Femoral cortical index: an indicator of poor bone quality in patient with hip fracture

Feola, Maurizio; Rao, Cecilia; Tempesta, Valerio; Gasbarra, Elena; Tarantino, Umberto

doi:10.1007/s40520-015-0423-3

Cited by 20 publications

(10 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In fact, fragility fracture risk depends not only on loss of BMD but also on alterations of bone quality [27][28][29] and calcium, 99% of which is included in the skeleton, predominantly affects bone mineralization [2]. A very low daily dietary calcium intake (<400 mg/day) probably leads to a depletion in body calcium content which could compromise good bone mineralization, thus increasing fracture risk.…”

Section: Discussionmentioning

confidence: 99%

Calcium intake, bone mineral density, and fragility fractures: evidence from an Italian outpatient population

Vannucci

Masi²,

Gronchi

et al. 2017

Arch Osteoporos

View full text Add to dashboard Cite

Summary This study was performed in 1000 adult Italian subjects to focus on the effects of dietary calcium intake on bone health. A higher fracture risk appears to be associated with a reduced calcium intake. An adequate daily calcium intake is recommended to counteract osteoporotic fractures. Purpose The principal aim of the present study was to focus on the effects of dietary calcium intake on bone mineral density (BMD) and fragility fractures in a representative sample of an adult Italian outpatient population. Methods The study group consisted of 1000 consecutive adult Italian subjects [838 women (F) and 162 men (M)] referred to the Bone Metabolic Diseases Unit for the evaluation of their bone metabolism. Daily dietary calcium intake was assessed using a specific food frequency questionnaire (FFQ). Other evaluations included fracture risk, lumbar and femoral BMD, heel ultrasound, fragility fractures, plasma concentration of parathyroid hormone ([PTH]) and 25-hydroxy-vitamin D ([25(OH)D]), and urinary calcium. Results Only 10.4% of the subjects (n = 104; 71 F and 33 M) had a daily calcium intake adequate for adults (≥1000 mg/ day). No correlation was found between calcium intake and BMD. The transition from a daily dietary calcium intake <400 mg/day to a daily dietary calcium intake ≥400 mg/day was associated with a reduced fracture probability ratio at any site [from 42 to 21% (p < 0.05)]. Subjects with one or more vertebral fractures had a significantly lower dietary calcium intake (<400 mg/day) than did subjects without vertebral fractures, and they practiced physical activity only occasionally (p = 0.030). Conclusions Daily dietary calcium intake is lower than the recommended daily intake in an Italian ambulatory population, and a higher fracture risk appears to be associated with a reduced calcium intake. An age-adequate daily calcium intake, combined with regular physical activity, is strongly recommended in order to counteract fragility fractures.

show abstract

Section: Discussionmentioning

confidence: 99%

Calcium intake, bone mineral density, and fragility fractures: evidence from an Italian outpatient population

Vannucci

Masi²,

Gronchi

et al. 2017

Arch Osteoporos

View full text Add to dashboard Cite

show abstract

“…In addition, there are studies stating that the chosen anesthetic method had no effect on the mortality or outcome [7]. Bone tissue quality disorders linked to osteoporosis, vitamin D deficiency, and other comorbidities increase the risk of hip fracture in elderly patients [8]. In our study, the mean age of patients given THP treatment was found to be lower than patients undergoing PHP or PFN treatments.…”

