Related Experiment Video
Updated: Jun 18, 2026
In Vivo Quantification of Hip Arthrokinematics during Dynamic Weight-bearing Activities using Dual Fluoroscopy
Published on: July 2, 2021
[The increasing incidence of interthrocanteric fractures synchronous with older age]
Osman Rodop1, Mahir Mahiroğullari, Uzeyir Tirmik
1Department of Orthopedics and Traumatology, Haydarpaşa Training Hospital of Gülhane Military Medical School, Istanbul, Turkey.
Insights
Elderly hip fracture patients are older now, with osteoporosis and cardiac disease being common. Associated conditions did not impact survival rates in this study.
Area of Science:
- Geriatric Medicine
- Orthopedic Surgery
- Epidemiology
Context:
- Hip fractures are a significant health concern in the elderly population.
- Intertrochanteric fractures require surgical intervention, such as hemiarthroplasty.
- Understanding demographic trends and associated conditions is crucial for patient care.
Purpose:
- To evaluate demographic data and associated conditions in patients undergoing hemiarthroplasty for intertrochanteric hip fractures.
- To compare patient characteristics and outcomes between two distinct time periods (1999-2000 vs. 2004-2005).
Summary:
- A study of 109 patients with intertrochanteric fractures treated with hemiarthroplasty revealed a statistically significant increase in the average age of patients in the later time period (2004-2005) compared to the earlier period (1999-2000).
- Common associated conditions included osteoporosis, dementia, cardiac disease, and hypertension.
- No significant differences were observed in other clinical data, and associated conditions did not correlate with postoperative mortality rates between the two groups.
Impact:
- The findings indicate an aging trend in the elderly population experiencing intertrochanteric hip fractures.
- This data aligns with national statistics, highlighting the need for age-specific healthcare strategies.
- The study underscores that while patient age is increasing, associated comorbidities do not appear to influence short-term surgical outcomes in this cohort.
Objectives:
In this study we evaluated the associated conditions and demographic data of the patients who have hip fractures.
Patients And Methods:
Between 1999-2000 and 2004-2005, 109 patients who had hemiarthroplasty due to interthrocanteric fractures treated at our clinic were included in this study. Fifty-one patients with interthrocanteric fractures who were operated on between the years 1999 and 2000 (19 males, 32 females; mean age 76.1 years; range 65 to 90 years) formed the first group and, 58 patients (17 males, 41 females; mean age 81.5 years; range 51 to 95 years) who were operated on between the years 2004 and 2005 formed the second group. Both groups were evaluated and compared with respect to their age at which the fractures occurred, sex, associated conditions, the time interval between surgery and the onset of the fractures and survival rates after surgery.
Results:
Associated conditions of intertrochanteric fractures in the elderly are osteoporosis, dementia, cardiac disease and hypertension. We concluded that there is a statistically significant increase in the average age of the patients in the second group when compared to the first group, while there is no significant difference in other clinical data. There was no correlation between associated conditions and postoperative mortality rates between the two groups.
Conclusion:
According to our data there is a consistence between Turkish Statistical Institute data and our patients' data on age. Consequently, there is an increase in the average age of the interthrocanteric fractures in the elderly population.
Related Concept Videos
01:29Bone Disorders
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
01:09Changes in the Appendicular Skeleton with Age
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
01:19The Effect of Aging on Tissues
01:16Bones of the Lower Limb: Femur and Patella
01:00Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Distribution
01:18Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Metabolism