DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20182402

Epidemiological analysis of hip fractures at a tertiary care center: a retrospective study

Madharam Bishnoi, Tabish Tahir Kirmani, Najmul Huda, Gaurav Chahal, Sandeep Bishnoi

Abstract


Background: Hip fractures are a leading cause of morbidity and mortality in the elderly population posing significant burden on health care resources. The purpose of this study is to determine the epidemiological analysis of hip fractures at a tertiary care center.

Methods: This was a retrospective study done on patients with hip fractures admitted during the period 2015-2017 in Moradabad district of Uttar Pradesh. Case files and radiographs of patients were reviewed for age, gender, nature of trauma, associated comorbidities, type of fracture and presence of osteoporosis.

Results: During the 2015-2017 period, 2214 patients with hip fractures were admitted, out of which 1180 were males and rest females. The mean age of patients was 56.8 years with 41.6% belonging to age group 60-75 years. In elderly patients, a low energy simple fall accounted for >85% of fractures with presence of significant osteoporosis (Singh’s index grade 3). The in hospital mortality was 2.1%. Hip fracture characteristics included intertrochanteric 57.81%, femoral neck 30.26% and sub trochanteric 11.93%. Smoking and medical comorbidities were present in a significant number of patients.

Conclusions: With increased longevity, hip fractures are an increasing health care problem. Various preventive measures for osteoporosis and falls will decline the prevalence of these fractures.


Keywords


Hip fractures, Epidemiology, Osteoporosis

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References


Wilson RT, Wallace RB. Trends in hip fracture incidence in young and older adults American Journal of Public Health. 2007;97(10):1734–5.

Cooper C, Campion G, Melton LJ III. Hip fractures in the elderly: a world-wide projection. Osteoporos Int. 1992;2(6):285–9.

Johnell O, Borgstrom F, Jonsson B, J. Kanis. Latitude, socioeconomic prosperity, mobile phones and hip fracture risk. Osteoporosis Int. 2007;18:333–7.

Hall SE, Williams JA, Senior JA, Goldswain PRT, Criddle RA. Hip fracture outcomes, quality of life and functional status in older adults living in the community. Australian and New Zealand J Med. 2000;30(3):327–32.

Haleem S, Lutchman L, Mayahi R, Grice JE, Parker MJ. Mortality following hip fracture: trends and geographical variations over the last 40 years. Injury. 2008;39(10):1157–63.

Kanis J, Johnell O, Gullberg B, Allender E, Elffors L, Ranstam J, et al. Risk factors for hip fracture in men from southern Europe: The MEDOS study. Mediterranean Osteoporosis Study. Osteoporos Int. 1999;9(1):45–54.

Cummings SR, Nevitt MC, Browner WS, Stone K, Fox KM, Ensrud KE, et al. Risk factors for hip fracture in white women. N Engl J Med. 1995;332(12):767–73.

Dhanwal DK, Siwach R, Dixit V, Mithal A, Jameson K, Cooper C. Incidence of hip fracture in Rohtak district, North India. Arch. Osteoporos. 2013;8:135.

Bhat SA, Farouqi RR, Kirmani TT, Kangoo KA, Baba AN, Zahoor A et al. Epidemiology of Hip Fractures in the Kashmir Valley. Int J Recent Sci Res. 2015;6(4):3449-52.

District census 2011. Available at: http://www. census2011.co.in/census/district/506-moradabad. Html. Accessed on 3 March 2018.

Singh M, Nagrath AR, Maini PS. Changes in trabecular pattern of the upper end of the femur as an index of osteoporosis, J Bone Joint Surg (Am). 1970;52:457-67.

Corina M, Vulpoi C, Br_anis¸ Teanu D. Relationship between bone mineral density, weight, and estrogen levels in pre and postmenopausal women. Rev Med Chir Soc Med Nat Iasi. 2012;116(4):946-50.

Stevens, JA, Olson S. Reducing falls and resulting hip fractures among older women. In: CDC Recommendations Regarding Selected Conditions Affecting Women’s Health. MMWR. 2000;49(2):3–12.

Parkkari J, Kannus P, Palvanen M, Natri A, Vainio J, Aho H, et al. Majority of hip fractures occur as a result of a fall and impact on the greater trochanter of the femur, a prospective controlled hip fracture study with 206 consecutive patients. Calcif Tissue Int. 1999;65(3):183–7.

Nordin BE. International patterns of osteoporosis. Clin Orthop Relat Res. 1966;45:17-30.

Wong PC. Femoral neck fractures among the major racial groups in Singapore: incidence patterns compared with non-Asian communities. II. Singap Med J. 1964;4:150-7.

Gupta A. Osteoporosis in India: the nutritional hypothesis. Natl Med J India. 1996;9(6):268-74.

Jarnlo G, Thorngren K. Standing balance in hip fracture patients. 20 middle-aged patients compared with 20 healthy subjects. Acta Orthop Scand. 1991;62(5):427-34.

Ahuja K, Sen S, Dhanwal D. Risk factors and epidemiological profile of hip fractures in Indian population: A case-control study. Osteoporos Sarcopenia. 2017;3(3):138-48.