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Method and Instrumented Fixture for Femoral Fracture Testing in a Sideways Fall-on-the-Hip Position
Published on: August 17, 2017
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Distribution and Characteristics of Fall Risk Index-21 Scores in Patients with Fall-Related Hip Fractures.
Norifumi Fujii1, Manabu Tsukamoto2, Ryoichi Nakamura3
1Department of Rehabilitation, Faculty of Health Science, Hiroshima Cosmopolitan University, Hiroshima, Japan.
Journal of Bone Metabolism
|March 18, 2026
Summary
Fall Risk Index-21 (FRI-21) scores may not fully capture fall risk in hip fracture patients. Diverse risk factors highlight the need for tailored prevention strategies to avoid re-fractures.
Area of Science:
- Gerontology
- Orthopedics
- Geriatric Medicine
Background:
- Secondary fractures post-hip fracture necessitate effective fall risk assessment and interventions.
- Understanding fall risk factors pre-fracture is crucial for patient management.
Purpose of the Study:
- To investigate the distribution and characteristics of Fall Risk Index-21 (FRI-21) scores.
- To analyze FRI-21 scores in relation to prefracture living conditions among hip fracture patients.
Main Methods:
- Included 95 patients with fall-related hip fractures undergoing surgery.
- Assessed FRI-21, DXA, and bone parameters within one week post-surgery.
- Utilized cluster analysis on FRI-21 components and compared subgroups.
Main Results:
- Nearly half (49.5%) of patients had low FRI-21 scores (<10).
- Cluster analysis identified three subgroups with diverse physical, geriatric, and environmental fall risk factors.
- Significant variations in bone parameters were observed between FRI-21 score groups.
Conclusions:
- Interpreting total FRI-21 scores based on preoperative conditions requires caution in post-fracture patients.
- Tailored fall prevention strategies and multidisciplinary team involvement are vital for preventing re-fractures in hip fracture patients.
