Hayer Prabhnoor Singh, Deane Anit Kumar Samuel, Agrawal Atul, Maheshwari Rajesh, Juyal Anil
Resident, Department of Orthopaedics, Swami Rama Himalayan University , Dehradun, Uttarakhand, India .
Associate Professor, Department of Orthopaedics, Swami Rama Himalayan University , Dehradun, Uttarakhand, India .
J Clin Diagn Res. 2016 Apr;10(4):RC09-11. doi: 10.7860/JCDR/2016/19267.7629. Epub 2016 Apr 1.
Osteoporosis is a metabolic bone disease caused by progressive bone loss. It is characterized by low Bone Mineral Density (BMD) and structural deterioration of bone tissue leading to bone fragility and increased risk of fractures. When classifying a fracture, high reliability and validity are crucial for successful treatment. Furthermore, a classification system should include severity, method of treatment, and prognosis for any given fracture. Since it is known that treatment significantly influences prognosis, a classification system claiming to include both would be desirable. Since there is no such classification system, which includes both the fracture type and the osteoporosis severity, we tried to find a correlation between fracture severity and osteoporosis severity.
The aim of the study was to evaluate whether the AO/ASIF fracture classification system, which indicates the severity of fractures, has any relationship with the bone mineral status in patients with primary osteoporosis. We hypothesized that fracture severity and severity of osteoporosis should show some correlation.
An observational analytical study was conducted over a period of one year during which 49 patients were included in the study at HIMS, SRH University, Dehradun. The osteoporosis status of all the included patients with a pertrochanteric fracture was documented using a DEXA scan and T-Score (BMD) was calculated. All patients had a trivial trauma. All the fractures were classified as per AO/ASIF classification. Pearson Correlation between BMD and fracture type was calculated.
Data was entered on Microsoft Office Excel version 2007 and Interpretation and analysis of obtained data was done using summary statistics. Pearson Correlation between BMD and fracture type was calculated using the SPSS software version 22.0.
The average age of the patients included in the study was 71.2 years and the average bone mineral density was -4.9. The correlation between BMD and fracture type was calculated and the r-values obtained was 0.180, which showed low a correlation and p-value was 0.215, which was insignificant.
Statistically the pertrochanteric fracture configuration as per AO Classification does not correlate with the osteoporosis severity of the patient.
骨质疏松症是一种由骨质进行性流失引起的代谢性骨病。其特征是骨矿物质密度（BMD）低以及骨组织结构恶化，导致骨骼脆弱且骨折风险增加。在对骨折进行分类时，高可靠性和有效性对于成功治疗至关重要。此外，分类系统应包括任何给定骨折的严重程度、治疗方法和预后。由于已知治疗会显著影响预后，因此理想的分类系统应同时涵盖这两方面。由于不存在同时包括骨折类型和骨质疏松严重程度的此类分类系统，我们试图找出骨折严重程度与骨质疏松严重程度之间的相关性。
本研究的目的是评估表明骨折严重程度的AO/ASIF骨折分类系统与原发性骨质疏松症患者的骨矿物质状况是否存在任何关系。我们假设骨折严重程度与骨质疏松严重程度应呈现某种相关性。
在一年的时间里进行了一项观察性分析研究，期间位于德拉敦的SRH大学HIMS有49例患者纳入研究。使用双能X线吸收法扫描记录所有纳入的转子间骨折患者的骨质疏松状况，并计算T值（BMD）。所有患者均遭受轻微创伤。所有骨折均按照AO/ASIF分类法进行分类。计算BMD与骨折类型之间的Pearson相关性。
数据录入Microsoft Office Excel 2007版本，使用汇总统计对获得的数据进行解释和分析。使用SPSS软件22.0版本计算BMD与骨折类型之间的Pearson相关性。
纳入研究的患者平均年龄为71.2岁，平均骨矿物质密度为-4.9。计算了BMD与骨折类型之间的相关性，得到的r值为0.180，显示相关性较低，p值为0.215，无统计学意义。
根据统计学分析，按照AO分类法的转子间骨折形态与患者的骨质疏松严重程度不相关。
