Turkish Journal of Geriatrics 2011 , Vol 14, Issue 3
DEGREE OF OSTEOPOROSIS AFFECTS THE FRACTURE SITE IN OLDER PATIENTS WITH PROXIMAL FEMUR FRACTURES
Ulukan İNAN1, Aybars TEKCAN2, Sinan SEBER1, Hakan ÖMEROĞLU1
1Eskişehir Osmangazi Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı ESKİŞEHİR
2Gümüşhane Devlet Hastanesi Ortopedi ve Travmatoloji GÜMÜŞHANE
Introduction: This study was performed to analyse the relationship between the existence and degree of osteoporosis with age, gender, fracture site and laterality in older patients having proximal fractures due to simple fall.

Materials and Method: Records of 200 consecutive patients ((117 women, 83 men, mean age 74.5 years) who were at or older than 60 years of age and had proximal femoral fracture were retrospectively analyzed.

Results: A significant difference was not found between the osteoporotic and non-osteoporotic groups with respect to age, gender, laterality and fracture site (p>0.05). The rate of intertrochanteric fracture was significantly higher in borderline/mild osteoporosis group than the rate in moderate/severe osteoporosis group (p<0.001). The grade of osteoporosis was not related to age, gender and laterality in the osteoporotic patients with proximal femur fractures (p>0.05).

Conclusion: Older patients with borderline or mild osteoporosis are more prone to intertrochanteric fractures in the hip region. The risk of femoral neck fractures increases in patients with advanced osteoporosis. Keywords : Aged; Hip Fractures; Osteoporosis