabitants, and Poisson regression models were used to analyse temporal trends and project future surgical incidence rates through 2030. Results A total of 4,809 knee incision and debridement surgeries were performed between 2008 and 2023 in Sweden. Men accounted for 3,100 surgeries, compared to 1,709 for women. The highest number of surgeries occurred in 2023 ( n  = 404). The most affected age groups were 65–74 years (1,161 surgeries) and 75–84 years (1,127 surgeries). The overall incidence increased from 3.4 to 4.6 per 100,000 over the study period, with men consistently having higher rates. Significant regional variations were observed, with Jönköping, Jämtland, and Kalmar reporting the highest incidence rates. Projections suggest the incidence will continue to rise, reaching 4.6 per 100,000 by 2030. Conclusion The incidence of knee incision and debridement surgeries for septic arthritis in Sweden has steadily increased over the past 16 years, particularly among older adults and men. Significant regional disparities exist, highlighting the need for targeted interventions. Projections suggest that the burden of septic arthritis will continue to rise, necessitating enhanced preventive measures, early diagnosis, and resource planning to meet future healthcare needs.

Radiocarpal and intercarpal arthrodesis are common procedures for managing advanced arthritis, post-traumatic conditions, and failed interventions. This observational study analysed 5,189 cases of arthrodesis registered in the Swedish National Patient Register between 2008 and 2023 to identify surgical trends and future projections. Of these, 2,434 were radiocarpal and 2,755 intercarpal arthrodesis. Arthrodesis of the radiocarpal and intercarpal joints demonstrate fluctuating trends, regional disparities, and relatively equal rates between men and women. Younger men more often undergo intercarpal arthrodesis, while older women are in majority regarding radiocarpal arthrodesis, potentially reflecting differences in disease presentation, surgical indications, or occupational factors. A slight overall decline in arthrodesis rates suggests a shift towards alternative treatments like denervation or arthroplasty. These findings highlight the need for continued adaptation to evolving surgical techniques and standardised national care programs to optimize patient care and outcomes and mitigate inequalities in health care.

Background The COVID-19 pandemic prompted a refocus of health care resources to acute care which has impacted on the capacity of healthcare systems to conduct neurological surgeries. The elderly population has been shown to be particularly vulnerable to the consequences of the pandemic. Less neurosurgery can result in great impact on public health by increasing morbidity and mortality in patients with malignancies and traumatic injuries. The aim of this study was to investigate the effects of the COVID-19 pandemic on neurosurgical procedures in the elderly population in Sweden. Methods In this retrospective observational study, the reported incidence of all neurosurgical procedures registered in the 21 Regions of Sweden during 2015–2021 in people aged 65 year or older was collected. Surgical procedures were classified according to the NOMESCO system of classification. Neurosurgery incidence was defined as the number of NOMESCO associated interventions per 100.000 inhabitants. ICD-10 codes associated with neurosurgery-related diagnoses and deaths were also collected. Expected incidence of neurosurgery, neurosurgery-associated deaths and brain cancer diagnoses was estimated and compared to actual outcomes. Decrease in the incidence of neurosurgery was compared to regional COVID-19 incidence, other types of surgery and surgery waiting times. Results The incidence of several categories of neurosurgery decreased in Sweden during 2020 and 2021, although not as much as other surgical categories. Women were more affected than men by the decrease in neurosurgery which could be partly explained by a decrease in brain cancer diagnoses amongst women. There was an association between regional decrease in neurosurgery incidence and longer surgery waiting time. COVID-19 incidence in the region did not have an effect on regional decreases in neurosurgery incidence. Conclusions The COVID-19 pandemic resulted in a reduction in the number of neurosurgical procedures performed in Sweden during 2020–2021, although not as much as in other European countries. There was regional difference in Sweden with respect to number of surgeries, and waiting time for elective surgeries although there was no increase in mortality.

Hand and wrist fractures are among the most common orthopaedic injuries, with a growing trend toward surgical treatment. However, large-scale data on regional variations and treatment trends remain limited. This population-based study analyses the incidence, trends, and regional variations in hand and wrist fracture fixation with plates and screws in Sweden from 2008 to 2023, with predictive modelling for future trends. A total of 56,163 patients aged ≥15 years underwent fixation (code NDJ69). Southern regions, including Skåne and Halland, had the highest fixation rates (>100/100,000), while northern areas like Norrbotten had significantly lower rates (<20/100,000). Women ≥65 years had the highest incidence. Predictive models indicate a continued increase in procedures, particularly among women aged ≥65, through 2035. These findings highlight regional disparities and the ongoing shift towards surgical treatment in older populations, emphasizing the need for optimized treatment strategies to ensure equitable access to care.