Journal
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME
Volume 93B, Issue 5, Pages 658-664Publisher
BRITISH EDITORIAL SOC BONE JOINT SURGERY
DOI: 10.1302/0301-620X.93B5.24536
Keywords
-
Categories
Funding
- MRC [G0800808] Funding Source: UKRI
- Medical Research Council [G0800808] Funding Source: researchfish
- Medical Research Council [G0800808] Funding Source: Medline
Ask authors/readers for more resources
We examined prospectively collected data from 6782 consecutive hip fractures and identified 327 fractures in 315 women aged <= 65 years. We report on their demographic characteristics, treatment and outcome and compare them with a cohort of 4810 hip fractures in 4542 women aged > 65 years. The first significant increase in age-related incidence of hip fracture was at 45, rather than 50, which is when screening by the osteoporosis service starts in most health areas. Hip fractures in younger women are sustained by a population at risk as a result of underlying disease. Mortality of younger women with hip fracture was 46 times the background mortality of the female population. Smoking had a strong influence on the relative risk of 'early' (<= 65 years of age) fracture. Lag screw fixation was the most common method of operative treatment. General complication rates were low, as were re-operation rates for cemented prostheses. Kaplan-Meier implant survivorship of displaced intracapsular fractures treated by reduction and lag screw fixation was 71% (95% confidence interval 56 to 81) at five years. The best form of treatment remains controversial.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available