[Proximal hip fractures and their medico-social sequelae]

The aim of the trial was to study basic osteoporotic fractures in the proximal femoral bone in persons over 50 in the population of Irkutsk in 1997 as well as to evaluate short- and long-term outcomes of hip fractures and relevant social consequences. The mean incidence rate of femoral fractures was 167.1 per 100.000 (male 127.7, female 190.1 per 100,000). Male/female ratio was 1:1.5. Prevalence of femoral fractures increased in persons over 70 years of age and older, being maximum at the age over 80. Six months after the fracture 22 of 172 patients died, the mortality being for males and females 12.8%. To the end of the year the mortality increased to 23.3%, to the end of the second year--to 32.6% (30.5% for males and 33.6% for females). Surgical treatment was conducted in 72.7%, skeletal extension in 37.8%, osteosynthesis in 33.7%, arthroplasty in only 1.2%. The patients displayed low functional abilities, daily activity and self-attendance. 6, 12 and 24 months after the treatment 90.7, 74.2 and 60.3% patients, respectively, required outsider's service. A program must be designed of osteoporosis prevention and medico-social rehabilitation for patients with osteoporotic fractures.