Medical and social sequences of fractures in proximal femoral section on the background of osteoporosis in population of Yakutsk city

Abstract

Aim. To analyse medical and social sequences of fractures in femoral proximal section associated with osteoporosis for grounding scientifically the necessity of foundation of the regional Centre of OP prophylaxis and therapy.

Material and methods. Epidemiologic peculiarities of fractures in femoral proximal section on the background of osteoporosis in Yakutsk were studied on the basis of data such as case reports, ambulatory cards, patient's registers from the orthopedic-traumatologic department and traumatologic centre within RH №l - Centre of Urgent Medical Care. Subjects were people aged 50 and older with fractures addressed from January 1997 till December 2001. 356 cases (90,1%) of the all registered 395 fractures in femoral proximal section (S72.0 - S72.1) were described as minimal traumas, i.e. when falling from small height, and spontaneous ones as associated with osteoporosis. Remote outcomes of fractures and therapeutic outcomes in alive patients were subjected to recontrolling in 1 and 2 years and 2 years in the whole. Fatal outcomes were counted in percentage of the whole number of controls.

Results. Detected high lethality exceeding the population's death rate among the same age-group 7,2 times (4,1 in men and 9,5 in women, p>0,001) and sharp deterioration of living quality revealed itself in limiting motor and social activity are conditioned by osteoporosis namely as the basic cause of femoral fractures (90,1%). The results detected testify to the necessity of founding the regional Centre of OP prophylaxis.