Tsabasvi Munyaradzi, Davey Sonya, Temu Rogers
Kilimanjaro Christian Medical University College, Moshi, Tanzania.
University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Arch Osteoporos. 2017 Dec;12(1):47. doi: 10.1007/s11657-017-0338-z. Epub 2017 May 8.
This study examined hip fractures during a 5-year period at Kilimanjaro Christian Medical Center (KCMC). There was a general increase in proportions of fragility hip fractures during this period.
Fragility hip fractures are expected to increase in low-resource countries. This study examined hip fractures in the osteoporotic age group during a 5-year period at the Kilimanjaro Christian Medical Center (KCMC), which is located in Moshi, Tanzania.
We conducted a retrospective study of all hip fracture patients above the age of 50 who were admitted to KCMC between January 1, 2011 and December 31, 2015. Objective measures including patient demographics, mechanism of injury, and X-ray evaluation were used to differentiate high- and low-energy fractures. Low-energy hip fractures with no other suspected pathological processes on X-ray were labelled as fragility fractures.
Three hundred forty patients were admitted in the study period and 222 patients met the inclusion criteria. Males contributed to 59.5% of hip fractures. Falls from standing height constituted the majority of fractures (76%) followed by injury from road traffic crashes (14%). Regardless of high- or low-energy aetiology, intertrochanteric fracture dominated representing 54.5% of all hip fractures. 75.6% (n = 168) of the analysed patients had fragility fractures. The fragility fractures were 55.8% (n = 96) intertrochanteric, 28.5% (n = 49) cervical, 9.9% (n = 17) subtrochanteric, and 5.8% (n = 10) mixed subtrochanteric with intertrochanteric. We noted a 2.34% per year increase in the proportions of fragility fractures among all included hip fractures over 5 years.
We concluded that men and women contributed almost equally to the fragility hip fracture burden. The dominant cause of hip fractures overall was low-energy injuries. There was an increase in proportions of fragility hip fractures in the period of January 2011 to December 2015.
本研究调查了乞力马扎罗基督教医疗中心（KCMC）5年间的髋部骨折情况。在此期间，脆性髋部骨折的比例总体呈上升趋势。
预计在资源匮乏国家，脆性髋部骨折的数量会增加。本研究调查了位于坦桑尼亚莫希的乞力马扎罗基督教医疗中心（KCMC）5年间骨质疏松年龄组的髋部骨折情况。
我们对2011年1月1日至2015年12月31日期间入住KCMC的所有50岁以上髋部骨折患者进行了回顾性研究。使用包括患者人口统计学、损伤机制和X线评估在内的客观指标来区分高能量和低能量骨折。X线上无其他可疑病理过程的低能量髋部骨折被标记为脆性骨折。
研究期间有340名患者入院，222名患者符合纳入标准。男性占髋部骨折患者的59.5%。从站立高度跌落导致的骨折占大多数（76%），其次是道路交通事故损伤（14%）。无论病因是高能量还是低能量，转子间骨折占主导地位，占所有髋部骨折的54.5%。75.6%（n = 168）的分析患者有脆性骨折。脆性骨折中，转子间骨折占55.8%（n = 96），颈椎骨折占28.5%（n = 49），转子下骨折占9.9%（n = 17），转子下合并转子间混合骨折占5.8%（n = 10）。我们注意到，在5年期间，所有纳入的髋部骨折中，脆性骨折的比例每年增加2.34%。
我们得出结论，男性和女性对脆性髋部骨折负担的贡献几乎相等。髋部骨折的主要原因是低能量损伤。2011年1月至2015年12月期间，脆性髋部骨折的比例有所增加。
