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Saoussen Zrour1, Siwar Belhaj Salem2, Narimane Ben Chekaya1

  • 1Rheumatology Department, Fattouma Bourguiba Hospital, Faculty of Medicine of Monastir, University of Monastir, Tunisia.

La Tunisie Medicale
|January 3, 2025
PubMed
Summary
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Osteoporotic upper femur fractures significantly impact survival, with one-year mortality around 25%. Elderly patients (over 75) face even higher mortality risks from these serious fractures.

Area of Science:

  • Geriatric Medicine
  • Orthopedic Surgery
  • Public Health

Context:

  • Osteoporotic fractures of the upper femur represent a significant health burden, particularly in aging populations.
  • These fractures are associated with substantial morbidity and mortality, necessitating a thorough understanding of survival outcomes.
  • Previous studies highlight the need for localized data on fracture outcomes to inform clinical practice and public health strategies.

Purpose:

  • To evaluate the survival rates of patients following osteoporotic fractures of the upper femur.
  • To identify factors associated with mortality in this patient cohort.
  • To provide data on the long-term prognosis of upper femur fractures.

Summary:

  • A cross-sectional study analyzed 81 patients hospitalized for upper femur fractures, with a mean age of 77.46 years.
Keywords:
Proximal femoral fractureselderlymortalityosteoporosissurvival rate

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  • Overall survival rates were 84.6% at 6 months, 75.4% at 1 year, and 63.4% at 2 years, with a median survival of 30 months.
  • Patients older than 75 years demonstrated significantly shorter survival compared to younger cohorts (p < 10-3).

    • Impact:

    • The findings underscore the serious nature of osteoporotic upper femur fractures, with approximately 25% one-year mortality.
    • The study highlights the elderly population as a high-risk group, emphasizing the need for targeted interventions and support.
    • This research contributes valuable epidemiological data for geriatric care and orthopedic management of fragility fractures.