J Korean Fract Soc.  2005 Oct;18(4):375-378. 10.12671/jkfs.2005.18.4.375.

Clinical Distribution of Bilateral Non-contemporary Hip Fractures in Elderly Patients

• Yoon HK
• Cho DY
• Shin DE
• Song SJ
• Kim JH
• Yoon BH

• KMID: 2015399
• DOI: http://doi.org/10.12671/jkfs.2005.18.4.375

Abstract

PURPOSE: To evaluate the clinical distribution of bilateral non-contemporary hip fractures regarding to fractures type, risk factors and fractures interval in elderly patients.
MATERIALS AND METHODS
24 bilateral non-contemporary cases among 621 hip fractures from Sep. 1997 to Dec. 2004 were evaluated regarding to gender, age, incidence, Singh index, causes, interval, fracture pattern, operative methods and underlying diseases between the two fractures retrospectively.
RESULTS
The distribution is as follows: males to females (5:19), incidence (3.86%), mean age (76.9 years and 78.9 years), average Singh index 2.5 degree (2~4) and 2.1 degree (1~3) respectively. 21 cases (87.5%) in both fractures suffered from minor slips and 19 cases (79.1%) occured within 3 years of the first fracture and 17 (68.1%) cases were same type fractures. Bipolar hemiarthroplasty was performed in 12 cases. All but one patient had underlying cardiovascular diseases and CVA sequales.
CONCLUSION
To prevent the bilateral non-contemporary hip fractures, surgeons must bear in mind that osteoporosis treatment, control of underlying cardiovascular diseases and CVA sequales, and the effective rehabilitation is very important.

Keyword

Bilateral hip; Fractures; Clinical distribution

MeSH Terms

Aged*
Cardiovascular Diseases
Female
Hemiarthroplasty
Hip Fractures*
Hip*
Hospital Distribution Systems*
Humans
Incidence
Male
Osteoporosis
Rehabilitation
Retrospective Studies
Risk Factors