Abstract Background COVID-19 outbreak lead to nationwide lockdown in Finland on the March 16th, 2020. Previous data regarding patient load emergency departments during pandemics is scarce. Our aim describe effect of national and social distancing number reasons for department (ED) visits inpatient admissions three large volume hospitals prior after epidemic Finland. Methods Data this register-based retrospective cohort study were collected from ED’s Finland, covering 1/6 Finnish population....

Abstract Background Survival analysis and effect of covariates on survival time is a central research interest. Cox proportional hazards regression remains as gold standard in the analysis. The model relies assumption (PH) across different covariates. PH assumptions should be assessed handled if violated. Our aim was to investigate reporting details testing total joint arthroplasty (TJA) studies. Methods We conducted review PubMed database 28th August 2019. A 1154 studies were identified....

Background A concern has been that health care reorganizations during the first COVID-19 wave have led to delays in elective surgeries, resulting increased complications and even mortality. This multicenter study examined changes waiting times of surgeries pandemic Finland. Methods Data on surgery were gathered from three Finnish public hospitals for years 2017–2020. Surgery incidence year 2020 was compared reference 2017–2019. The mean annual, monthly, weekly calculated with 95% confidence...

The epidemiology of midfoot injuries is poorly known. It has been estimated that the incidence Lisfranc (intra-articular injury in tarsometatarsal joint) 1/55 000 person-years and Chopart talonavicular calcaneocuboidal 4/100 person-years. purpose our study was to assess computed tomography (CT) imaging-based (per 100 person-years) trauma mechanisms injuries.All CT studies performed due acute foot ankle region between January 1, 2012, December 31, 2016, at Tampere University Hospital were...

Background and purpose — During recent years, spine surgery techniques have advanced, the population has become older, multiple high-quality randomized controlled trials that support surgical treatment for degenerative spinal stenosis spondylolisthesis been published. We assess incidence trends in fusion decompression Finland between 1997 2018.Patients methods used nationwide data from Finnish National Hospital Discharge Register. The study covered all patients aged 20 years or over (5.5...

Background and purpose — COVID-19 lockdowns have resulted in noteworthy changes trauma admissions. We report compare the incidence characteristics of severe injuries (New Injury Severity Score [NISS] >15) during lockdown Finland with earlier years. Methods retrospectively analyzed rate, injury severity scores, patterns, mechanisms all severely injured patients (NISS 4 Finn- ish hospitals (Tampere University Hospital, Kuopio Uni- versity Central Mikkeli Cen- tral Hospital) 11-week period...

Background: There is no consensus whether the primary surgical method should be open reduction and internal fixation (ORIF) or arthrodesis (PA) for Lisfranc injuries. The aim of our randomized controlled trial was to compare ORIF PA displaced Methods: This study a national multicenter trial. Altogether 43 injuries were enrolled in this outcome measure Visual Analogue Scale Foot Ankle (VAS-FA) at 24-months follow-up. secondary measures VAS-FA pain, function, other complaints subscales...

In complex primary total knee arthroplasty (TKA), constrained condylar (CCK) or rotating hinge (RHK) designs may be required to provide stability address bony deficiencies. We analyzed trends in incidence of these TKA and evaluated the mid- long-term survivorship CCK RHK 4 Nordic countries. From 2000 2017, 5,134 2,515 TKAs were identified from NARA database. Kaplan-Meier (K-M) survival flexible parametric model (FPSM) analyses performed estimate revision risk, expressed as hazard ratio (HR)...

The Minimal Important Change (MIC) for patient-reported outcome measures is the value that describes smallest improvement considered worthwhile by patients. To best of our knowledge, no MIC Western Ontario Osteoarthritis Shoulder Index (WOOS) score or Disabilities Arm and Hand (DASH) has been reported using anchor-based predictive modeling approach based on patients with glenohumeral osteoarthritis rotator cuff tear arthropathy. aim this study was to determine WOOS DASH in a cohort...

