Hip fracture pattern at a major Tanzanian referral hospital: focus on fragility hip fractures

Tsabasvi, Munyaradzi; Davey, Sonya; Temu, Rogers

doi:10.1007/s11657-017-0338-z

Cited by 11 publications

(12 citation statements)

References 8 publications

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“…Although fall was the major reason for hip fractures in our study, the contribution of fall was slightly lower than that reported in studies from developed countries ( Table 6 ) 12 21 22 30 31 32 33 34 35 36) . Many studies from developed countries report fall as the contributor for over 90% of fractures while only about three-quarters of fractures in our study were the result of falls 37 38) .…”

Section: Discussioncontrasting

confidence: 80%

“…There are considerable variations among studies with respect to the definition of hip fractures in elderly populations. The present study included all patients 50 years or older, similar to other previous studies from India and other developing countries, which was chosen with the consideration that life expectancy in India is approximately 69 years 12 19 20 21 22 23 24) . However, it is possible that some younger patients in our study may not have had a true osteoporotic fracture.…”

Section: Discussionmentioning

confidence: 99%

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Injury Mechanisms of Hip Fractures in India

George

Farooque

et al. 2021

Hip & Pelvis

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Purpose Hip fractures are a major cause of morbidity and mortality in the elderly; however, the current literature on the injury patterns of hip fractures in India is lacking. Understanding the injury profile of these patients is important to develop targeted interventions to prevent hip fractures. Materials and Methods This was a prospective study of all hip fracture patients aged 50 years or older admitted from February 2019 to December 2019. Details about the injury were recorded by an in-person interview. Multivariate logistic regression analysis was used to identify the factors associated with any particular injury mechanism. Results Two hundred and eighty-three hip fractures were included. The mechanism of injury for the majority of patients was a fall from a standing height (n=217, 76.7%) while 60 patients (21.2%) were injured as the result of a road traffic accident (RTA). Slipping on a wet floor (n=49, 22.6%) and change in posture (n=35, 16.1%) were the most commonly reported reasons for falling. Pedestrian injuries were the most common form of RTA (n=29, 48.3%). Increasing age ( P <0.001) and female sex ( P =0.001) were associated with fall as the mode of injury while sustaining another fracture in addition to hip fracture ( P =0.032) was associated with RTA as the mode of injury. Conclusion A fall from standing height is the predominant mode of injury among elderly hip fractures especially among women. Environmental hazards and postural changes are responsible for the majority of falls while pedestrian accidents contribute to a majority of the RTAs.

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Section: Discussioncontrasting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Injury Mechanisms of Hip Fractures in India

George

Farooque

et al. 2021

Hip & Pelvis

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“…The incidence of intertrochanteric fractures is increasing remarkably due to the increasing elderly population and rapidly developing automobile industry. [1,2] Surgical intervention is the most common treatment for intertrochanteric fractures, and the preferred surgical strategy is appropriate internal fixation and early mobilization. [3] The therapeutic goals are to achieve stable fixation, allow early mobilization, restore the baseline functional mobility and independence, and improve patient's quality of life.…”

Section: Introductionmentioning

confidence: 99%

Three-dimensional mapping of intertrochanteric fracture lines

et al. 2019

Chinese Medical Journal

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“…Fracture Liaison Services should seek to address the issue of fragility fractures within their given locality, and, of course, there will be variation in demographics of the patient group [44] and the healthcare resources available. However, the resources required to implement a FLS are actually fairly limited.…”

Section: Implementation In a Low-resource Settingmentioning

confidence: 99%