Clinical Features Analysis of Elderly Hip Fracture in Leshan Area_West China Medical Journal

Authors：

 LIUKai ,  WANGHong-chuan , WANGYong-cai , YANBin , JIANGJun-wei

Department of Orthopedics, People's Hospital of Leshan, Leshan, Sichuan 614000, P. R. China;

Corresponding author：

WANGHong-chuan, Email: 2603757827@qq.com

Keywords：

Hip fracture; Elderly; Clinical feature

DOI：

10.7507/1002-0179.20140560

Video：

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Objective To investigate the clinical features of elderly hip fracture in Leshan area in China. Methods The clinical data of patients with hip fractures from June 2006 to January 2013 were retrospectively analyzed. Gender, age, fracture type, injury causes, activities before injury and treatment were analyzed. Results The mean age of patients with a hip fracture was 76.5 years. The overall male to female ratio with hip fracture was 1:1.44. There were 154 patients (50.0%) with femoral neck fracture, 138 patients (44.8%) with intertrochanteric fracture, and 16 patients (5.2%) with subrtrochanteric fracture. A total of 248 patients (77.3%) were poorly educated, and 210 patients (68.2%) had basic medical insurance. The mean time between being injured and hospitalized after injury was 3 days. There were 257 patients (83.4%) with fall damage. Conclusion Female patients with hip fracture are more than male patients. Fall damage is the main injure type. The features of elderly hip fracture in Leshan include retardation to consult a doctor, poor education of the patients, dependence primarily on basic medical insurance and under-emphasis of anti-osteoporosis therapy.

Citation： LIUKai, WANGHong-chuan, WANGYong-cai, YANBin, JIANGJun-wei. Clinical Features Analysis of Elderly Hip Fracture in Leshan Area. West China Medical Journal, 2014, 29(10): 1838-1840. doi: 10.7507/1002-0179.20140560 Copy

1.	Braithwaite RS, Col NF, Wong JB. Estimating hip fracture morbidity, mortality and costs[J]. J Am Geriatr Soc, 2003, 51(3):364-370.
2.	Xu L, Lu A, Zhao X, et al. Very low rates of hip fracture in Beijing, People's Republic of China the Beijing Osteoporosis Project[J]. Am J Epidemiol, 1996, 144(9):901-907.
3.	Xia WB, He SL, Xu L, et al. Rapidly increasing rates of hip fracture in Beijing, China[J]. J Bone Miner Res, 2012, 27(1):125-129.
4.	Yan L, Zhou B, Prentice A, et al. Epidemiological study of hip fracture in Shenyang, People's Republic of China[J]. Bone, 1999, 24(2):151-155.
5.	Zhang L, Cheng AG, Bai ZQ, et al. Epidemiology of cervical and trochanteric fractures of the proximal femur in 1994 in Tangshan, China[J]. J Bone Miner Metab, 2000, 18(2):84-88.
6.	王满宜, 危杰. 股骨颈骨折临床研究的若干问题与新概念[J]. 中华创伤骨科杂志, 2003, 5(1):5-9.
7.	Jensen JS, Tøndevold E, Sonne-Holm S. Stable trochanteric fractures. A comparative analysis of four methods of internal fixation[J]. Acta Orthop Scand, 1980, 51(5):811-816.
8.	Wang J, Wang Y, Liu WD, et al. Hip fractures in Hefei, China:the Hefei osteoporosis project[J]. J Bone Miner Metab, 2014, 32(2):206-214.
9.	李敏, 史丽萍, 吴友伟, 等. 西安地区髋部骨折流行病学调查[J]. 中国临床保健杂志, 2012, 15(6):571-572.
10.	吴云峰, 孙志颖, 李锋. 老年髋部骨折191例流行病学调查分析[J]. 现代中西医结合杂志, 2011, 20(25):3163-3164.
11.	尹英民, 林伟龙, 沈海敏, 等. 髋部骨折1266例流行病学调查分析[J]. 老年医学与保健, 2013, 19(3):161-164.
12.	龚伟华, 曾一鸣, 唐坚, 等. 髋部骨折的发生与股骨近端三维几何解剖形态的相关性研究[J]. 医用生物力学, 2013, 28(1):109-114.
13.	梅其伟. 骨生化代谢指标和singh指数预测老年髋部骨折发生的研究进展[J]. 中国矫形外科杂志, 2013, 21(2):140-142.
14.	周靖, 党育, 张培训, 等. 219例股骨颈骨折患者的临床特点分析[J]. 中华外科杂志, 2011, 49(8):729-732.
15.	Friedman SM, Mendelson DA, Kates SL, et al. Geriatric co-management of proximal femur fractures:total quality management and protocol-driven care result in better outcomes for a frail patient population[J]. J Am Geriatr Soc, 2008, 56(7):1349-1356.
16.	Kuisma R. A randomized, controlled comparison of home versus institutional rehabilitation of patients with hip fracture[J]. Clin Rehabil, 2002, 16(5):553-561.
17.	戴鹤玲, 孙天胜, 刘智. 髋部骨密度和几何结构与老年髋部骨折发病的关系[J]. 中国老年学杂志, 2013, 33(2):294-296.
18.	Vokes TJ, Gillen DL. Using clinical risk factors and bone mineral density to determine who among patients undergoing bone densitometry should have vertebral fracture assessment[J]. Osteoporos Int, 2010, 21(12):2083-2091.
19.	Wu Q, Magnus JH, Rice JC, et al. Does using lower limit of normal values enhance the ability of a single bone mineral density measure to predict fractures[J]. Osteoporos Int, 2010, 21(11):1881-1888.
20.	李洪秋, 阿良, 赵忠海, 等. 沈阳地区老年髋部骨质疏松性骨折流行病学调查分析[J]. 中国骨质疏松杂志, 2013, 19(3):293-296, 238.

