Relative Incidence of Fracture Neck of Femur and Intertrochanteric Fractures in Elderly Men and Women- A Cross Sectional Study

Abstract

Background: With the rapidly aging population, number of hip fractures is expected to increase over next decades. With increasing age risk of intertrochanteric fractures is more than neck of femur fractures. Current study aims at deriving the relative incidence of intertrochanteric fracture and fracture neck of femur in men and women above 60 years. Materials& Methods; This is a cross-sectional study of one hundred patients above the age of 60 years with Intertrochanteric fractures and fracture neck of femur. The patients were divided into 3 groups based on age. Detailed examination of the patients was done to note the age, gender, nature and diagnosis of the fracture.
Results: Logistic regression analysis showed significant interaction, the relative proportion of the two types of hip fracture changing with age in a different manner in the two genders. Discussion: We found small but significant increase in subcapital fractures with aging in men. In women the proportion of intertrochanteric fractures rises from 24% in the youngest group to almost 52% in the oldest group, while in men it falls from 59% to 42%.
Conclusion: We found increasing incidence of intertrochanteric fractures in women, but men showed an increase in the incidence of fracture neck of femur with increasing age.