title: Concomitant hip and distal radius fractures.
abstract: BACKGROUND
  Concomitant ipsilateral hip and distal radius fractures are uncommon, and little research has been published about these injuries. Our aim was to evaluate the characteristics and results of treatment for these injuries.
  
  
  METHODS
  Between 2006 and 2012, 35 concomitant hip and distal radius fractures were identified, comprising the study group. The characteristics and results of treatment for these injuries were evaluated and analyzed. Another matched control group with isolated hip fractures was collected for comparison of patient characteristics, fall mechanism, fracture pattern, bone density, and functional recovery.
  
  
  RESULTS
  For the patients with concomitant fractures, the average age was 77.6 years, and the female-to-male ratio was 6:1 (30:5). The majority (91.4%) of patients sustained ipsilateral injuries. Among the controlled pairs, 20 (57.1%) patients in the study group sustained a backward fall, and 25 (71.4%) patients in the control group had a sideways fall. With respect to the pattern of hip fracture, 22 (62.9%) patients in the study group had femoral neck fractures and 20 (57.1%) patients in the control group had pertrochanteric fractures. The average hospital stay was 15.3 days in the study group versus 10.2 days in the control group. Twenty-five (71.4%) patients in the study group and 27 (77.1%) patients in the control group had osteoporosis. The average Barthel index score was 75.1 in the study group and 75.7 in the control group.
  
  
  CONCLUSIONS
  Concomitant hip and distal radius fractures were generally ipsilateral and involved the femoral neck after a backward fall. These patients were younger than and not more osteoporotic than the population with isolated hip fractures; however, the hospital stay was significantly increased. The functional outcome was not influenced by concomitant wrist fracture.
authors.affiliation: Department of Orthopedics and Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; Department of Surgery, Hsinchu Branch, Taipei Veterans General Hospital, Hsinchu, Taiwan, ROC.
authors.forename: Yi-Pin
authors.initials: YP
authors.lastname: Lin
authors.affiliation: Department of Nursing, Taipei Veterans General Hospital and National Yang-Ming University, Taipei, Taiwan, ROC.
authors.forename: Shih-Hsin
authors.initials: SH
authors.lastname: Hung
authors.affiliation: Department of Orthopedics and Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; Department of Orthopedics, School of Medicine, National Yang-Ming University, Taipei, Taiwan, ROC.
authors.forename: Yu-Ping
authors.initials: YP
authors.lastname: Su
authors.affiliation: Department of Orthopedics and Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; Department of Orthopedics, School of Medicine, National Yang-Ming University, Taipei, Taiwan, ROC.
authors.forename: Chi-Kuang
authors.initials: CK
authors.lastname: Feng
authors.affiliation: Department of Orthopedics and Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; Department of Orthopedics, School of Medicine, National Yang-Ming University, Taipei, Taiwan, ROC.
authors.forename: Chien-Lin
authors.initials: CL
authors.lastname: Liu
authors.affiliation: Department of Orthopedics and Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; Department of Orthopedics, School of Medicine, National Yang-Ming University, Taipei, Taiwan, ROC. Electronic address: fychiu@vghtpe.gov.tw.
authors.forename: Fang-Yao
authors.initials: FY
authors.lastname: Chiu
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006620:Hip Fractures / Q000453:epidemiology*; D006801:Humans; D007902:Length of Stay; D008297:Male; D010024:Osteoporosis / Q000150:complications; D011885:Radius Fractures / Q000453:epidemiology*
keywords: concomitant fractures; fall mechanism; functional recovery; hip and wrist fractures