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Fractures: Bone Repair

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...

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The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

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Sequential Bilateral Hip Fractures in Elderly Patients.

Seong-Hwan Woo¹, Kyung-Soon Park¹, Ik-Sun Choi¹

¹Department of Orthopedic Surgery, Center for Joint Disease, Chonnam National University Hwasun Hospital, Hwasun, Korea.

|June 23, 2020

Summary

Osteoporotic sequential bilateral hip fractures (SBHF) occurred in 8.2% of patients over 60, with higher incidence in femoral neck fractures. Hypertension and female sex were identified as risk factors for SBHF.

Keywords:

Aged Hip fractures Incidence Osteoporosis Risk factors

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Method and Instrumented Fixture for Femoral Fracture Testing in a Sideways Fall-on-the-Hip Position

Method and Instrumented Fixture for Femoral Fracture Testing in a Sideways Fall-on-the-Hip Position

Published on: August 17, 2017

Area of Science:

Orthopedic Surgery
Geriatric Medicine
Public Health

Background:

Osteoporotic hip fractures are a significant health concern in elderly populations.
Limited data exists on sequential bilateral hip fractures (SBHF) in Korea.
Understanding the incidence and risk factors for SBHF is crucial for prevention strategies.

Purpose of the Study:

To determine the incidence and clinical presentation of osteoporotic sequential bilateral hip fractures (SBHF).
To identify correlations between initial fracture type, risk factors, and SBHF.
To compare bone mineral density (BMD) before and after sequential hip fractures.

Main Methods:

Retrospective review of 507 patients aged over 60 with osteoporotic hip fractures (2009-2015).
Analysis of fracture types (femoral neck vs. intertrochanteric) and occurrence of SBHF.
Assessment of risk factors including comorbidities (hypertension) and sex, with BMD measurements.

Main Results:

Cumulative incidence of SBHF was 8.2% (42 patients).
Higher incidence of SBHF in femoral neck fractures (29 patients) compared to intertrochanteric fractures (13 patients).
Hypertension and female sex identified as risk factors; significant correlation found between initial fracture type and SBHF.

Conclusions:

The incidence and presentation of SBHF in this Korean cohort align with international findings.
Identifying risk factors like hypertension and female sex can inform targeted prevention programs.
Further research may refine strategies to mitigate the risk of secondary hip fractures.