Acta Ortopédica Mexicana

Charles-Lozoya S, Treviño-Pérez J, Rangel-Flores JM
Clinico-epidemiological and therapeutic aspects of patients with hip fracture
Acta Ortop Mex 2013; 27 (6)

Language: Español
References: 26
Page: 375-379
PDF: 210.63 Kb.

[Fulltext - PDF]


Background: The purpose of this study is to characterize the clinico-epidemiologic variables of patients with hip fracture and assess the presence of complications, whether dependent or independent of performing surgery within 48 hours of the fracture. Methods: A descriptive applied cross-sectional study of patients who underwent hip surgery was performed. Five hundred patients were included; females were predominant as they accounted for 68% (339); mean age was 75.5 years. Hypertension and diabetes mellitus were the most frequent conditions. Pertrochanteric fractures represented 56% (257) and were predominant. Results: Mean operative time was 1.2 hours; and partial hip prosthesis accounted for 25.6% (128) and was the most common surgery performed, followed by plate osteosynthesis, which accounted for 25.4% (127) of the 457 procedures performed. The complication rate was 17%, with bronchopneumonia (2%) as the most frequent one; reoperation was the most frequent surgical complication (7.4%). Mean waiting time before surgery ranged from 72 hours to 14 days (73.2%) and mean hospital stay ranged between 7 and 15 days (37%). Conclusions: The highest incidence of fractures occurs in females over age 75. The most frequent fracture is the pertrochanteric one, with a high incidence of chronic-degenerative conditions that results in increased postoperative complications when surgical treatment is provided after 48 hours.

Key words: fracture, hip, epidemiology, postoperative complications.


  1. 1.Cumming RG, Nevitt MG, Cummings SR: Epidemiology of hip fractures. Epidemiologic. 1997; 19(2): 244-57.

  2. 2.Egol KA, Koval KJ, Zuckerman JD: Functional recovery following hip fracture in the elderly. J Orthop Trauma. 1997; 11(8): 594-9.

  3. 3.Zuckerman JD, Skovron ML, Koval KJ, et al: Post operative complications and mortality associated with operative delay in older patients who have a fracture of the hip. J Bone Joint Surgery. 1995; 77A: 1551-6.

  4. 4.White BL, Fischer WD, Lauren CA: Rate of mortality for elderly patients with fracture of the hip in the 1980’s. J Bone Joint Surgery. 1987; 69A: 1335-40.

  5. 5.Svensson O, Stromberg L, Ohlen G, et al: Prediction of the outcome after hip fracture in the elderly patients. J Bone Joint Surgery. 1996; 78B: 115-8.

  6. 6.Consejo Nacional de Población: La población de adultos mayores se multiplicará por cinco hacia el año 2050, //

  7. 7.Dubrana F, Laplanche S, Pidhorz L, et al: Les fractures du col fémoral. Revue Chirurgie Orthopédique. 2003; 89: 2S149-152.

  8. 8.Skinner H: Current diagnosis & treatment in orthopedics. 3rd edition. McGraw-Hill; 2006: pp.130-1.

  9. 9.Jacobsen SJ, Goldberg J, Miles TP, et al: Hip fracture incidence among the old and very old: a population-based study of 745,435 cases. Am J Public Health. 1990; 80: 871.

  10. 10.Singer BR. Mc Lauchlan GL, Robinson CM: Epidemiology of fractures in 1500 adults. The influence of edge and gender. Bone and Joint Surgery. 1998; 80d: 243-8.

  11. 11.Baron JA, Kavagas M, Barett J, et al: Basis epidemiology of fractures of the upper and lower limb among Americans over 65 years of age. Epidemiology. 1996; 7: 612-8.

  12. 12.Rockwood PR, Horne JG, Cryer C: Hip fractures: a future epidemic? J Orthopaedic Trauma. 1990; 4: 163-6.

  13. 13.Andersen GH, Raymaker R, Cregc PJ: The incidence of proximal femoral fractures in an English country. J Bone Joint Surgery. 1993; 75B: 441-4.

  14. 14.Raoux FX, Lafont CH, Vellas B: Suivi a un an de 100 patients âges victimes d’une fracture de hanche. Ann Gerontol. 1993; 7: 267-8.

  15. 15.Haentiens P, Autier P, Collins J, et al: Colles fracture, spine fracture, and subsequent risk of hip fracture in men and women. A meta-analysis. J Bone Joint Surgery. 2003; 85A: 1936-43.

  16. 16.Kenzora JE, Magaziner J, Hudson J: Outcome after hemiarthroplasty for femoral neck fractures in the elderly. Clinical Orthopaedics. 1998; 348: 51-8.

  17. 17.Aharonoff GB, Dennis MG, Elshinawy A, et al: Circumstances of falls causing hip fractures in the elderly. Clinic Orthop. 1998; 348: 10-4.

  18. 18.Dorotka R, Schoechtner H, Buchinger W: The influence of immediate surgical treatment of proximal femoral fractures on mortality and quality of life. J Bone Joint Surgery. 2003; 85B: 1107-13.

  19. 19.Koval KJ, Chen AL, Aharonoff GB: Clinical Pathway for Hip Fractures in the Elderly. Clinical Orthopaedics. 2004; 425: 72-81.

  20. 20.Jacquot F, Feron JM, Bonnevialle P: Présentation de la série du symposium de les fractures des sujets âges de plus de 80 ans. Revue Chirurgie Orthopédique. 2003; 89: 2S138-2S142.

  21. 21.Kitamura S, Yukiharu H, Suzuki S, et al: Functional outcome after hip fracture in Japan. Clinical Orthopaedics. 1998; 348: 29-36.

  22. 22.Thorngren KG: International Comparisons of hip fracture treatment. American Academy Orthopaedics Surgeons. 70th Annual Meeting. Instructional Course Lecture Handout. 2003.

  23. 23.Hinton RY, Lennox DW, Ebert FR: Relative rates of fracture hip in the United States. Geographic, sex and age variation. J Bone Joint Surgery. 1995; 77A: 1107-12.

  24. 24.Lorich DG, Geller DS y Nielson JH: Osteoporotic pertrochanteric hip fractures. J Bone Joint Surgery. 2004; 86A: 398-410.

  25. 25.Czernichow P, Thomine JM, Biga N, et al: Pronostic vital des fractures de l’extrémité supérieure du fémur. Etude de 506 patients de 60 ans et plus. Revue Chirurgie Orthopédique. 1990; 76: 161-9.

  26. 26.Tonetti J, Couturier P, Remy A, et al: Fracture de l’extrémité supérieure du fémur après 75 ans. Pronostic et factionnel d’une cohorte de 78 patients suivie 2.5 ans. Revue Chirurgie Orthopédique. 1997; 83: 636-44.