Neck and Intertrochanteric Femur Fracture in Elderly in Emergency Department at Medical City
Hussein Kzar Basi Al-Shamri1* and Waleed A Abdulwahid2
In elderly people, hip fractures are the commonest cause for acute orthopedic admissions and the second leading cause of hospitalization and prolonged length of stay.
Aim of study: To evaluate proximal femoral fractures of elderly patients presented to emergency department of Baghdad Teaching hospital and to determine risk factors related to these fractures.
Patients & Methods: A cross sectional study carried out in Emergency Department of Baghdad Teaching hospital for period from 1st of December, 2013 to 1st of December, 2014 on convenient sample of 26 elderly patients with femoral neck and intertrochanteric fractures. A detailed clinical history and full physical examination was performed. All the patients received conservative management and stabilization then transferred to orthopedic unit for operative care.
Results: Males were more than females. More than half of injured patients had fracture of femur neck and 42.3% of them had intertrochanteric femoral fracture. There was a significant association between osteoporosis and female gender (p=0.01). A significant association was observed between females and steroids use (p=0.03). There was a significant association between femoral neck fractures and osteoporosis (p=0.05).
Conclusions & Recommendations: Femoral neck fractures were more prevalent than Intertrochanteric fractures and were more prevalent among elderly females with history of osteoporosis. Encouragement of vitamin D and calcium supplementation in high-risk individuals especially elderly peoples.