Age and Sex Features of Proximal Hip Geometry in Patients with its Intraarticular Fractures

N.V. Grygorieva, O.B. Zubach

Abstract


According to the literature data, some parameters of the femoral bone (FB), namely the length of its axis, head-collum-diaphyseal angle, etc., are independent predictors of proximal femoral (PF) fractures, but such studies among Ukrainian patients are absent. This article presents the literature data and the results of own research on the geometrical features of the FB in patients with intra-articular PF fractures. We have analyzed 100 survey (anteroposterior) radiographs of the hip joint in patients aged 50–89 years (median age 70.98 ± 0.99 years). We observed 31 women and 39 men, who were hospitalized with intra-articular FB fractures, and 30 persons (16 women and 14 men) without fractures. Assessment of hip geometry parameters was performed on the contralateral limb in relation to fracture. For the analysis, patients were divided into subgroups by gender and age. It was established the significant effect of the age on the parameters of PF geometry in men and women with intra-articular fractures, but not in patients without fractures. Also, we have found the significantly lower indices of the length of femoral axis, the base and the diameter of the head, «head — acetabulum» distance in men with intra-articular PF fractures compared to the parameters in persons without fractures, in the absence of significant differences in indices of women. Identified differences should be considered for both planning surgery after PF fracture and for predicting the risk of PF fractures in older age patients.


Keywords


proximal hip geometry; intra-articular hip fractures; men; women; osteoporosis

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DOI: https://doi.org/10.22141/2224-1507.4.20.2015.79326

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