1. Braithwaite RS, Col NF, Wong JB. Estimating hip fracture morbidity, mortality and costs[J]. J Am Geriatr Soc, 2003, 51(3):364-370.
2. Xu L, Lu A, Zhao X, et al. Very low rates of hip fracture in Beijing, People's Republic of China the Beijing Osteoporosis Project[J]. Am J Epidemiol, 1996, 144(9):901-907.
3. Xia WB, He SL, Xu L, et al. Rapidly increasing rates of hip fracture in Beijing, China[J]. J Bone Miner Res, 2012, 27(1):125-129.
4. Yan L, Zhou B, Prentice A, et al. Epidemiological study of hip fracture in Shenyang, People's Republic of China[J]. Bone, 1999, 24(2):151-155.
5. Zhang L, Cheng AG, Bai ZQ, et al. Epidemiology of cervical and trochanteric fractures of the proximal femur in 1994 in Tangshan, China[J]. J Bone Miner Metab, 2000, 18(2):84-88.
6. 王满宜, 危杰. 股骨颈骨折临床研究的若干问题与新概念[J]. 中华创伤骨科杂志, 2003, 5(1):5-9.
7. Jensen JS, Tøndevold E, Sonne-Holm S. Stable trochanteric fractures. A comparative analysis of four methods of internal fixation[J]. Acta Orthop Scand, 1980, 51(5):811-816.
8. Wang J, Wang Y, Liu WD, et al. Hip fractures in Hefei, China:the Hefei osteoporosis project[J]. J Bone Miner Metab, 2014, 32(2):206-214.
9. 李敏, 史丽萍, 吴友伟, 等. 西安地区髋部骨折流行病学调查[J]. 中国临床保健杂志, 2012, 15(6):571-572.
10. 吴云峰, 孙志颖, 李锋. 老年髋部骨折191例流行病学调查分析[J]. 现代中西医结合杂志, 2011, 20(25):3163-3164.
11. 尹英民, 林伟龙, 沈海敏, 等. 髋部骨折1266例流行病学调查分析[J]. 老年医学与保健, 2013, 19(3):161-164.
12. 龚伟华, 曾一鸣, 唐坚, 等. 髋部骨折的发生与股骨近端三维几何解剖形态的相关性研究[J]. 医用生物力学, 2013, 28(1):109-114.
13. 梅其伟. 骨生化代谢指标和singh指数预测老年髋部骨折发生的研究进展[J]. 中国矫形外科杂志, 2013, 21(2):140-142.
14. 周靖, 党育, 张培训, 等. 219例股骨颈骨折患者的临床特点分析[J]. 中华外科杂志, 2011, 49(8):729-732.
15. Friedman SM, Mendelson DA, Kates SL, et al. Geriatric co-management of proximal femur fractures:total quality management and protocol-driven care result in better outcomes for a frail patient population[J]. J Am Geriatr Soc, 2008, 56(7):1349-1356.
16. Kuisma R. A randomized, controlled comparison of home versus institutional rehabilitation of patients with hip fracture[J]. Clin Rehabil, 2002, 16(5):553-561.
17. 戴鹤玲, 孙天胜, 刘智. 髋部骨密度和几何结构与老年髋部骨折发病的关系[J]. 中国老年学杂志, 2013, 33(2):294-296.
18. Vokes TJ, Gillen DL. Using clinical risk factors and bone mineral density to determine who among patients undergoing bone densitometry should have vertebral fracture assessment[J]. Osteoporos Int, 2010, 21(12):2083-2091.
19. Wu Q, Magnus JH, Rice JC, et al. Does using lower limit of normal values enhance the ability of a single bone mineral density measure to predict fractures[J]. Osteoporos Int, 2010, 21(11):1881-1888.
20. 李洪秋, 阿良, 赵忠海, 等. 沈阳地区老年髋部骨质疏松性骨折流行病学调查分析[J]. 中国骨质疏松杂志, 2013, 19(3):293-296, 238.

West China Medical Journal

Clinical Features Analysis of Elderly Hip Fracture in Leshan Area

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