Influence of bone mineral density and hip geometry on the different types of hip fracture

Li, Yizhong; Lin, Johnson; Cai, Sanjun; Yan, Lisheng; Pan, Yuancheng; Yao, Xuedong; Zhuang, Huafeng; Wang, Pei‐Wen; Zeng, Yanjun

doi:10.17305/bjbms.2016.638

Cited by 18 publications

(24 citation statements)

References 15 publications

(19 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This shows that BMD fails to fully reflect facture risk with age. Hip bone structure deterioration should be a factor that leads to the increase of fracture risk [8][9][10] . However, many patients with fragility fractures have a history of falling.…”

Section: Correlation Of Low Bone Mineral Density and Falls With Fractmentioning

confidence: 99%

Low Grip Strength is a Strong Risk Factor of Osteoporosis in Postmenopausal Women

Zhuang

Cai

et al. 2018

Orthopaedic Surgery

View full text Add to dashboard Cite

Handgrip strength and 25OHD decrease with aging in postmenopausal women. The patients with lower 25OHD level had significantly lower BMD of femoral neck. The patients with lower handgrip strength had significantly lower BMD of lumbar spine, femoral neck, and total hip. Grip strength measurement is the simplest muscle strength measurement method. Our study confirmed that low grip strength was correlated with low BMD and was a strong risk factor for osteoporosis in postmenopausal women.

show abstract

Section: Correlation Of Low Bone Mineral Density and Falls With Fractmentioning

confidence: 99%

Low Grip Strength is a Strong Risk Factor of Osteoporosis in Postmenopausal Women

Zhuang

Cai

et al. 2018

Orthopaedic Surgery

View full text Add to dashboard Cite

show abstract

“…Osteoporosis is characterized by low bone mass. The bone mineral density (BMD) measured by dual‐energy X‐ray absorptiometry (DXA) is the “gold standard” for diagnosis of osteoporosis and shows low bone mineral density and poor hip structure in patients with fragility hip fractures. Low BMD and bone quality increase the risk of fracture and prevalent fractures significantly increase the risk of future fractures.…”

Section: Introductionmentioning

confidence: 99%

Anti‐Osteoporosis Medications Associated with Decreased Mortality after Hip Fracture

Wang

Zhuang

et al. 2019

Orthopaedic Surgery

View full text Add to dashboard Cite

ObjectiveTo study the effect of anti‐osteoporosis therapies on mortality after hip fracture.MethodsThis retrospective study was carried out in the Second Affiliated Hospital of Fujian Medical University and enrolled 690 patients 50 years of age and older who were admitted with hip fractures between 2010 and 2015. The patients were followed in 2017: 690 patients aged was from 50 to 103 years. There were 456 women and 234 men. There were 335 patients with fractures of the femoral neck and 355 patients with intertrochanteric fractures of the femur. There were 444 (64.35%) patients who also had internal diseases. The Charlson comorbidity index was 0–6. The anti‐osteoporosis medications were classified into no anti‐osteoporosis medication, calcium + vitamin D supplementations, non‐bisphosphonate medication, and bisphosphonate medication. The physicians followed the patients or family members by personal visit and telephone. Multivariable Cox regression analyses were done with known risk factors for mortality of hip fracture, such as gender, age, number of combined internal diseases, fracture type, place of residence, and Charlson comorbidity index, to show which anti‐osteoporosis medications had significant effects on mortality after adjustment for these variables.ResultsOut of 690 patients with hip fractures, 149 patients received no anti‐osteoporosis medication, 63 patients received calcium +vitamin D supplementations, 398 patients received non‐bisphosphonate medication, and 80 patients received bisphosphonate medication. The patients were followed between 7 months and 52 months, with the average of 28.53 ± 9.75 months. A total of 166 patients died during the follow‐up period. Of 166 deaths, 43 occurred within 3 months, 65 within 6 months, and 99 within 1 year after the hip fracture. In this study, fracture type, place of residence, and Charlson comorbidity index were not associated with the mortality, and the male gender, age > 75 years, and ≥ 2 combined internal diseases were the independent factors for deaths post‐hip fracture. The cumulative mortality was 36.24% in the patients receiving no anti‐osteoporosis medication. The hazard ratio for mortality after hip fracture with bisphosphonate medication, non‐bisphosphonate medication, and calcium/vitamin D supplementation was 0.355 (95% CI, 0.194–0.648), 0.492 (95% CI, 0.347–0.699) and 0.616 (95% CI, 0.341–1.114), respectively, as compared with no anti‐osteoporosis group. Bisphosphonate and non‐bisphosphonate medications for osteoporosis were significantly associated with the reduction of cumulative mortality post‐hip fracture (P < 0.01).ConclusionsBisphosphonate and non‐bisphosphonate medications for osteoporosis were significantly associated with decreased mortality after fragility hip fracture.

