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.	王滿宜, 危杰. 股骨頸骨折臨床研究的若干問題與新概念[J]. 中華創傷骨科雜志, 2003, 5(1):5-9.
7.	Jensen JS, T?ndevold 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, 史麗萍, 吳友偉, 等. 西安地區髖部骨折流行病學調查[J]. 中國臨床保健雜志, 2012, 15(6):571-572.
10.	吳云峰, 孫志穎, 李鋒. 老年髖部骨折191例流行病學調查分析[J]. 現代中西醫結合雜志, 2011, 20(25):3163-3164.
11.	尹英民, 林偉龍, 沈海敏, 等. 髖部骨折1266例流行病學調查分析[J]. 老年醫學與保健, 2013, 19(3):161-164.
12.	龔偉華, 曾一鳴, 唐堅, 等. 髖部骨折的發生與股骨近端三維幾何解剖形態的相關性研究[J]. 醫用生物力學, 2013, 28(1):109-114.
13.	梅其偉. 骨生化代謝指標和singh指數預測老年髖部骨折發生的研究進展[J]. 中國矯形外科雜志, 2013, 21(2):140-142.
14.	周靖, 黨育, 張培訓, 等. 219例股骨頸骨折患者的臨床特點分析[J]. 中華外科雜志, 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.	戴鶴玲, 孫天勝, 劉智. 髖部骨密度和幾何結構與老年髖部骨折發病的關系[J]. 中國老年學雜志, 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, 趙忠海, 等. 沈陽地區老年髖部骨質疏松性骨折流行病學調查分析[J]. 中國骨質疏松雜志, 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. 王滿宜, 危杰. 股骨頸骨折臨床研究的若干問題與新概念[J]. 中華創傷骨科雜志, 2003, 5(1):5-9.
7. Jensen JS, T?ndevold 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, 史麗萍, 吳友偉, 等. 西安地區髖部骨折流行病學調查[J]. 中國臨床保健雜志, 2012, 15(6):571-572.
10. 吳云峰, 孫志穎, 李鋒. 老年髖部骨折191例流行病學調查分析[J]. 現代中西醫結合雜志, 2011, 20(25):3163-3164.
11. 尹英民, 林偉龍, 沈海敏, 等. 髖部骨折1266例流行病學調查分析[J]. 老年醫學與保健, 2013, 19(3):161-164.
12. 龔偉華, 曾一鳴, 唐堅, 等. 髖部骨折的發生與股骨近端三維幾何解剖形態的相關性研究[J]. 醫用生物力學, 2013, 28(1):109-114.
13. 梅其偉. 骨生化代謝指標和singh指數預測老年髖部骨折發生的研究進展[J]. 中國矯形外科雜志, 2013, 21(2):140-142.
14. 周靖, 黨育, 張培訓, 等. 219例股骨頸骨折患者的臨床特點分析[J]. 中華外科雜志, 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. 戴鶴玲, 孫天勝, 劉智. 髖部骨密度和幾何結構與老年髖部骨折發病的關系[J]. 中國老年學雜志, 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, 趙忠海, 等. 沈陽地區老年髖部骨質疏松性骨折流行病學調查分析[J]. 中國骨質疏松雜志, 2013, 19(3):293-296, 238.

West China Medical Journal

Clinical Features Analysis of Elderly Hip Fracture in Leshan Area

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