Evaluation of Risk Factors Associated with Osteoporotic Hip Fractures - Original Investigation

Abstract

Aim: Hip fractures are the most serious and economically most important complication of osteoporosis. Therefore in our study we examined risk factors associated with osteoporotic hip fractures. Material and Methods: Patients (Group 1; n=35) with osteoporotic hip fractures were compared with patients aged ≥70 years without osteoporotic hip fractures (Group 2; n=35). Age and sex distribution of the patients were recorded. From all patients bone mineral density measurements (BMD) of their L1-L4 vertebras and femurs (total and femoral head) were obtained using dual energy X-Ray absorptiometry (DXA) techniques. Their walking distances, presence and location of any previous fracture(s), usage of any assisted device, concomitant disease(s), laboratory values, creatinine clearance (ml/min), and recurrent falling episodes were documented. Results: Any significant difference could not be found as for sex, BMD measurements of relevant regions, presence of any previous fracture(s), history of recurrent falls and creatinine clearance (p >0.05). The mean age of the patients in Group 1 was more advanced (p>0.05). Although walking distances in Group 2 were longer, the difference was not statistically significant (p>0.05).The usage of asisted device and the presence of concomitant disease(s) were more frequently observed in Group 1 (p<0.05). Conclusion: The association of many risk factors with hip fracture has been demonstrated. Determination of these risk factors and their detailed examination are quite important in the prevention of hip fractures and related disabilities. (From the World of Osteoporosis 2010;16:31-4)

Keywords

• Osteoporosis
• hip fracture
• risk factors