Hip fractures in elderly with evaluation of risk factors

Sakib Arfee, Asma Jabeen, Akib Arfee, Adnan Aadil Arfee


Background: Fractures in the neck and Perirtrochanteric region of hip contribute significantly to health problem globally. Primary occurrence in elderly osteoporotic people and create a major socioeconomical and public health problem. Almost every such fractures require surgery, hospitalization, and prolonged rehabilitation. The objective of the study was to evaluate the risk factors of hip fractures among the elderly population.

Methods: This observational study was conducted among the elderly patients admitted in the department of orthopedics Government Medical College Jammu. Elderly patients regardless of sex and education admitted with hip fractures from August 2019 to July 2020 were included in the study.

Results: There were 330 patients admitted with hip injuries. Among these 330 patients admitted with hip fractures, 205 (62.12%) were females and 125 (37.88%) males, mean age was 72.8 years. Age limit was >60 and <100 years. Majority of the patients i.e., 192 (58.18%) were in between the age group of 60 to 79 years.

Conclusions: Increasing age is directly proportional to increasing incidence of hip fractures. This proportional rise can be reduced with early steps for prevention of osteoporosis and hence ultimately alleviate the disability and burden of the disease.


Hip fracture, Elderly population, Public health problem

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Kenny T. Hip fracture. J Pak Orthopaed Assoc. 2011;12410.

Foster KW. Hip fracture in adults. Int J Sci Res. 2014.

Beaty JH. Fractures of the hip in children. Orthop Clin North Am. 2006;37:223.

McCarthy J, Noonan K. Fractures and traumatic dislocations of the hip in children. In: Rockwood and Wilkins' Fractures in Children, 7th, Beaty JH, Kasser J, eds. Lippincott Williams and Wilkins, Philadelphia. 2010:769.

LeBlane KE, Muncie Jr. HL, Leblanc LL. Hip fracture: Diagnosis, Treatment and Secondary Preventure. J American Family Physicians. 2014;89:12.

Kannus P, Parkkari J, Niemi S, Palvanen M, Jarvinen M, Vuori I. Prevention of hip fractrue in elderly people with use of hip protector. N Eng J Med. 2000;343:1506-13.

Waure CD, Spechia Ml, Cadeddu C, Capizzi S, Capri S, Dipietro ML. Prevention of post menopausal osteoprotic fractures: Results of the health Technology assesment of a new antiosteoprotic drug. Biomed Research international. 2014:975927.

Mannstadt M, Lin AE, Le LP. A 27-Year Old Man with Severe Osteoporosis and Multiple Bone Fractures. Engl J Med. 2014;371:465-72.

Johnell O, Kanis JA. An estimate of the world-wide prevalence and disability associated with osteoporotic fractures. Osteoporos Int. 2006;17:1726-33.

Kanis JA. Assessment of osteoporosis at the primary healthcare level. Technical Report. WHO Collaborating Centre. Accessed on

Oden A, Dawson A, Dere W, Johnell O, Jonsson B, Kanis JA. Lifetime risk of hip fractures is underestimated. Osteoporos Int. 1998;8:599-603.

Brennan SL, Henry MJ, Kotowicz MA, Nicholson GC, Zhang Y, Pasco JA. Incident hip fracture and social disadvantage in an Australian population aged 50 years or greater. 2011;48:607.

Quah C, Boulton C, Moran C. The influence of socioeconomic status on the incidence, outcome and mortality of fractures of the hip. J Bone Joint Surg Br. 2011;93:801.

Guilley E, Herrmann F, Rapin CH, Hoffmeyer P, Rizzoli R, Chevalley T. Socioeconomic and living conditions are determinants of hip fracture incidence and age occurrence among community-dwelling elderly. Osteoporos Int. 2011;22:647.

Cokolic M. Diabetes mellitus and osteoporosis. Diabetol Croatica. 1998;27:135-42.

Magnus JH, Broussard DL. Relationship between bone mineral density and myocardial infraction in US adults. Osteoporos Int. 2005;16:2053-62.

Ji J, Hemminki K, Sundquist K, Sundquist J. Seasonal and regional variation of asthma and association with osteoporosis. Possible role of Vitamin D in asthma. J Asthma. 2010;47:1045-8.

Arinzon Z, Fidelman Z, Zuta A, Peisakh A, Berner YN. Functional recovery after hip fracture in old-old elderly patients. Arch Gerontol Geriatr. 2005;40:327-36.

Thorngren KG, Norrman PO, Hommel A, Cedervall M, Thorngren J, Winstrand H. Influence of age, sex, fracture type and pre-fracture living on rehabilitation pattern after hip fracture in the elderly. Disabil Rehabil. 2005;27:1091-7.