Evaluation of Osteoporosis in Patients with Hip Fracture - Original Investigation

Abstract

Aim: The aim of this study is to determine the state of osteoporosis and treatment in patients with osteoporotic hip fracture. Patients and Methods: 39 patients enrolled in this study that were above 50 years with an atraumatic hip fracture and operated in 1. and 2. Department of Orthopedics and Traumatology. Istanbul Training and Research Hospital, in our study (31 women, 8 men) we investigate patients about risk factors of osteoporosis, before and after fracture severity of osteoporosis, treatment of osteoporosis. Patients who are younger than 50 years, and immobilized for long time, have pathological fracture, hip fracture is 2 cm distal than minor trochanter; are taken out from our study. Results: There is not significant difference between type of fracture, age, sex and risk factors. Before fractured 5 patients were diagnosed as osteoporosis and only 4 of them had been using antiresorptive, vitamin D, and calcium preparats. 36 patients that we studied never examined and treated for osteoporosis. All patients participating in study were informed about osteoporosis. Each patient was asked to apply for physical therapy and rehabilitation department with result of lumber and femoral bone mineral density measurement. Conclusion: Patients who had recent osteoporotic fractures must be treated to prevent new fracture. Orthopedic doctors should care osteoporosis and a new fracture risk as a serious important complication of osteoporotic hip fracture. (From the World of Osteoporosis 2007;13:11-4