Single-centre study of hip fractures in Prague, Czech Republic, 1997–2007

Abstract

This study examines the epidemiological data of patients with hip fractures from 1997–2007. Adult patients treated for hip
fracture between the years 1997–2007 were included in the study. Retrospective statistical assessment of continually gathered
data focussed on epidemiology and demographics. The study involved 3,683 patients (2,678 women and 1,005 men). Patients older
than 70years accounted for 82% of all cases. There were 2.7 times more women; in patients younger than 60years men significantly
outnumbered women (p < 0.001). The mean patient age was 77.9years (SD ± 12.6; women, 80.3years; men, 71.5years). There was a slight increase
in the average age in both sexes. Trochanteric fractures accounted for 54.7% and femoral neck fractures accounted for 45.3%
of fractures. The ratio of men to women was the same in femoral neck (AO-31B) and trochanteric (AO-31A) fractures. The average
year-to-year increase in the number of fractures was 5.9%. For femoral neck fractures (AO-31B), there was a statistically
insignificant increase in the number of fractures (p = 0.63); for intertrochanteric factures (AO-31A3) there was a statistically insignificant decrease (p = 0.65). There was an increase in the number of hip fractures resulting in a significant increase in pertrochanteric fractures
(AO-31A1+2) (p < 0.001). The ratio of trochanteric to neck fractures increased from 0.99 to 1.53. Continual monitoring of patients with
hip fracture offers data which allows comparisons between regions and countries. There has been a continual increase in the
number of patients with hip fractures.