Department of Trauma & Orthopaedics, Tallaght University Hospital, Dublin, Ireland.
Department of Trauma & Orthopaedics, St. Vincent's University Hospital, Dublin, Ireland.
Ir J Med Sci. 2022 Apr;191(2):759-764. doi: 10.1007/s11845-021-02607-1. Epub 2021 Mar 26.
Fragility hip fractures are common and costly. Secondary fracture prevention is a treatment goal following hip fracture; however, the number of those that proceed to fracture their contralateral hip in Ireland is unknown. There are plans to introduce a Fracture Liaison Service Database in Ireland which will aim to prevent secondary fractures. To establish a baseline figure for secondary hip fractures, the injury radiographs of 1284 patients from 6 teaching hospitals over a 1-year period were reviewed.
Irish Hip Fracture Datasheets and corresponding injury radiographs were reviewed locally for all hip fractures within each respective teaching hospital for a 1-year period (2019).
A total of 8.7% of all fragility hip fractures across the 6 hospitals were secondary hip fractures (range 4.9-11.5%). 46% occurred within years 1 to 3 following index hip fracture. Forty-eight per cent of patients were started on bone protection medications following their second hip fracture.
DISCUSSION/CONCLUSION: Approximately 1 in 11 hip fractures treated across the 6 teaching hospitals assessed in 2019 was a patient's second hip fracture. We advocate for the widespread availability of Fracture Liaison Services to patients throughout Ireland to assist secondary fracture prevention.
脆性髋部骨折很常见且费用高昂。预防二次骨折是髋部骨折后的治疗目标；然而，爱尔兰有多少人会在另一侧髋部骨折尚不清楚。爱尔兰计划引入骨折联络服务数据库，旨在预防二次骨折。为了确定二次髋部骨折的基线数据，对来自 6 家教学医院的 1284 名患者的 1 年期间的损伤 X 光片进行了回顾。
对每家教学医院在 1 年期间（2019 年）各自范围内的所有髋部骨折的爱尔兰髋部骨折数据表和相应的损伤 X 光片进行了局部回顾。
6 家医院共有 8.7%的脆性髋部骨折为二次髋部骨折（范围为 4.9-11.5%）。46%发生在初次髋部骨折后的 1 至 3 年内。48%的患者在第二次髋部骨折后开始服用骨保护药物。
讨论/结论：在 2019 年评估的 6 家教学医院中，约有 11%的髋部骨折是患者的第二次髋部骨折。我们主张在爱尔兰各地为患者广泛提供骨折联络服务，以协助预防二次骨折。