Background and purpose: Information on metastatic spine disease (MSD) based nationwide data trends postoperative survival is limited but needed to optimize treatment in this population. We aimed assess the incidence of rates after MSD surgery.Methods: This retrospective register-based study combined from Finnish Cancer Registry, Care Register for Health Care, Cause Death 1997 2020. Surgeries were identified using diagnosis procedural codes, with primary pathologies excluded. Incidence...

Traumatic brain injuries (TBI) are a considerable health burden on adolescents and young adults. This study aims to assess the influence of compromising behavior, poor perceived health, school success, low family socioeconomic background during adolescence subsequent TBI in large cohort Finnish with an average 25-year follow-up. Baseline Adolescent Health Lifestyle survey data gathered biennially (1981-1997) was linked diagnosis from Care Register for Care. A structural equation modeling...

Abstract Pediatric traumatic brain injury (pTBI) can lead to considerable mortality, morbidity, mental impairment, and physical disability over time. The direct impact of pTBI on educational attainment is unclear. We included all pediatric 0- 17-year-old patients who were at least 26 years old the end follow-up with a diagnosis TBI in Finnish Care Registry for Health (years 1998 2018) form our study group (pTBI group). reference comprised ankle wrist fractures. was further divided into...

Literature describing the anatomic characteristics of osteochondral fractures (OCFs) in knee joint after patellar dislocation is scarce.To describe patterns OCFs acute or recurrent a sample patients from 2 orthopaedic trauma centers.Case series; Level evidence, 4.In this multicenter study, all who had International Classification Diseases, 10th Revision, diagnostic codes S83.0 and M22.0 between 2012 2018 were screened. Of 2181 with clinically diagnosed dislocation, 1189 undergone magnetic...

Fear of childbirth (FOC) is a common obstetrical challenge that affects the health women. The epidemiology FOC has not been studied in Finland for last decade. aim this study was to analyze and risk factors evaluate association between rate elective cesarean section (CS) as an intended mode delivery. Data from National Medical Birth Register were used determine main 2004 2018. Nulliparous multiparous women analyzed separately. Logistic regression model FOC. Multivariable logistic assess...

Abstract Background Recent evidence has led to guidelines refrain from recommending knee arthroscopy for patients with an osteoarthritis diagnosis. The aim of this study was evaluate the latest changes in incidence arthroscopic surgery degenerative disease, ages those and delay between arthroplasty, Finland 1998 2018. Method data were collected Finnish National Hospital Discharge Register (NHDR). All arthroplasties arthroscopies performed due osteoarthritis, meniscal tears, traumatic tears...

Abstract Background Fear of childbirth can develop due to the concerns or adverse maternal foetal outcomes experienced in a previous pregnancy. The aim this study was examine main risk factors associated with development fear during subsequent pregnancies and deliveries. Methods In case–control study, data from National Medical Birth Register were used evaluate events that potential for pregnancies. first second women registered our period (2004–2018) included. exposure variable delivery...

We examine the outcomes following operative treatment of intra-articular fracture combined with medial patellofemoral ligament (MPFL) reconstruction after patella dislocation.Patients were retrospectively identified from medical records using diagnostic and surgical procedure codes. Radiological anatomical parameters bony abnormalities injured knees assessed magnetic resonance images (MRI). Inclusion criteria traumatic patellar dislocation chondral or osteochondral MPFL rupture, a...

The association between fear of childbirth (FOC) and subsequent birth rate is not well studied. aim this study to evaluate the rate, risk for second pregnancy ending in delivery among women with FOC compared without their first pregnancy.

Healthcare systems globally are grappling with resource constraints and rising costs. Concerns have been raised about "low-value" care, which consumes healthcare resources without benefiting patients. We aimed to examine regional differences in common low-value musculoskeletal surgeries Finland explore explanatory factors behind the variation.

Lisfranc injuries are known to be rare and often overlooked that can cause long-term disability pain when missed or treated incorrectly. The wide variety of ranges from subtle ligament distensions open fracture dislocations. treatment joint is still controversial very little about what types injury nonoperatively. current literature provides only two randomized studies on dislocated injuries. These have shown primary arthrodesis (PA) leads a similar better outcome results in fewer secondary...