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12387

Risk Factors, Post-operative Complications and outcome of management of Hip Fracture in Arar, Northern Saudi Arabia

Article

Last updated: 03 Jan 2025

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Abstract

Background: Hip fractures are defined as any fracture of the femur between the articular cartilages of the hip joint to 5 cm below the distal point of the lesser trochanter. Hip fracture is a worldwide public health problem that primarily affects osteoporotic individuals and the elderly. Up to 30 % of the elderly patients with a hip fracture die within the first year. Objective: to show the risk factors and post-operative complications of hip fracture in cases attending orthopedic department of Arar Central Hospital in Arar city. Methods: a cross sectional study conducted during the period from 1 December 2017 to 31 March 2018. A predesigned questionnaire was used for data collection, and included inquiries about sociodemographic data of the studied patients, performing muscular exercise, osteoporosis, diminished vision and disorders in equilibrium, causes of fracture, type and site of fracture, occurrence of complications of surgery, postoperative care and the final outcome of treatment. Results: Most (70.1%) of the studied population aged 22-59 years, males constituted 59.8%. Causes of hip fracture were accident in 66.7% and fall in 25.0%. Among hip fracture cases, 43.9% were obese, 13.1% have osteoporosis, and 17.8% have disorders in equilibrium. Males reported insignificant higher percentage of hip fracture than females (25.0% Vs. 18.6%). Osteoporosis, diminished vision, chronic diseases, continuous use of medications and smoking showed significant relation with hip fracture (P<0.05). While BMI, disorders in equilibrium and performing muscular exercise showed insignificant relation. Complications after surgery was osteomyelitis in 12.6%, early fixation failure in 4.2%, wound infections in 8.4% and hospital acquires pneumonia in 4.2%. Only two thirds of the cases were completely cured. Conclusion: in our study population in Arar city, males reported insignificant higher percentage of hip fracture than females. Osteoporosis, diminished vision, chronic illnesses, continuous use of medications and smoking were significant risk factors of hip fracture. Complications after surgery was included, osteomyelitis, early fixation failure, wound infections and hospital acquire pneumonia. Only two thirds of the cases were completely cured, the rest of cases showed disability and movement limitation.  

DOI

10.21608/ejhm.2018.12387

Keywords

Hip Fractures, risk factors, surgical complications, Outcome

Authors

First Name

Saud Rteamy R

Last Name

Alanazi

MiddleName

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Affiliation

Faculty of Medicine, Northern Border University, KSA

Email

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City

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Orcid

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First Name

Malik Azhar

Last Name

Hussain

MiddleName

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Affiliation

Assistant professor of surgery, College of Medicine, Northern Border University, Arar, Saudi Arabia

Email

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City

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Orcid

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First Name

Hamdan Ayed H

Last Name

Albathali

MiddleName

-

Affiliation

Faculty of Medicine, Northern Border University, KSA

Email

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City

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Orcid

-

First Name

Fatimah Khalifah A

Last Name

Alshammari

MiddleName

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Affiliation

Faculty of Medicine, Northern Border University, KSA

Email

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City

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Orcid

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First Name

Zaid Qati F

Last Name

Alshammari

MiddleName

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Affiliation

Faculty of Medicine, Northern Border University, KSA

Email

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City

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Orcid

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First Name

Adel Turki D

Last Name

ALenez

MiddleName

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Affiliation

Faculty of Medicine, Northern Border University, KSA

Email

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City

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Orcid

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First Name

Muaz Bilal Abdulhameed

Last Name

Wali

MiddleName

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Affiliation

Faculty of Medicine, Northern Border University, KSA

Email

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City

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Orcid

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First Name

Razan Fahad S

Last Name

Alotayfi

MiddleName

-

Affiliation

Faculty of Medicine, Northern Border University, KSA

Email

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City

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Orcid

-

First Name

Khalid Nadi M

Last Name

Alanazi

MiddleName

-

Affiliation

Faculty of Medicine, Northern Border University, KSA

Email

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City

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Orcid

-

First Name

Bader Arar Shadad

Last Name

Alruwaili

MiddleName

-

Affiliation

Faculty of Medicine, Northern Border University, KSA

Email

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City

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Orcid

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First Name

Abdalla Mohamed Bakr

Last Name

Ali

MiddleName

-

Affiliation

Faculty of Medicine, Sohag University, Egypt

Email

apdo3332008@gmail.com

City

-

Orcid

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Volume

73

Article Issue

2

Related Issue

2209

Issue Date

2018-10-01

Receive Date

2018-09-03

Publish Date

2018-10-01

Page Start

603

Page End

6,041

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_12387.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=12387

Order

11

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Risk Factors, Post-operative Complications and outcome of management of Hip Fracture in Arar, Northern Saudi Arabia

Details

Type

Article

Created At

22 Jan 2023