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Approximately 90% of hip fractures are attributed to falls from standing height. [62] Given the high morbidity and mortality associated with hip fractures and the cost to the health system, in England and Wales, the National Hip Fracture Database is a mandatory nationwide audit of care and treatment of all hip fractures. [63]
Femoral shaft fractures occur in a bimodal distribution, whereby they are most commonly seen in males age 15-24 (due to high energy trauma) and females aged 75 or older (pathologic fractures due to osteoporosis, low-energy falls). [20] [14] In Germany, femoral fractures are the most common type of fracture seen and treated in hospitals. [9] [21]
Hip fractures alone are particularly debilitating and have a nearly 20% higher mortality rate within one year of the fracture. [7] Other fractures are more subtle and can go undetected for some time. For example, vertebral compression fractures in the spine, often noticeable by a loss of vertical height, can occur even during routine motions ...
Pelvic fracture. A pelvic fracture is a break of the bony structure of the pelvis. [1] This includes any break of the sacrum, hip bones (ischium, pubis, ilium), or tailbone. [1] Symptoms include pain, particularly with movement. [1] Complications may include internal bleeding, injury to the bladder, or vaginal trauma. [2][3]
Hip fracture, in particular, usually requires prompt surgery, as serious risks are associated with it, such as deep vein thrombosis and pulmonary embolism. There is also an increased risk of mortality associated with hip surgery, with the mean average mortality rate for Europe being 23.3%, for Asia 17.9%, United States 21% and Australia 24.9%. [23]
The National Hip Fracture Database (NHFD) is a nationwide audit within the NHS concerning the management and outcomes of patients with hip fractures.. It was initially set up by the British Orthopaedic Association and the British Geriatrics Society, however it is now commissioned by the Healthcare Quality Improvement Partnership (HQIP), a consortium of the Academy of Medical Royal Colleges and ...
“In your seventies and eighties [there] may be hip fractures, compression of the spine — kyphosis —humpback, and rib fractures. If an 80-year-old breaks a hip, the hip fracture may not kill ...
In the United States, over 800,000 patients a year are hospitalized because of a fall injury, most often because of a head injury or hip fracture. Motor vehicle crashes are the second most common mechanism of injury among geriatric adults, and the most common cause of traumatic mortality.
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