The Occurrence of Hip Fractures among Old Patients in KSA

Alkhathami, Bader Saad; Alghamdi, Hussam Ahmed Mohammed; Ashoor, Motaz; Kh. Khan, Abdulrahman Anis; Abdulkarim, Mohammad Ahmed; Alrobie, Mohammed Abdullah Mohammed; Alhazzazi, Khalid Mohammed A.; Alomair, Abdullah Adel; Almoabadi, Mohammed  Ammar A; Shabekni, Alaa Adel; Alsadiqi, Rayan Othman M

doi:10.12816/0042848

The Occurrence of Hip Fractures among Old Patients in KSA

Document Type : Original Article

Authors

¹ King Khalid University

² Albaha University

³ King Abdulaziz General Hospital Jeddah Radiology Department

⁴ King Abdulaziz General Hospital Jeddah

⁵ Service Resident Ortho, Prince Sultan Medical Military Hospital Riyadh

⁶ Qassim University

⁷ King Saud Bin Abdulaziz

⁸ Massachusetts General Hospital

⁹ Ibn Sina College,

¹⁰ Al-Imam Mohammed bin Saud Islamic University

10.12816/0042848

Abstract

Background: Associated with the increase in the aging population, there is an increase in the occurrence of hip fractures worldwide. Result following such fractures is influenced by age of the patient.
Purpose: This study purposes to evaluate the incidence and early outcome of hip fractures, comparing between different age groups.
Materials and Methods: Data of hip fractures collected over a period of five years was analyzed. Patients were divided into three groups, group A (patients under the age of 64), group B (patients between 65 and 84 years of age), and group C (patients over the age of 85).
Results: Of the 588 patients included in the study, there were 45 patients in group A, 351 patients in group B and 192 patients in group C. There was a female preponderance across all age groups, and this increased as age advanced (p < 0.0001). A significantly larger number of older patients lived alone and needed aids to walk before the injury (p < 0.0001). There was no significant difference in the type of fracture across the three groups (p = 0.13). A higher proportion of the elderly with intracapsular fractures were treated by replacement arthroplasty. Older patients who had internal fixation of intracapsular fractures had a better walking ability at 4 months. The overall deterioration in mobility was greater in older patients (p < 0.0001). Mortality was higher in older patients.
Conclusions: Hip fractures are more common among females irrespective of age group. Older patients have a higher mortality and a greater deterioration of walking ability after such injuries. Internal fixation of intracapsular fractures have demonstrated satisfactory early outcome in the immediate period. This might be attributed to retention of native bone, better proprioception and shorter operation time.

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