Osteoporosis & bone health

Epidemiology of osteoporotic ankle fractures in South Korea: a nationwide retrospective cohort study (2006–2022)

Osteoporos IntPublished Retrospective cohort study

Authors' 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.

Study context

Population
Individuals over 50 years with ankle fractures, Korean National Health Insurance Service (NHIS) registry, January 2006 to December 2022
Outcome
Incidence of elderly (osteoporotic) ankle fractures
Methodological detailsnationwide, standardization adjusted for gender and age distribution
  • Nationwide
  • Standardization adjusted for gender and age distribution

Main finding

As reported in the abstract

Annual ankle fracture incidence per 100,000 person-years · 2006 to 2022

Annual incidence, 2006

193.90 per 100,000 person-years

Annual incidence, 2022

278.83 per 100,000 person-years

Incidence in women vs men

1.93 times higher

Observational data: associations, not effects.

Further findings

One-year ankle refracture rate · 2007 to 2021

2007
3.55%
2021
9.32%

One-year osteoporotic refracture rate · 2007 to 2021

2007
4.56%
2021
10.37%

One-year mortality after ankle fracture · 2007 to 2021

2007
2.10%
2021
1.49%

Original publication

Epidemiology of osteoporotic ankle fractures in South Korea: a nationwide retrospective cohort study (2006–2022). Osteoporos Int. Published 6 March 2025. doi:10.1007/s00198-025-07429-w

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