Fractures around hip are important public health problems affecting the osteoporotic older individuals all over the world. The industrialization & urbanization with increased life expectancy are leading to lack of attention towards elder population living in developing countries. A second hip fracture can occur in elderly patients who already suffered initial hip fracture.
Aims and Objectives: The purpose of this analysis is to study the etiological factors for 1st and 2nd hip fractures and the preventive measures to be advocated.
Methods-Source for this study: From 2018 to 2023, during this five years period we verified our hospital medical records and patients with hip fractures are studied. We found that total 665 hip fractures are admitted in our teaching hospital which is catering Orthopaedic treatment facilities for 8 lacks population in our area. Among these, second hip fractures are 105 cases-15.7%. The females are 80 and Males are 25. The average age of first hip fractures is 55-65 yrs and second hip fractures is 60-80 years. We studied the proper case history to note the various etiological factors for first and second hip fractures.
Results: The average time of interval from 1st hip fractures to 2nd hip fractures is 36 months. The etiological factors observed are, old age with Osteoporosis, Neurological diseases causing frequent falls, Alziemers disease with senile dementia, Parkinsons’ disease and visual problems with reduced depth perception.
Conclusion: The chances of second hip fractures are substantial due to old age, diminished functional status, inadequate rehabilitation and family support after the first hip fractures. The surgical methods like replacement arthroplasty done for first hip fracture will allow the patients early mobilization. The internal fixations like DHS, Cannulated screws and proximal femoral nailing are associated with prolonged non-weight bearing and recovery phase. These patients are ending up in secondary osteoarthritis and resultant pain further affects the quality of life and functional capabilities. These findings were demonstrated in our series of cases that most of our total patients, 15.7% have one or other form of internal fixation for the first hip fractures.
Advice: Early mobilization, weight bearing and osteoporotic therapy must be initiated to all the patients admitted with first hip fractures and continued throughout life to prevent second hip fracture.