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The Characteristics and Outcomes of Contralateral Non-Concurrent Hip Fractures: A Retrospective Study in Geriatric Patients.
Saglam, Sönmez; Arican, Mehmet; Karaduman, Zekeriya Okan; Yücel, Mücahid Osman; Degirmenci, Erdem; Uludag, Veysel.
Afiliación
  • Saglam S; Department of Orthopaedics and Traumatology, Faculty of Medicine, Duzce University, 81620 Duzce, Turkey.
  • Arican M; Department of Orthopaedics and Traumatology, Faculty of Medicine, Duzce University, 81620 Duzce, Turkey.
  • Karaduman ZO; Department of Orthopaedics and Traumatology, Faculty of Medicine, Duzce University, 81620 Duzce, Turkey.
  • Yücel MO; Department of Orthopaedics and Traumatology, Faculty of Medicine, Duzce University, 81620 Duzce, Turkey.
  • Degirmenci E; Department of Orthopaedics and Traumatology, Faculty of Medicine, Duzce University, 81620 Duzce, Turkey.
  • Uludag V; Department of Orthopaedics and Traumatology, Faculty of Medicine, Duzce University, 81620 Duzce, Turkey.
Medicina (Kaunas) ; 60(6)2024 Jun 01.
Article en En | MEDLINE | ID: mdl-38929545
ABSTRACT
Background and

Objectives:

This study aimed to determine the relationship between non-simultaneous contralateral hip fractures, urban and rural differences, fracture localization, time between fractures, physiotherapy applications, comorbidity, and the second fracture outcomes. Materials and

Methods:

We retrospectively analyzed 107 patients aged 65 and older with proximal femur fractures (PFFs) who underwent surgery at Düzce University Medical Faculty between January 2010 and December 2022. High-energy fractures, pathological fractures, and patients with a history of old fractures were excluded.

Results:

The study included 66 females (61.7%) and 41 males (38.3%), with a mean age of 83.76 years. The mean interval between two fractures was 28.3 months. There was no statistical difference between the localization of the first and second fractures (p = 0.107). However, there was a significant difference in the first PFF localizations of patients living in rural areas (p = 0.023). Patients with heart failure, respiratory failure, osteoporosis, and cognitive impairment had shorter intervals between fractures (p < 0.001).

Conclusions:

This study shows that age, female gender, place of residence, comorbid diseases, and whether physical therapy is received after the first fracture are significant risk factors for a second hip fracture in patients over 65 years of age.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fracturas de Cadera Límite: Aged / Aged80 / Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: Medicina (Kaunas) Asunto de la revista: MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Suiza

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fracturas de Cadera Límite: Aged / Aged80 / Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: Medicina (Kaunas) Asunto de la revista: MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Suiza