| Objective To provide prevention and treatment evidence for elderly fragile fractures in the south area of Fujian by retrospectively analyzing the characteristics and treatment status of fragile fractures treated in orthopedic department of our hospital. Methods The fragile hip fracture patients who were older than 50 years and treated in our hospital from 2010 to 2012 were collected and retrospectively studied. The personal characteristics ( gender and age) , injury year and season, fracture types， treatment approaches，anti-osteoporosis therapy, and one-year follow-up mortality were collected and statistically analyzed. Results There were 560 fragile hip fracture patients who were older than 50 years old in our hospital in 3 years. The incidence was of regional characteristics. The number of cases each year was essentially flat (190 cases in 2010，184 cases in 2011，and 186 cases in 2012). The incidence of each year was not statistically different (P >0. 05). Female patients (373 cases) were significantly more than male patients (187 cases) , and the male to female ratio was 1:2，with statistical significance (P <0.05). Fractures in the femoral neck (316 cases) were more than those in the intertrochanter (244 cases). The average age was 77. 19 ± 10. 38 years old. There was significant statistical significance (P <0. 05) between age proportion group. The number of cases in spring (149 cases) and winter (145 cases) were more, and the proportion between winter spring and summer was statistically significant (P <0. 05). The surgical treatment ratio was 89. 11% (499/560). Eighty patients had BMD examination when they stayed in the hospital. The proportion of patients who had anti-osteoporosis therapy during hospitalization was 63. 93% (358/560). The ratio of continued anti-osteoporosis treatment in follow-up patients was only 20. 63% (59/286). In the 231 patients with more than one-year followed-up, the mortality in the surgical group (6.57%) was significantly lower than the that in non-surgical group (72.73% )，and the difference was statistically significant (P < 0. 05). Conclusion The fragile hip fracture in south area of Fujian is characterized by the distribution in age, gender, disease location, season occurrence, and treatment method. The attention of anti-osteoporosis therapy is insufficiently paid. Education should be strengthened in the publicity and the strategy of prevention and treatment should
be carried out to prevent fractures. |