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The Occurrence of Hip Fractures among Old Patients in KSA

Article

Last updated: 03 Jan 2025

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Abstract

Background: Associated with the increase in the aging population, there is an increase in the occurrence of hip fractures worldwide. Result following such fractures is influenced by age of the patient. Purpose: This study purposes to evaluate the incidence and early outcome of hip fractures, comparing between different age groups. Materials and Methods: Data of hip fractures collected over a period of five years was analyzed. Patients were divided into three groups, group A (patients under the age of 64), group B (patients between 65 and 84 years of age), and group C (patients over the age of 85). Results: Of the 588 patients included in the study, there were 45 patients in group A, 351 patients in group B and 192 patients in group C. There was a female preponderance across all age groups, and this increased as age advanced (p < 0.0001). A significantly larger number of older patients lived alone and needed aids to walk before the injury (p < 0.0001). There was no significant difference in the type of fracture across the three groups (p = 0.13). A higher proportion of the elderly with intracapsular fractures were treated by replacement arthroplasty. Older patients who had internal fixation of intracapsular fractures had a better walking ability at 4 months. The overall deterioration in mobility was greater in older patients (p < 0.0001). Mortality was higher in older patients. Conclusions: Hip fractures are more common among females irrespective of age group. Older patients have a higher mortality and a greater deterioration of walking ability after such injuries. Internal fixation of intracapsular fractures have demonstrated satisfactory early outcome in the immediate period. This might be attributed to retention of native bone, better proprioception and shorter operation time.  

DOI

10.12816/0042848

Keywords

Intracapsular Fractures, elderly patients, Hip Fractures

Authors

First Name

Bader Saad

Last Name

Alkhathami

MiddleName

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Affiliation

King Khalid University

Email

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City

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Orcid

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First Name

Hussam Ahmed Mohammed

Last Name

Alghamdi

MiddleName

-

Affiliation

Albaha University

Email

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City

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Orcid

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First Name

Motaz

Last Name

Ashoor

MiddleName

-

Affiliation

King Abdulaziz General Hospital Jeddah Radiology Department

Email

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City

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Orcid

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First Name

Abdulrahman Anis

Last Name

Kh. Khan

MiddleName

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Affiliation

King Abdulaziz General Hospital Jeddah

Email

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City

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Orcid

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First Name

Mohammad Ahmed

Last Name

Abdulkarim

MiddleName

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Affiliation

Service Resident Ortho, Prince Sultan Medical Military Hospital Riyadh

Email

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City

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Orcid

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First Name

Mohammed Abdullah Mohammed

Last Name

Alrobie

MiddleName

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Affiliation

Qassim University

Email

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City

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Orcid

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First Name

Khalid Mohammed A.

Last Name

Alhazzazi

MiddleName

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Affiliation

King Saud Bin Abdulaziz

Email

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City

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Orcid

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First Name

Abdullah Adel

Last Name

Alomair

MiddleName

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Affiliation

Service Resident Ortho, Prince Sultan Medical Military Hospital Riyadh

Email

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City

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Orcid

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First Name

Mohammed Ammar A

Last Name

Almoabadi

MiddleName

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Affiliation

Massachusetts General Hospital

Email

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City

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Orcid

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First Name

Alaa Adel

Last Name

Shabekni

MiddleName

-

Affiliation

Ibn Sina College,

Email

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City

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Orcid

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First Name

Rayan Othman M

Last Name

Alsadiqi

MiddleName

-

Affiliation

Al-Imam Mohammed bin Saud Islamic University

Email

-

City

-

Orcid

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Volume

69

Article Issue

8

Related Issue

2381

Issue Date

2017-10-01

Receive Date

2018-09-05

Publish Date

2017-10-01

Page Start

3,011

Page End

3,015

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_12715.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=12715

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

The Occurrence of Hip Fractures among Old Patients in KSA

Details

Type

Article

Created At

22 Jan 2023