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Original Article Risk Factors for Subsequent Contralateral Hip Fracture following Osteoporotic Hip Fracture Surgery
Kyung-Jae Lee, Jung-Hoon Choi, Hee-Uk Ye, Young-Hun Kim, Kyung-Hwan Lim
Journal of Musculoskeletal Trauma 2021;34(2):51-56.
DOI: https://doi.org/10.12671/jkfs.2021.34.2.51
Published online: April 30, 2021
Department of Orthopaedic Surgery, Keimyung University Dongsan Hospital, Keimyung University School of Medicine, Daegu, Korea

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Abstract

Purpose
This study examined the risk factors contributing to subsequent hip fractures in patients with osteoporotic hip fractures.
Materials and Methods
Between March 2008 and February 2016, 68 patients sustained a subsequent contralateral hip fracture after surgery for a primary osteoporotic hip fracture (Study group). The patients were compared with 475 patients who had been followed up for a minimum of one year with a unilateral osteoporotic hip fracture (Control group). The demographic data, bone mineral density (BMD), osteoporosis medication, osteoporotic fracture history, comorbid disease, type of surgery, preoperative, postoperative ambulatory capacity, and postoperative delirium in the two groups were compared.
Results
The demographic data, BMD, osteoporosis medication history, comorbid disease, type of surgery, and postoperative delirium were similar in the two groups. At three months after the primary surgery, the poor ambulatory capacity was significantly higher in the study group than the control group (p<0.001).
Conclusion
The ambulatory capacity after primary surgery is an important risk factor in the occurrence of subsequent hip fractures after osteoporotic hip fracture. Cause analysis regarding the poor ambulatory capacity after surgery will be necessary, and the development of a functional recovery program and careful management of the walking ability recovery will be needed.


J Korean Fract Soc. 2021 Apr;34(2):51-56. Korean.
Published online Apr 23, 2021.
https://doi.org/10.12671/jkfs.2021.34.2.51
Copyright © 2021 The Korean Fracture Society. All rights reserved.
Original Article

Risk Factors for Subsequent Contralateral Hip Fracture following Osteoporotic Hip Fracture Surgery

Kyung-Jae Lee, M.D., Ph.D., Jung-Hoon Choi, M.D., Hee-Uk Ye, M.D., Young-Hun Kim, M.D. and Kyung-Hwan Lim, M.D.
    • Department of Orthopaedic Surgery, Keimyung University Dongsan Hospital, Keimyung University School of Medicine, Daegu, Korea.
  • Correspondence to: Kyung-Hwan Lim, M.D. Department of Orthopaedic Surgery, Keimyung University Dongsan Hospital, 1035 Dalgubeol-daero, Dalseo-gu, Daegu 42601, Korea. Tel: +82-53-258-4771, Fax: +82-53-258-4773, Email: osmdlkh@gmail.com
Received October 15, 2020; Revised November 09, 2020; Accepted December 31, 2020.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

This study examined the risk factors contributing to subsequent hip fractures in patients with osteoporotic hip fractures.

Materials and Methods

Between March 2008 and February 2016, 68 patients sustained a subsequent contralateral hip fracture after surgery for a primary osteoporotic hip fracture (Study group). The patients were compared with 475 patients who had been followed up for a minimum of one year with a unilateral osteoporotic hip fracture (Control group). The demographic data, bone mineral density (BMD), osteoporosis medication, osteoporotic fracture history, comorbid disease, type of surgery, preoperative, postoperative ambulatory capacity, and postoperative delirium in the two groups were compared.

Results

The demographic data, BMD, osteoporosis medication history, comorbid disease, type of surgery, and postoperative delirium were similar in the two groups. At three months after the primary surgery, the poor ambulatory capacity was significantly higher in the study group than the control group (p<0.001).

Conclusion

The ambulatory capacity after primary surgery is an important risk factor in the occurrence of subsequent hip fractures after osteoporotic hip fracture. Cause analysis regarding the poor ambulatory capacity after surgery will be necessary, and the development of a functional recovery program and careful management of the walking ability recovery will be needed.

Keywords
Hip, Fracture, Subsequent injury, Risk factor

Figures

Fig. 1
Flow chart of the study. f/u: follow-up.

Fig. 2
Frequency of the periods between the initial fracture and a second fracture.

Tables

Table 1
Modified Koval Score

Table 2
Fracture-Type in the Study Group

Table 3
Demographic Data of the Study and Control Group

Table 4
Characteristics of the Study and Control Group

Table 5
Characteristics of the Study and Control Group

Table 6
Multivariate Logistic Regression Analysis

Notes

Financial support:None.

Conflict of interests:None.

References

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    Risk Factors for Subsequent Contralateral Hip Fracture following Osteoporotic Hip Fracture Surgery
    J Korean Fract Soc. 2021;34(2):51-56.   Published online April 30, 2021
    DOI: https://doi.org/10.12671/jkfs.2021.34.2.51
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