title: Influence of coincident distal radius fracture in patients with hip fracture: single-centre series and meta-analysis.
abstract: BACKGROUND
  Hip and wrist fractures are the most common orthopaedic injuries. Combined hip and distal radius fractures are an important clinical and public health problem, since mobilisation and rehabilitation is challenging and likely to be prolonged in this setting. Few studies have explored the influence of an associated wrist fracture in patients with hip fracture. We present the largest series of patients with concomitant hip and wrist fractures. We perform the first meta-analysis of the literature on patients with concurrent hip and wrist fractures.
  
  
  METHODS
  In this single-centre retrospective study we compared 88 consecutive patients with simultaneous hip and wrist fractures with 772 consecutive patients who suffered isolated hip fractures.
  
  
  RESULTS
  Patients with the combined fracture were of a similar age compared to those with isolated hip fracture. There were a significantly higher proportion of women in the cohort with both hip and wrist fractures (female:male ratio of 9:1 versus 4:1 p < 0.0001). The combination fracture group had a greater length of hospitalisation (18 vs 13 days p < 0.0001). The survivorship of both groups was not significantly different even after adjustment for age and gender. Meta-analysis of the literature showed female preponderance, increased length of stay but no significant difference in survival in patients with concomitant hip and wrist fractures.
  
  
  CONCLUSIONS
  The combination fracture occurs much more commonly in women and patients require a greater length of hospitalisation. The patients who sustained simultaneous hip and wrist fractures experienced no statistically significant difference in survivorship when compared to those who suffer isolated hip fractures. This is not withstanding the presence of two fractures. This difference in mortality did not reach statistical significance.
  
  
  METHODS
  Level III (retrospective comparative study).
authors.affiliation: Department of Trauma and Orthopaedics, University Hospitals of Leicester, Infirmary Square, Leicester, LE1 5WW, UK.
authors.forename: C E
authors.initials: CE
authors.lastname: Uzoigwe
authors.forename: M
authors.initials: M
authors.lastname: Venkatesan
authors.forename: N
authors.initials: N
authors.lastname: Johnson
authors.forename: K
authors.initials: K
authors.lastname: Lee
authors.forename: S
authors.initials: S
authors.lastname: Magaji
authors.forename: L
authors.initials: L
authors.lastname: Cutler
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods; D006620:Hip Fractures / Q000150:complications* / Q000401:mortality / Q000601:surgery; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D011885:Radius Fractures / Q000150:complications* / Q000401:mortality / Q000601:surgery; D012189:Retrospective Studies; D012737:Sex Factors; D015996:Survival Rate