Between Consecutive Fractures: Time and Sex as Dominant Factors in Type and Severity Concordance of Contralateral Hip Injuries
<b>Background/Objectives</b>: Hip fractures present a global public health concern, with a forecasted rise in incidence and having associated increased mortality rates. This study aimed to investigate whether the AO Foundation/Orthopaedic Trauma Association (AO/OTA) classification of a f...
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MDPI AG
2025-01-01
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| author | Neta Leshem Ido Stahl Farouk Khury Ianiv Trior Simonovich |
| author_facet | Neta Leshem Ido Stahl Farouk Khury Ianiv Trior Simonovich |
| author_sort | Neta Leshem |
| collection | DOAJ |
| description | <b>Background/Objectives</b>: Hip fractures present a global public health concern, with a forecasted rise in incidence and having associated increased mortality rates. This study aimed to investigate whether the AO Foundation/Orthopaedic Trauma Association (AO/OTA) classification of a first hip fracture can predict the location and severity of a subsequent contralateral fracture. <b>Methods</b>: We retrospectively evaluated patients with non-simultaneous bilateral hip fractures between January 2000 and February 2021 and analyzed the type and severity of each fracture using the AO/OTA classification system, interval between fractures (TI), and patients’ characteristics, including sex, age at time of each fracture, and radiographic measurements of hip morphology. <b>Results</b>: The study included 182 fractures in 91 patients (68% women, mean age: 79.5 and 82.2 years at first and second fractures, respectively; mean TI: 975 days). A strong association (lambda = 0.437, <i>p</i> < 0.001) was demonstrated between the first and second fracture classifications, which was higher in men (lambda = 0.60, <i>p</i> < 0.001) and for TI < 3 years (lambda = 0.625–0.688, <i>p</i> < 0.001). The mean TI was significantly shorter between the first and subsequent identical fractures than between different fracture types. However, mean hip morphological features did not significantly differ between groups. <b>Conclusions</b>: The initial hip fracture classification significantly predicted the type and severity of a subsequent contralateral fracture, particularly within 3 years and in men. Providing appropriate patient guidance and preventive measures is crucial, particularly for those with primary fractures that are associated with higher morbidity and mortality. Specific fracture-focused interventions, such as preventive intramedullary nail fixation, should be considered. |
| format | Article |
| id | doaj-art-f7c87596086f426b840f759b7e945d86 |
| institution | Kabale University |
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| language | English |
| publishDate | 2025-01-01 |
| publisher | MDPI AG |
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| series | Biomedicines |
| spelling | doaj-art-f7c87596086f426b840f759b7e945d862025-01-24T13:24:04ZengMDPI AGBiomedicines2227-90592025-01-0113111410.3390/biomedicines13010114Between Consecutive Fractures: Time and Sex as Dominant Factors in Type and Severity Concordance of Contralateral Hip InjuriesNeta Leshem0Ido Stahl1Farouk Khury2Ianiv Trior Simonovich3Faculty of Medicine, Technion Israel Institute of Technology, P.O. Box 9649, Haifa 3109601, IsraelDivision of Orthopedic Surgery, Rambam Healthcare Campus, P.O. Box 9602, Haifa 31096, IsraelDivision of Orthopedic Surgery, Rambam Healthcare Campus, P.O. Box 9602, Haifa 31096, IsraelDivision of Orthopedic Surgery, Rambam Healthcare Campus, P.O. Box 9602, Haifa 31096, Israel<b>Background/Objectives</b>: Hip fractures present a global public health concern, with a forecasted rise in incidence and having associated increased mortality rates. This study aimed to investigate whether the AO Foundation/Orthopaedic Trauma Association (AO/OTA) classification of a first hip fracture can predict the location and severity of a subsequent contralateral fracture. <b>Methods</b>: We retrospectively evaluated patients with non-simultaneous bilateral hip fractures between January 2000 and February 2021 and analyzed the type and severity of each fracture using the AO/OTA classification system, interval between fractures (TI), and patients’ characteristics, including sex, age at time of each fracture, and radiographic measurements of hip morphology. <b>Results</b>: The study included 182 fractures in 91 patients (68% women, mean age: 79.5 and 82.2 years at first and second fractures, respectively; mean TI: 975 days). A strong association (lambda = 0.437, <i>p</i> < 0.001) was demonstrated between the first and second fracture classifications, which was higher in men (lambda = 0.60, <i>p</i> < 0.001) and for TI < 3 years (lambda = 0.625–0.688, <i>p</i> < 0.001). The mean TI was significantly shorter between the first and subsequent identical fractures than between different fracture types. However, mean hip morphological features did not significantly differ between groups. <b>Conclusions</b>: The initial hip fracture classification significantly predicted the type and severity of a subsequent contralateral fracture, particularly within 3 years and in men. Providing appropriate patient guidance and preventive measures is crucial, particularly for those with primary fractures that are associated with higher morbidity and mortality. Specific fracture-focused interventions, such as preventive intramedullary nail fixation, should be considered.https://www.mdpi.com/2227-9059/13/1/114hip fracturesclassificationforecastingfracturesmultiple |
| spellingShingle | Neta Leshem Ido Stahl Farouk Khury Ianiv Trior Simonovich Between Consecutive Fractures: Time and Sex as Dominant Factors in Type and Severity Concordance of Contralateral Hip Injuries Biomedicines hip fractures classification forecasting fractures multiple |
| title | Between Consecutive Fractures: Time and Sex as Dominant Factors in Type and Severity Concordance of Contralateral Hip Injuries |
| title_full | Between Consecutive Fractures: Time and Sex as Dominant Factors in Type and Severity Concordance of Contralateral Hip Injuries |
| title_fullStr | Between Consecutive Fractures: Time and Sex as Dominant Factors in Type and Severity Concordance of Contralateral Hip Injuries |
| title_full_unstemmed | Between Consecutive Fractures: Time and Sex as Dominant Factors in Type and Severity Concordance of Contralateral Hip Injuries |
| title_short | Between Consecutive Fractures: Time and Sex as Dominant Factors in Type and Severity Concordance of Contralateral Hip Injuries |
| title_sort | between consecutive fractures time and sex as dominant factors in type and severity concordance of contralateral hip injuries |
| topic | hip fractures classification forecasting fractures multiple |
| url | https://www.mdpi.com/2227-9059/13/1/114 |
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