Risk factors and epidemiological profile of hip fractures in Indian population: A case-control study

Ahuja, Kaustubh; Sen, Sagnik; Dhanwal, Dinesh

doi:10.1016/j.afos.2017.08.097

Cited by 16 publications

(12 citation statements)

References 28 publications

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“…Ahuja et al in a retrospective study of risk factors and epidemiological profile of hip fractures in 41 patients concluded that simple measures like high friction bathroom tiles, bedside and wall side railings, trochanteric hip pads, adequate lighting play a significant role in reducing hip fractures. 19 Dhanwal et al described the first hip fracture incidence study from Rohtak district of India and found it to be same as of other Asian countries like china, Iran and South Korea. 8 Our study did not describe incidence rates as it is unlikely that all patients with hip fractures will visit our hospital for treatment.…”

Section: Resultsmentioning

confidence: 81%

Epidemiological analysis of hip fractures at a tertiary care center: a retrospective study

et al. 2018

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Background: Hip fractures are a leading cause of morbidity and mortality in the elderly population posing significant burden on health care resources. The purpose of this study is to determine the epidemiological analysis of hip fractures at a tertiary care center.Methods: This was a retrospective study done on patients with hip fractures admitted during the period 2015-2017 in Moradabad district of Uttar Pradesh. Case files and radiographs of patients were reviewed for age, gender, nature of trauma, associated comorbidities, type of fracture and presence of osteoporosis.Results: During the 2015-2017 period, 2214 patients with hip fractures were admitted, out of which 1180 were males and rest females. The mean age of patients was 56.8 years with 41.6% belonging to age group 60-75 years. In elderly patients, a low energy simple fall accounted for >85% of fractures with presence of significant osteoporosis (Singh’s index grade 3). The in hospital mortality was 2.1%. Hip fracture characteristics included intertrochanteric 57.81%, femoral neck 30.26% and sub trochanteric 11.93%. Smoking and medical comorbidities were present in a significant number of patients.Conclusions: With increased longevity, hip fractures are an increasing health care problem. Various preventive measures for osteoporosis and falls will decline the prevalence of these fractures.

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Section: Resultsmentioning

confidence: 81%

Epidemiological analysis of hip fractures at a tertiary care center: a retrospective study

et al. 2018

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“…The most common mode of injury in our study was due to fall at home 19(67.85%) in females. Ahuja et al did an analytic retrospective case control study of 41 patients and 41 matched volunteers and found falls due to slipping as the major factor leading to fracture neck of femur [11] . 26(54.16%) of femora head sample showed features of degenerative changes in form of chondromalacia.…”

Section: Discussionmentioning

confidence: 99%

The need of routine histopathological examination of resected head of femur after hemiarthroplasty: An observational study

Mallik¹,

Maharaj²,

Mohapatra³

et al. 2020

Int. J. Orthop. Sci.

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The neck of femur fracture is one of the commonest fracture amongst the elderly. Hemiarthroplasty is sought as the standard of treatment in these group of patients. Following surgery the resected head of femur is discarded. Though it has become a norm for routine histopathological evaluation of the head in total hip replacement but this is not the same in hemiarthroplasty. We studied 48 femoral head obtained after hemiarthroplasty in fracture neck of femur. Majority of our patients were female 28(58.33%) and the mode of injury in them was fall at home 19(67.85%) with mean waiting time for surgery 13±2.7days (Range 7.6-18.4days). We found degenerative osteoarthritis in form of Chondromalacia in 26(54.16%) patients among which males 15(57.69%) were the predominant variety presenting with a higher stage which was statistically significant in nature (P value= 0.014, χ2 value=5.994, df=1). Avascular necrosis was seen in 11(22.91%) cases. Though we found female (6) to be more affected but it was not statistically significant (P value=0.772, χ2 value=0.084, df=1). We found no cases of neoplasm or infection in our study. The histopathological study of the femur head didn't alter the further treatment plan of the patients. Hence we won't recommend doing a routine tissue study of the resected head in these group of patients without any prior positive history (like neoplasm) which will lead to savings over health expenses.

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“…1,2 Approximately, 37 pelvic fractures per 100,000 annually have been reported in Western Europe and the United States out of which only 10% cases involve acetabulum while 17.7% cases of acetabular fractures have been reported in Indian population. 3,4 Most of the acetabular fractures occur due to high-energy trauma like road accidents (80.5%) and fall from height (10.7%). 5 Apart from this, fragility acetabular fractures are caused by low-energy fall from standing height in osteoporotic patients.…”

Section: Introductionmentioning

confidence: 99%

Outcome of acetabulum fractures treated with open reduction and internal fixation through Kocher-Langenbeck Approach: A retrospective study

Kumar

Kushwaha

Tiwari

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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Background: Complex anatomy of acetabular fracture is quite challenging for the orthopedic surgeons. Many Acetabular fracture fixation approaches have been used for a long time to treat different fracture patterns of acetabulum. Kocher-Langenbeck Approach (K-L approach) of acetabulum fracture is usually used by most of orthopedic surgeons. In this retrospective study, we evaluated the clinical and functional outcome of subtypes of acetabulum fractures treated with K-L approach. Assessment of Intra and postoperative complications of subtypes of acetabulum fractures was also done. Method: Eighty patients (48 men and 32 women) were included in this retrospective study with a mean follow-up period of 2.6 years. Fractures were classified according to Letournal and Judet classification. K-L approach was performed in all these patients. Post operative reduction, Radiological outcome was quantified using Matta's criteria while the functional outcome was assessed according to Merle d'Aubign e and Postel scoring system. Postoperative complications were evaluated. Results: The mean age of a total of 80 cases was 43.64 ± 13.24 year. The type of fracture was found to be significantly associated with concentric/non-concentric reduction (p ¼ 0.003) and with post op reduction (p ¼ 0.005). The post operative reduction was found to be significantly associated with radiological (p < 0.001) and functional outcome (p < 0.001) at one year post op. The type of fracture was found to be significantly associated with radiological outcome (p < 0.001) while non-significantly found to be associated with functional outcome at 1 year (p ¼ 0.050). The type of fracture was found to be significantly associated with post op complications (p ¼ 0.003) and with arthritis (p ¼ 0.001). Conclusion: K-L approach is a multifaceted and convenient approach for treating acetabulum fractures. Type of fracture and post-operative reduction are key factors for a satisfactory outcome. Transverse with posterior wall fracture has the worst prognosis.

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Risk factors and epidemiological profile of hip fractures in Indian population: A case-control study

Cited by 16 publications

References 28 publications

Epidemiological analysis of hip fractures at a tertiary care center: a retrospective study

Epidemiological analysis of hip fractures at a tertiary care center: a retrospective study

The need of routine histopathological examination of resected head of femur after hemiarthroplasty: An observational study

Outcome of acetabulum fractures treated with open reduction and internal fixation through Kocher-Langenbeck Approach: A retrospective study

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