Antiresorptive treatment,when initiated after a first hip fracture,may not protect of a second contralateral episode in elderly population: A study with 685 patients |
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| Affiliation: | 1. Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, United States;2. Department of Hand Surgery, Nagoya University Graduate School of Medicine, Japan;1. Department of Mechanical Engineering, University of Melbourne, Parkville, Victoria 3010, Australia;2. Department of Orthopaedic Surgery, Epworth Healthcare, Richmond, Victoria 3121, Australia;3. Centre for Limb Reconstruction, The Epworth Centre, Richmond, Victoria 3121, Australia;4. Department of Surgery, Southern Clinical School, Monash University, Clayton, Victoria 3168, Australia;1. Department of Pediatric Orthopedics, Chang Gung Memorial Hospital, Linkou, Taiwan;2. College of Medicine, Chang Gung University, Taoyuan, Taiwan;3. Bone and Joint Research Center, Chang Gung Memorial Hospital, Linkou, Taiwan;1. Department of Orthopaedics and Trauma Surgery, University Hospital Freiburg, Germany;2. Department of Radiology, University Hospital Freiburg, Germany;3. Department of Radiology, Kreiskrankenhaus Emmendingen, Germany;2. Faculty of Medicine in the Galilee, Bar-Ilan University, Safed, Israel;3. Department of Orthopedic Surgery, Ziv Medical Center, Safed, Israel;4. Interventional Radiology Unit, Ziv Medical Center, Safed, Israel;5. Department of Vascular Surgery, Carmel Medical Center, Haifa, Israel;6. The Ruth and Bruce Rappaport Faculty of Medicine, Haifa, Israel;7. Department of General and Hepatobiliary Surgery, Ziv Medical Center, Safed, Israel;8. Department of Surgery, Ziv Medical Center, Safed, Israel |
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| Abstract: | IntroductionOsteoporosis predisposes for a higher risk of hip fracture and its treatment is frequently underprescribed. Our purpose was to assess the relation between having a second hip fracture and receiving osteoporosis treatment. Also to assess the relation between this second fracture and using central nervous system drugs or being institutionalised.Patients and methodsWe reviewed all the patients that were admitted to our hospital with an osteoporotic proximal femoral fracture between September 2009 and February 2011. We identified 685 patients, 74 of which presented a contralateral fracture. We evaluated if they were receiving osteoporosis treatment or taking any medication that could affect the central nervous system and if they were institutionalised.ResultsA 10.8% of patients had a second fracture and the mean time between the two of them was 20 months (1–122). There was a clear female predominance (76.35%). The mean age at occurrence of the primary fracture was 83.02 years and 85 for the second. A 90.8% did not follow any type of osteoporosis medication before the first fracture. A 50.9% did not receive central nervous system drugs and 79.1% lived at home at the time of the first fracture. 12.8% of the patients that did not follow the osteoporosis treatment, had a contralateral fracture, 3% more than those that did follow some kind of treatment, but this difference was not significant (p = 0.2).DiscussionWe identified a similar number of patients undergoing osteoporotic treatment as registered in literature. There was no significant difference between suffering a second hip fracture and following osteoporosis treatment, using psychotropic drugs or being institutionalised. |
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| Keywords: | Hip fracture Osteoporosis Contralateral hip fracture |
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