Incidence of second hip fractures. A population-based study

Lönnroos, Eija; Kautiainen, Hannu; Karppi, Pertti; Hartikainen, Sirpa; Kiviranta, Ilkka; Sulkava, Raimo

doi:10.1007/s00198-007-0375-3

Cited by 112 publications

(89 citation statements)

References 30 publications

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“…Patients with hip fracture are at high risk for new vertebral and non-vertebral fractures shortly after the incident hip fracture [7][8][9][10] and represent an important population to target for secondary prevention especially when an adequate time between the first and second hip fractures for interventions has elapsed [10]. Nevertheless, there is little information about the efficacy of osteoporosis therapies in elderly population with established osteoporosis.…”

Section: Discussionmentioning

confidence: 99%

“…In fact, hip fracture survivors have a tremendous high risk for subsequent skeletal fractures with and standardized incidence ratio ranking from 2.8 to 8.1 in men and from 2.1 to 3.9 in women [7,8]. Recently, the cumulative incidence of a second hip fracture in a Finnish cohort has been set in 5.08% at 1 year and 8.11% at 2 years after the first fracture [9]; a similar study from the Framingham Study cohort has shown a 14.8% re-fracture rate during a median of 4.2 years of follow-up, the 1-year mortality being significantly increased after the second hip fracture (24.1% vs 15.9%) [10]. This high rate of subsequent fractures has been related to the high rate of bone loss-5% to 7% during the first year after the fracture [11]-nevertheless, the influence of osteoporosis undertreatment in patients with hip fracture is a fact that cannot be neglected [12][13][14], especially when enough time between the first and second hip fractures for interventions aimed to reduce second hip fractures has elapsed [10].…”

Section: Introductionmentioning

confidence: 99%

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Effect of alendronate in elderly patients after low trauma hip fracture repair

et al. 2008

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effect of alendronate in elderly patients after low trauma hip fracture repair

et al. 2008

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“…[6][7][8][9] However, previous reports indicate that second hip fractures account for up to 15% of all hip fractures. [10][11][12][13][14][15][16][17][18][19] These second hip fractures are associated with poorer postoperative outcomes, including complications, 20 transitions to long-term care 20 and mortality. 21 Omsland and colleagues 22 reported that the number of patients surviving first hip fracture surgery increased over 10 years.…”

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confidence: 99%

The burden of second hip fractures: provincial surgical hospitalizations over 15 years

Guy

Sobolev

Kuramoto

et al. 2017

CJS

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The burden of second hip fractures: provincial surgical hospitalizations over 15 years Background: Second hip fractures account for up to 15% of all hip fractures. We sought to determine if the proportion of hip fracture surgeries for second hip fracture changed over time in terms of patient and fracture characteristics. Methods:We reviewed the records of patients older than 60 years hospitalized for hip fracture surgery between 1990 and 2005 in British Columbia. We studied the proportion of surgeries for second hip fracture among all hip fracture surgeries. Linear regression tested for trends across fiscal years for women and men. Results:We obtained 46 341 patient records. Second hip fracture accounted for 8.3% of hip fracture surgeries. For women the proportion of second hip fracture surgeries increased linearly from 4% to 13% with each age decade (p = 0.001) and across fiscal years (p = 0.002). In men the proportion of second hip fracture surgeries was 5% for each age decade between the ages of 60 and 90 years across fiscal years, increasing to 8% for men older than 90 years across fiscal years (p = 0.20). These sex-specific trends were similar for both pertrochanteric and transcervical fracture types. Conclusion:Second hip fracture surgeries account for an increasing proportion of hip fracture surgeries and may require more health care resources to minimize poorer reported outcomes. Future research should determine whether more health care resources are required to manage these patients and optimize their outcomes.Contexte : Les secondes fractures de la hanche représentent jusqu'à 15 % de la totalité des fractures de la hanche. Nous avons tenté de déterminer si la proportion de chirurgies de seconde fracture de la hanche avait évolué au fil du temps sur le plan des caractéristiques des patients et des fractures.

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“…In literature, the incidence of a contralateral hip fracture in elderly osteoporotic patients ranges from 7 to 12% within two years after the first femoral neck fracture, with a high percentage of symmetry between the two fractures which varies from 70 to 83% (13,14). Therefore it is mandatory to adopt appropriate strategies to prevent the second fracture in these patients.…”

Section: Prevention Of the Second Contralateral Femoral Neck Fracturementioning

confidence: 99%

Surgical prevention of femoral neck fractures in elderly osteoporotic patients. A literature review

Chiarello

Tedesco

Cadossi

et al. 2016

ccmbm

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SummaryFragility fractures of the femur are one of the major causes of morbidity and mortality worldwide. The incidence of new contralateral hip fractures in elderly osteoporotic patients ranges from 7 to 12% within 2 years after the first fracture. Secondary prevention can be divided in: pharmacological therapy based on the prescription of anti-osteoporotic drugs with different mechanism of action and nonpharmacological therapy which is based on modification of environmental risk factors, on a healthy diet with daily supplements of calcium and vitamin D and calcium and on the use of hip protectors. Recently a new form of prevention is becoming achievable: surgical prevention; the rationale of surgical reinforcement is the need to increase the resistance of the femoral neck to the compression and distraction forces acting on it. In this paper we analyse all the experimental and "on the market" device available for the surgical prevention of femoral neck fracture.

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Incidence of second hip fractures. A population-based study

Abstract: There is a high incidence of second hip fractures. Secondary prevention of hip fractures needs to be improved. In addition to adequate treatment for osteoporosis, more attention should be directed toward appropriate use of psychotropic drugs.

Cited by 112 publications

References 30 publications

Effect of alendronate in elderly patients after low trauma hip fracture repair

Effect of alendronate in elderly patients after low trauma hip fracture repair

The burden of second hip fractures: provincial surgical hospitalizations over 15 years

Surgical prevention of femoral neck fractures in elderly osteoporotic patients. A literature review

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