Section: Discussionmentioning

confidence: 50%

Comparison of Anesthetic Administration According to Method of Hip Surgery

Esenyel

Ervatan

et al. 2017

Eurasian J Med

View full text Add to dashboard Cite

Objective: The aim of this study is to compare total hip prosthesis (THP), partial hip prosthesis (PHP), and proximal femoral nail (PFN) patients in terms of the chosen anesthetic method.Methods: A total of 850 patients who underwent hip surgery were divided into 3 groups according to the operation type: PHP (n=281), PFN (n=393), and THP (n=176). The type of anesthesia administered, interventions during anesthesia, and complications were retrospectively evaluated. The groups were compared in terms of patient age, American Society of Anesthesiologists (ASA) scores, chosen anesthetic method, operation duration, colloid use during operation, use of antihypertensive medication, use of vasoconstrictor medication, development of hypotension, blood transfusion administered, development of cardiac arrest, requirements for intensive care after operation, and use of a central catheter.Results: In the THP group, the mean age of patients was significantly lower as compared to the PHP and PFN groups. The duration of operation was lower in the PFN group as compared to the other two groups. In the THP group, general anesthesia was significantly high, while in the PFN group, regional anesthetic administration was high. While colloid use was greater in the PFN group, the blood transfusion rate was higher in the THP group. The use of antihypertensive medication was higher in the THP group as compared to the other groups.Conclusion: Although all three anesthetic methods could be used in hip surgery, the type of anesthesia should be chosen according to the type of hip surgery considering the duration of operation, age of the patient, and blood lost during the operation.Keywords: Hip prosthesis, general anesthesia, hip surgery, proksimal femoral nail, spinal anaesthesia, partial hip prosthesis, total hip arthroplasty ÖZ Amaç: Bu çalışmanın amacı, total kalça protezi (TKP), Parsiyel kalça protezi (PKP), Proksimal femoral çivi (PFN) uygulanan hastaların seçilen anestezi yöntemine göre karşılaştırılmasıdır.Gereç ve Yöntem: Kalça cerrahisi uygulanan 850 hasta; operasyon çeşidine göre; PKP (n=281) grubu ve PFN (n=393) grubu ve TKP (n=176) grubu olarak üçe ayrılarak uygulanan anestezi tipleri, anestezi sırasında yapılan girişimler ve oluşan komplikasyonlar açısından retrospektif olarak değerlendirildi. Gruplar; hastaların yaşı, American Society of Anesthesiologists (ASA) skorları, seçilen anestezi yöntemi, operasyon süreleri, operasyon sırasındaki kolloid kullanımı, antihipertansif ilaç kullanımı, vazokonstriktör ilaç kulanımı, hipotansiyon gelişimi, kan transfüzyon uygulamaları, kardiak arrest gelişimi, ameliyat sonrası yoğun bakım gereksinimi ve santral kateter uygulanması açısından karşılaştırıldı.Bulgular: TKP grubunda hastaların yaş ortalaması PKP ve TFN grubundan anlamlı olarak düşük bulunmuştur. PFN grubunda operasyon süresi diğer iki gruptan düşük bulunmuştur. TKP grubunda genel anestezi uygulaması, PFN grubunda ise regional anestezi uygulamaları anlamlı olarak yüksek bulunmuştur. PKP grubunda kolloid kullanımı fazla iken,...

show abstract

“…The proximal femoral bone quality, which is considered 1 of the morphological features, related to proximal femoral fracture, was previously assessed by plain radiography and pelvic CT. The relation to hip fracture was evaluated (2, 23, 24). Feola et al (24) found that the risk of hip fracture was increased in patients with low CI (24).…”

Section: Discussionmentioning

confidence: 99%

The Influence of Acetabular Morphology on Prediction of Proximal Femur Fractures Types in an Elderly Population

et al. 2017

View full text Add to dashboard Cite

show abstract

Femoral cortical index: an indicator of poor bone quality in patient with hip fracture

Abstract: A significant correlation among low values of FCI, comorbidities, severe hypovitaminosis D. and BMD in patients with hip fractures has been found. FCI could be a useful tool to evaluate bone fragility and to predict fracture risk even in the normal and osteopenic BMD patients.

Cited by 20 publications

References 29 publications

Calcium intake, bone mineral density, and fragility fractures: evidence from an Italian outpatient population

Calcium intake, bone mineral density, and fragility fractures: evidence from an Italian outpatient population

Comparison of Anesthetic Administration According to Method of Hip Surgery

The Influence of Acetabular Morphology on Prediction of Proximal Femur Fractures Types in an Elderly Population

Contact Info

Product

Resources

About