Risks of subsequent contralateral fractures of the trochanteric region in elderly

Risks of subsequent contralateral fractures of the trochanteric region in elderly

Authors

  • Francesco Pogliacomi PARMA UNIVERSITY DEPARTMENT OF SURGICAL SCIENCES ORTHOPAEDIC AND TRAUMATOLOGY SECTION
  • Andrea Pellegrini PARMA UNIVERSITY DEPARTMENT OF SURGICAL SCIENCES ORTHOPAEDIC AND TRAUMATOLOGY SECTION
  • Fabrizio Tacci PARMA UNIVERSITY DEPARTMENT OF SURGICAL SCIENCES ORTHOPAEDIC AND TRAUMATOLOGY SECTION
  • Martina Francesca Pedrini UNIVERISTY OF PARMA
  • Cosimo Costantino UNIVERISTY OF PARMA
  • Alessio Pedrazzini
  • Giuseppe Pedrazzi UNIVERISTY OF PARMA
  • Fulvio Lauretani UNIVERSITY HOSPITAL OF PARMA
  • Enrico Vaienti PARMA UNIVERSITY DEPARTMENT OF SURGICAL SCIENCES ORTHOPAEDIC AND TRAUMATOLOGY SECTION
  • Francesco Ceccarelli PARMA UNIVERSITY DEPARTMENT OF SURGICAL SCIENCES ORTHOPAEDIC AND TRAUMATOLOGY SECTION

Keywords:

OSTEOPOROSIS, FRACTURE, ELDERLY, HIP, TROCHANTER

Abstract

Background: Fractures in elderly are always a dramatic event and the healing is often not complete. In a context of bone fragility, repeated fractures are a growing problem in the industrialized world, in which the mean age of population is increasing. The aim of this study was to identify those general factors which may increase the risk of subsequent trochanteric fractures after an initial lesion. Materials and methods: Three-hundred and thirty-one patients who underwent intramedullary fixation for trochanteric fractures between January 2012 and December 2013 were studied. Forty subjects yet alive (group 1), affected by a subsequent contralateral hip fracture, were compared with 202 patients (group 2) affected by isolated trochanteric fracture. Days of hospitalization before surgery, hospitalization, period of rehabilitation, type of discharge and comorbidities, that are reported in literature as possible risk factors for hip refracture, were analyzed. In addition, all patients were interviewed in order to assess if a therapy for osteoporosis was prescribed after the initial fracture and how their gait had been modified by fractures. Results: Days of hospitalization before surgery, hospitalization, period of rehabilitation and type of discharge were not predictive factors for subsequent fractures, as well as diabetes mellitus, hypertension and cardiac diseases. The presence of neurologic and respiratory diseases were associated to a higher risk of refractures, as well as the absence of specific medical treatment for osteoporosis. Conclusions: Neurologic and respiratory comorbidities and the absence of osteoporosis medical treatment are the variables associated to a higher risk of contralateral fractures. Physicians can do more in terms of prevention and strategies must consider these risk factors.

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Published

16-01-2017

Issue

Section

ORIGINAL ARTICLES

How to Cite

1.
Risks of subsequent contralateral fractures of the trochanteric region in elderly. Acta Biomed [Internet]. 2017 Jan. 16 [cited 2024 Jun. 18];87(3):275-81. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/5936

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