Study of Contralateral Hip in Patients with Hip Fracture
Background: This study was done to know whether patients with hip injury have pre-existing osteoporosis due to which, the patient sustained the fracture, subsequent fracture of the contralateral hip, any osteoarthritic changes of the contralateral hip at the time of index fracture, and ten-year pro...
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2023-07-01
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| Series: | Journal of Orthopedic and Spine Trauma |
| Subjects: | |
| Online Access: | https://jost.tums.ac.ir/index.php/jost/article/view/413 |
| _version_ | 1797742516431224832 |
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| author | Surapaneni Suresh Babu Velagapudi Nanda Gopal Waseem Raza Ansari Shaik |
| author_facet | Surapaneni Suresh Babu Velagapudi Nanda Gopal Waseem Raza Ansari Shaik |
| author_sort | Surapaneni Suresh Babu |
| collection | DOAJ |
| description |
Background: This study was done to know whether patients with hip injury have pre-existing osteoporosis due to which, the patient sustained the fracture, subsequent fracture of the contralateral hip, any osteoarthritic changes of the contralateral hip at the time of index fracture, and ten-year probability of a major osteoporotic fracture by calculating fracture risk assessment percentage (FRAX%).
Methods: 34 patients were evaluated for age, gender, body mass index (BMI), fracture type, Singh index, bone mineral density (BMD), T-scores using dual-energy X-ray absorptiometry (DEXA) scan, and ten-year probability of fracture using FRAX%.
Results: Average age of the patients with hip fractures was 72.1 years. About 85% of patients were women. 67.6% of the patients were with BMI of 18.5-25 kg/m2. The Singh index for osteoporosis fell in grades 2 and 3 in most patients. The mean interval between index fracture and contralateral hip injury was 4.25 years. Osteoarthritis of the contralateral hip was seen in 9%. The probability in ten years of hip fracture in 30 indexed patients using the FRAX% tool was 15%, and for 4 patients who were having bilateral hip fractures was 22.75%. There was a significant relationship between FRAX% with the Singh index and osteoarthritis of the contralateral hip. FRAX% was high in female patients.
Conclusion: Contralateral hip fracture in patients with osteoporosis was high in women and patients with low and high BMI. Fractures were also high in patients with low Singh index and T-scores. FRAX% increased with an increase in age and increased with a decrease in T-score.
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| first_indexed | 2024-03-12T14:41:57Z |
| format | Article |
| id | doaj.art-558563176916484981e61b295272c594 |
| institution | Directory Open Access Journal |
| issn | 2538-2330 2538-4600 |
| language | English |
| last_indexed | 2024-03-12T14:41:57Z |
| publishDate | 2023-07-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Journal of Orthopedic and Spine Trauma |
| spelling | doaj.art-558563176916484981e61b295272c5942023-08-16T06:17:58ZengTehran University of Medical SciencesJournal of Orthopedic and Spine Trauma2538-23302538-46002023-07-019210.18502/jost.v9i2.12627Study of Contralateral Hip in Patients with Hip FractureSurapaneni Suresh Babu0Velagapudi Nanda Gopal1Waseem Raza Ansari Shaik2Department of Orthopedics, Dr. Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation, Chinnaoutpalli, Krishna Dt, Andhrapradesh, IndiaDepartment of Orthopedics, Dr. Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation, Chinnaoutpalli, Krishna Dt, Andhrapradesh, IndiaAarogya Hospitals, Old Vimalamma Hospital Street, Gandhipuram, Rajahmundry, Andhrapradesh, India Background: This study was done to know whether patients with hip injury have pre-existing osteoporosis due to which, the patient sustained the fracture, subsequent fracture of the contralateral hip, any osteoarthritic changes of the contralateral hip at the time of index fracture, and ten-year probability of a major osteoporotic fracture by calculating fracture risk assessment percentage (FRAX%). Methods: 34 patients were evaluated for age, gender, body mass index (BMI), fracture type, Singh index, bone mineral density (BMD), T-scores using dual-energy X-ray absorptiometry (DEXA) scan, and ten-year probability of fracture using FRAX%. Results: Average age of the patients with hip fractures was 72.1 years. About 85% of patients were women. 67.6% of the patients were with BMI of 18.5-25 kg/m2. The Singh index for osteoporosis fell in grades 2 and 3 in most patients. The mean interval between index fracture and contralateral hip injury was 4.25 years. Osteoarthritis of the contralateral hip was seen in 9%. The probability in ten years of hip fracture in 30 indexed patients using the FRAX% tool was 15%, and for 4 patients who were having bilateral hip fractures was 22.75%. There was a significant relationship between FRAX% with the Singh index and osteoarthritis of the contralateral hip. FRAX% was high in female patients. Conclusion: Contralateral hip fracture in patients with osteoporosis was high in women and patients with low and high BMI. Fractures were also high in patients with low Singh index and T-scores. FRAX% increased with an increase in age and increased with a decrease in T-score. https://jost.tums.ac.ir/index.php/jost/article/view/413OsteoporosisT-ScoreContralateral hip fractureFracture Risk Assessment percentageFRAX% |
| spellingShingle | Surapaneni Suresh Babu Velagapudi Nanda Gopal Waseem Raza Ansari Shaik Study of Contralateral Hip in Patients with Hip Fracture Journal of Orthopedic and Spine Trauma Osteoporosis T-Score Contralateral hip fracture Fracture Risk Assessment percentage FRAX% |
| title | Study of Contralateral Hip in Patients with Hip Fracture |
| title_full | Study of Contralateral Hip in Patients with Hip Fracture |
| title_fullStr | Study of Contralateral Hip in Patients with Hip Fracture |
| title_full_unstemmed | Study of Contralateral Hip in Patients with Hip Fracture |
| title_short | Study of Contralateral Hip in Patients with Hip Fracture |
| title_sort | study of contralateral hip in patients with hip fracture |
| topic | Osteoporosis T-Score Contralateral hip fracture Fracture Risk Assessment percentage FRAX% |
| url | https://jost.tums.ac.ir/index.php/jost/article/view/413 |
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