Clinical features of hip fractures with combined fractures in adults of the Third Hospital of Hebei Medical University from 2008 to 2012 / 中华外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To investigate the clinical characteristics and analyze the proportions of adult hip fracture patients combined with other sites of fractures.</p><p><b>METHODS</b>Adult patients with hip fractures admitted to the Third Hospital of Hebei Medical University were retrospectively collected from January 2008 to December 2012. The proportions of patients combined with other fractures were calculated and the clinical features of gender, age and combined fracture sites were analyzed.</p><p><b>RESULTS</b>A total of 3 310 patients with hip fracture were included, and 328 patients of them were combined with other site fractures, therefore with the proportions of 9.91%, and 13.93% for males, 6.40% for females respectively. The patients aged ≥ 30 and < 40 years account for the highest (26.88%) proportion of combined fractures, with the single summit for incident age. The most amount of hip fracture patients with other site fractures were aged ≥ 70 and < 80 years (56 patients). Which were aged ≥ 30 and < 40 years, ≥ 40 and < 50 years for males (41 patients), while aged ≥ 80 years for females (32 patients). There were a total of 536 combined fracture sites with 1.63 sites per patient, and 1.73 sites per males, 1.45 sites per females. The highest of average sites per patient (2.22 sites/person) was occurred at age ≥ 16 and < 20 years. For youth or males patients, the most common combined fracture sites were diaphyseal femur fracture, tibia and fibula and ankle fractures, foot fractures. While for elderly or female patients, it were thoracolumbar fractures and distal radius and ulna fractures.</p><p><b>CONCLUSIONS</b>The young or male patients have the most possibility to combine with other sites of fractures. For youth or males, the most common combined fracture sites are concentrated in the lower limbs. While for elderly or female patients, thoracolumbar fractures and distal radius and ulna fractures are more commonly.</p>