In the younger population, high energy mechanisms predominate. A higher incidence of compression fracture patterns tends to be seen in such cases despite lower energy injury mechanisms. Bone quality influences fracture patterns with low bone density decreasing the force necessary for injury. The forces acting on the bone in conjunction with the bone quality determine the resulting fracture patterns. In the elderly, lateral fracture patterns are seen more commonly than medial.
Osteopenia and osteoporosis play a large role in the fracture mechanisms and patterns observed. With an aging population and associated osteoporosis, the incidence of this injury is increasing. The majority of tibial plateau fractures in the elderly are due to low energy falls. The injury mechanism seen in tibial plateau fractures is largely age-dependent. With an increase in life expectancy as well as a large aging population in many developed countries it is expected that the incidence of low-energy tibial plateau fractures will continue to increase. There is a shift of incidence between males and females that occurs after the age of 60 with females predominating (61%). The highest incidence for tibial plateau fractures in females occurs between age 55 and 59. Comminuted fractures are more common in males. The majority of fractures occur in males (70%) with men aged 40–44 years being the most affected patient population overall. The age distribution is bimodal for both males and females which is similar to what is seen in other periarticular injuries. The combined incidence of a patient having a tibial plateau fracture with associated polytrauma on admission has been estimated at 16–40%. They have an annual incidence of 10.3 per 100,000. “We look forward to seeing you all very soon in our many New York & Massachusetts locations.Fractures involving the tibial articular surface account for a little over 1% of all long bone fractures, 56.9% of all proximal tibia fractures/dislocations, and 8% of all fractures in the elderly. “Thank you for 9 years of great conversation and memories that will last a lifetime. “How lucky we are to have something that makes saying goodbye so hard.” “Most importantly, to all our Besito family and friends in West Hartford, we think a quote from our childhood best explains our sentiment at this moment… “We cannot thank you enough for this and your unforgettable part in our continuing journey “Your infinite loyalty & outstanding reviews have consistently placed us as one of the Top Mexican Restaurants in the Tri-State on OpenTable, Best of Hartford Magazine, CT Magazine Editor’s Choice Awards and many, many more… “West Hartford, Connecticut, Thank you for nearly a decade of amazing memories … After nearly a decade and with a heavy heart, we are sad to announce that we were unable to re-negotiate our lease at Blue Back Square and are closing our doors in our beloved West Hartford location. The message on the Besito West Hartford website reads: There were a lot of tears.”īlue Back Square management issued the following statement Monday afternoon: “We are sorry to see that Besito is closing but unfortunately, we cannot discuss any details because it is subject to ongoing litigation.” “It’s been a great relationship, and we hope to be back sometime in the future,” Rieger said. “We love West Hartford.”Įven the posted sign made it evident that Besito loved the West Hartford community. We’ll look for an alternate site,” Rieger said. There are two in Massachusetts, soon will be three in Long Island, and there are also locations in Pennsylvania and Tampa, FL.Ĭhefs and some senior management may be relocated, he said, and all employees will be taken care of to the best extent they can. Rieger said that Besito employs 40-45 people, and they have offered them employment at other restaurants, but none of their other locations are in Connecticut. just gave the restaurant a rave review last week. We’ve won all sorts of accolades,” Rieger said.
Some employees learned of the closing when they arrived for their lunchtime shifts. They determined it would be best not to keep the employees in limbo, and decided not to open on Monday morning.
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When it became apparent on Friday that the negotiations were not going anywhere, the two spent the entire weekend discussing how to proceed. “My partner and I, we’re very sad,” Rieger said. Rieger co-owns the Long Island-based restaurant company with John Tunney. “We really determined on Friday that the negotiation would not be fruitful.” “We were unable to renegotiate with our landlord,” co-owner John Rieger said Monday.
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