Moldovan Flaviu, Moldovan Liviu
Orthopedics-Traumatology Department, Faculty of Medicine, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 540142 Targu Mures, Romania.
Faculty of Engineering and Information Technology, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 540142 Targu Mures, Romania.
J Clin Med. 2025 Jun 30;14(13):4636. doi: 10.3390/jcm14134636.
: The increase in life expectancy and the share of the elderly population has the effect of increasing the number of osteoporotic hip fractures. At the same time, the number of total hip arthroplasty (THA) interventions is continuously increasing. The objective of this study is to investigate the incidence rates of hip fractures during the period 2008-2019, in Romania, among people who are at least 40 years old, as well as to determine the extent to which the increase in the prevalence of people who have undergone THA has affected the incidence of hip fractures, given that the operated hip no longer presents a risk of fracture. : We extracted the information, between 2008 and 2019, from nationwide retrospective studies about the incidence and time trend of hip fractures in Romania. Information on primary THA interventions during the period 2001-2019 was obtained from the Romanian Arthroplasty Register (RAR). We obtained the population size, by gender and age groups, from the reports of the National Institute of Statistics. For the period 2008-2019, we calculated the standardized annual hip fracture incidence rates by sex and by age. Given that each person has two hips at risk of fracture, we calculated hip fracture rates in a scenario without THA interventions. For this, we subtracted 0.5 people from the at-risk population for each prevalent hip prosthesis. Thus, we revealed the effects of decreasing fracture rates due to having hip prostheses. : From 2008 to 2019, age-standardized incidence rates of hip fractures increased by 10.8% in women, and by 2.8% in men. By excluding hips being replaced with prostheses in the at-risk population, we obtained higher hip fracture incidence rates. These recorded values were considerably higher for the elderly population. The variation in hip fracture rates during the observed period was 10.16% (9.76% in women and 11.68% in men) lower due to the increased prevalence of hip prostheses. : Although the incidence of hip fractures has continued to rise, the growing number of people who have undergone THA and are living with hip prostheses has helped to blunt this increase.
预期寿命的增加和老年人口比例的上升导致骨质疏松性髋部骨折的数量增加。与此同时，全髋关节置换术（THA）的干预数量也在持续上升。本研究的目的是调查2008年至2019年期间罗马尼亚40岁及以上人群髋部骨折的发病率，并确定接受THA手术的人群患病率增加对髋部骨折发病率的影响程度，因为接受手术的髋部不再存在骨折风险。我们从罗马尼亚全国范围内关于髋部骨折发病率和时间趋势的回顾性研究中提取了2008年至2019年期间的信息。2001年至2019年期间原发性THA干预的信息来自罗马尼亚关节置换登记处（RAR）。我们从国家统计局的报告中获取了按性别和年龄组划分的人口规模。对于2008年至2019年期间，我们按性别和年龄计算了标准化的年度髋部骨折发病率。鉴于每个人有两个髋部存在骨折风险，我们计算了在没有THA干预的情况下的髋部骨折率。为此，我们从每个有髋部假体的风险人群中减去0.5人。从而揭示了由于有髋部假体而导致骨折率下降的影响。从2008年到2019年，女性髋部骨折的年龄标准化发病率上升了10.8%，男性上升了2.8%。通过在风险人群中排除用假体置换的髋部，我们得到了更高的髋部骨折发病率。这些记录值在老年人群中要高得多。由于髋部假体患病率的增加，观察期内髋部骨折率的变化降低了10.16%（女性为9.76%，男性为11.68%）。尽管髋部骨折的发病率持续上升，但接受THA手术并佩戴髋部假体的人数不断增加有助于减缓这种上升趋势。
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