Journal article

Publication year: 2008

Pages: HY1-HY8

Journal: Medical Science Monitor

Volume number: 14

Issue number: 3

ISSN: 1643-3750

Publisher: International Scientific Literature, Inc.

Abstract: 

Background:Previous studies demonstrated a correlation between bone density, stability of fracture fixation, and outcome. Because current fracture classifications do not take osteoporosis into account, a prospective radiological analysis was conducted of patients with hip and wrist fracture to evaluate the impact of osteoporosis oil fracture classification.

Material/Methods:Altogether, 77 consecutive patients with either hip or wrist fracture were prospectively recruited within 24 hours of sustaining the fracture. The patients were assigned to subgroups according to gender, fracture site, fracture type, and bone mineral density (BMD). Using widely accepted classification systems for hip and wrist fractures, the impact of osteoporosis oil fracture classification was assessed.

Results:Osteoporosis dominated in both fracture types and hone mineral density showed a significant negative correlation with age. Pertrochanteric fractures were more frequent, showing all equal distribution among severity grades, while less frequent femoral neck fractures were mainly unstable fractures. Postmenopausal patients sustained more severe intraarticular comminuted wrist fractures, which were not found rising the Fernandez classification.

Conclusions:The contradiction between the higher incidence Nit lower severity of pertrochanteric fractures compared with femoral neck fractures in osteoporotic bone and inconsistencies between (lie classifications of wrist fractures may indicate incomplete fracture classification ill osteoporosis. Given the high incidence of osteoporotic fractures, incorporating hone mineral status into fracture classification systems may improve preoperative assessment, implant stability, and outcome.

Harvard Citation style: Hoesel, L., Pausch, M., Schnettler, R. and Heiß, C. (2008) The impact of osteoporosis on the classification of hip and wrist fractures, Medical Science Monitor, 14(3), pp. HY1-HY8

APA Citation style: Hoesel, L., Pausch, M., Schnettler, R., & Heiß, C. (2008). The impact of osteoporosis on the classification of hip and wrist fractures. Medical Science Monitor. 14(3), HY1-HY8.