show abstract

“…Trochanteric fractures arethe common fractures in the elderly [3,7,8], and they are accompanied by chronic diseases such as osteoporosis, hypertension, and diabetes [9][10][11]12], and can cause various complications [3,[12][13][14], for example,compressive lesion, respiratory and urinary tract inflammation due to prolonged bed confinement, asthenia, and limb shortening. Consequently, early diagnosis and surgical intervention are essential for complication prevention.…”

Section: Discussionmentioning

confidence: 99%

A Evaluation of Initial Treatment of Trochanteric Fractures using Gamma Nails

Lê¹,

Nguyen²

2020

int arch med

View full text Add to dashboard Cite

Background: Trochanteric fractures are extra-joint fractures, account for 55% of femoral proximal fractures. They often happen in the elderly with increased frequency due to age. Treatment experiences at 7A Military Hospital showed increased trochanteric fracture cases. To properly assess treatment effectiveness and select proper treatment methods, the study of “Evaluation of initial treatment of trochanteric fractures using gamma nails at 7A Military Hospital and made the conclusions of indications and applied techniques” was carried out. The study objectives are evaluating the initial treatment of trochanteric fractures using gamma nails at 7A Military Hospital and made the conclusions of indications and applied techniques. Methods and findings: nineteen patients diagnosed with traumatic trochanteric fractures and surgically treated with Gamma nails were monitored and evaluated for bone fusion, bone union, range of motion, limb shortening, and functional rehabilitation according to Merle D'Aubigné scale. Fourteen patients (82.35%) achieved proper bone union with the femoral neck-shaft angle of 1250 - 1300, three patients (17.65%) got slightly deviated bone union. Amongst patients aged under 60, 14/17 cases (82.35%) achieved “good” and “very good” functional rehabilitation, scored over 15 points according to Merle D΄aubigne Index; 3/17 cases (17.65%) got “average” recovery. Hip range of motion in 14 cases (82.35%) achieved “very good” (normal movement) or “good” (over 10% movement limitation) outcome, 3 cases had “average” movement (17.65%). Limb shortening of below 1cm took place in 10 patients (58.82%), 1 – 2 cm in 4 patients (23,53%) and over 3 cm in 3 patients (17.65%). Conclusions: The surgical treatment of trochanteric fractures using gamma nails yielded positive outcomes. Keywords: Gamma nails, trochanteric fractures, elderly, extra-joint.

show abstract

Influence of bone mineral density and hip geometry on the different types of hip fracture

Cited by 18 publications

References 15 publications

Low Grip Strength is a Strong Risk Factor of Osteoporosis in Postmenopausal Women

Low Grip Strength is a Strong Risk Factor of Osteoporosis in Postmenopausal Women

Anti‐Osteoporosis Medications Associated with Decreased Mortality after Hip Fracture

A Evaluation of Initial Treatment of Trochanteric Fractures using Gamma Nails

Contact Info

Product

Resources

About