title: Intra- and extra-capsular hip fractures in the elderly: Two different pathologies?
abstract: OBJECTIVE
  To compare intracapsular (IC) and extracapsular (EC) hip fractures (HIF) in elderly patients in order to determine if they are different pathologies.
  
  
  METHODS
  Longitudinal, observational, descriptive, analytical prospective design, using a non-probabilistic sample from a full sample collection with 647 subjects (male and female), of 60 or more years old, admitted with HIF to the Department of Orthopedics and Traumatology of the Hospital, between January 1, 2010 and December 31, 2012. Follow-up was for 1 year post HIF. Socio-demographic, etiological, developmental, therapeutic and prognostic variables are compared.
  
  
  RESULTS
  This is the first study on this subject with Latin American population. EC HIF incidence was superior to IC, contrary to that published in European/American populations. There are significant differences in etiological variables (χ(2)=6.34, p<0.042), with traumatic etiology in EC and non-traumatic in IC. There are also differences in therapeutic interventions performed (osteosynthesis for EC, arthroplasty for IC), with the decision on not to operate being lower in IC (both p<0.0000). The variables associated with the decision on not to perform surgery are age, etiology and postoperative mortality.
  
  
  CONCLUSIONS
  The results are similar to other studies, adding the IC association with non-traumatic origin, in particular the trend of statistical association between IC and non-primary osteoporotic pathology (neoplasms, renal osteodystrophy, primary hyperparathyroidism). A further analysis was performed on the differences between Latin American and European/American populations in the incidence of either type of HIF. There are important etiological and therapeutic differences between IC and EC HIF; therefore it would be advisable to consider them as distinct disease entities.
authors.affiliation: Programa de Ortogeriatría, Servicio de Ortopedia y Traumatología de Adultos, Hospital Dr. Gustavo Fricke, Servicio de Salud Viña del Mar Quillota, Chile. Electronic address: doctordinamarca@yahoo.es.
authors.forename: J L
authors.initials: JL
authors.lastname: Dinamarca-Montecinos
authors.affiliation: Servicio de Traumatología y Ortopedia, Hospital Universitario Virgen de las Nieves, Granada, España.
authors.forename: N
authors.initials: N
authors.lastname: Prados-Olleta
authors.affiliation: Programa de Doctorado en Gerontología Social, Universidad de Granada, Granada, España.
authors.forename: R
authors.initials: R
authors.lastname: Rubio-Herrera
authors.affiliation: Programa de Máster Oficial de Gerontología, Dependencia y Atención a los Mayores, Universidad de Granada, Granada, España.
authors.forename: A
authors.initials: A
authors.lastname: Castellón-Sánchez del Pino
authors.affiliation: Servicio de Traumatología y Ortopedia, Hospital Dr. Gustavo Fricke, Viña del Mar - Universidad de Valparaíso, Valparaiso, Chile.
authors.forename: A
authors.initials: A
authors.lastname: Carrasco-Buvinic
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002677:Chile / Q000453:epidemiology; D005260:Female; D005500:Follow-Up Studies; D005592:Fracture Fixation / Q000379:methods / Q000706:statistics & numerical data; D005598:Fractures, Spontaneous / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000601:surgery; D006620:Hip Fractures / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000601:surgery; D006801:Humans; D015994:Incidence; D008297:Male; D011379:Prognosis; D011446:Prospective Studies
keywords: Fractura de cadera; Fracturas pertrocantéreas; Hip fracture; Intertrochanteric fractures; Orthogeriatrics; Ortogeriatría; Osteoporosis