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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
Morphometric and Bone Quality Correlates of Elderly Hip Fracture Types
1Department of Orthopedics and Traumatology, Erzurum City Hospital, Cat Road Street, 25240 Erzurum, Turkey.
Indian Journal of Orthopaedics
|June 1, 2026
Summary
Proximal femur fractures in elderly patients are linked to specific bone measurements and quality. These factors can help predict fracture type and guide treatment decisions for hip fractures.
Area of Science:
- Orthopedics
- Radiology
- Geriatrics
Background:
- Proximal femur fractures in the elderly are influenced by age, femoral shape, and bone quality.
- Commonly used assessments include the Dorr classification, Singh index, and canal-to-bone ratio (CBR) for evaluating bone integrity.
Purpose of the Study:
- To investigate the relationship between radiographic parameters of femoral morphometry and bone quality with different proximal femur fracture types in elderly patients.
- To determine if these factors can aid in predicting fracture localization and supporting clinical decisions.
Main Methods:
- A retrospective analysis of 322 elderly patients with proximal femur fractures.
- Radiographic parameters measured included collodiaphyseal angle (CDA), center-edge angle (CEA), femoral head diameter (FHD), femoral neck diameter (FND), femoral neck length (FNL), femoral offset (FO), and cortical widths.
- Bone quality was assessed using the Dorr classification, Singh index, and CBR. Statistical analyses included Shapiro-Wilk, Kruskal-Wallis, Dunn's post hoc, and chi-square tests.
Main Results:
- Age, CDA, FNL, and FO significantly differed by fracture type (p < 0.05).
- Subtrochanteric fractures were associated with younger age, lower FNL, and FO.
- Dorr Type C morphology correlated with basicervical fractures (p=0.043). Singh index and CBR were significantly related to fracture patterns, indicating bone loss and thinning.
Conclusions:
- Proximal femoral morphometry and bone quality indices are significantly associated with proximal femur fracture patterns in the elderly.
- These radiographic findings may assist in anticipating fracture localization.
- Utilizing these parameters can support clinical decision-making for managing hip fractures in older adults.
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