title: Osteoporotic hip fractures: 10-year review in a Singaporean hospital.
abstract: OBJECTIVE
  To review records of 2702 patients with osteoporotic hip fractures in a Singaporean hospital.
  
  
  METHODS
  Medical records of 1905 women and 797 men, aged 50 to 112 (median, 78) years, who were admitted to a Singaporean hospital with an osteoporotic hip fracture (ICD9 820) between January 2000 and December 2010 were reviewed.
  
  
  RESULTS
  Female patients were significantly older than male patients (p<0.0005). The trend for the median patient age over the 10-year period has increased significantly in women (r=0.826, p=0.002) but not in men. Of the hip fractures, 49.4% were femoral neck fractures and 50.6% were intertrochanteric/ basicervical fractures. The rate of intertrochanteric/ basicervical fractures was higher in men than women (61.2% vs. 46.1%, p<0.0005). Increased age, ischaemic heart disease, Parkinson's disease, and being Malay or Caucasian or Sikh were more likely to have intertrochanteric/basicervical fractures than femoral neck fractures. Femoral neck fractures were usually treated with hemiarthroplasty (68.8%), cancellous screw fixation (20.6%), and conservative methods (20.5%), whereas intertrochanteric/basicervical fractures were usually treated with dynamic hip screw fixation (76.3%) and conservative methods (15.6%). 84 women and 26 men sustained a subsequent osteoporotic hip fracture on the contralateral side after a median interval of 2 (range, 0-8) years. 11 of these 110 patients were already on osteoporosis medication.
  
  
  CONCLUSIONS
  The rate of osteoporotic hip fractures has increased, particularly among women, over the 10- year period. The rate of intertrochanteric/basicervical fractures was higher in men than women.
authors: University Orthopaedics, Hand and Reconstructive Microsurgery Cluster, National University Hospital, Singapore.
authors: Wei Loong Barry
authors: WL
authors: Tan
authors: University Orthopaedics, Hand and Reconstructive Microsurgery Cluster, National University Hospital, Singapore.
authors: Siew Leng
authors: SL
authors: Low
authors: Biostatistics Unit, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
authors: Liang
authors: L
authors: Shen
authors: University Orthopaedics, Hand and Reconstructive Microsurgery Cluster, National University Hospital, Singapore.
authors: Shamal
authors: S
authors: Das De
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005544:Forecasting; D062785:Hemiarthroplasty / Q000379:methods*; D006620:Hip Fractures / Q000453:epidemiology / Q000209:etiology / Q000601:surgery*; D006761:Hospitals / Q000706:statistics & numerical data*; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D058866:Osteoporotic Fractures / Q000150:complications / Q000453:epidemiology / Q000601:surgery*; D012846:Singapore / Q000453:epidemiology
keywords: Singapore; hip fractures; osteoporosis