Risk factors and predictors of contralateral hip fracture after surgical treatment in elderly patients
BackgroundHip fractures are common in elderly patients, with some experiencing contralateral fractures. Even so, information on predictors of hip fractures in elderly adults is lacking. In this study, we investigated risk factors for contralateral hip fractures after surgical treatment of primary fr...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2025-08-01
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| Series: | Frontiers in Aging |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fragi.2025.1633184/full |
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| author | Huan Yang Yusong Yuan Ruidong Ge Lei Shi Fangda Si Ying Chen |
| author_facet | Huan Yang Yusong Yuan Ruidong Ge Lei Shi Fangda Si Ying Chen |
| author_sort | Huan Yang |
| collection | DOAJ |
| description | BackgroundHip fractures are common in elderly patients, with some experiencing contralateral fractures. Even so, information on predictors of hip fractures in elderly adults is lacking. In this study, we investigated risk factors for contralateral hip fractures after surgical treatment of primary fractures.MethodsThis was a prospective cohort study of 115 patients aged ≥65 years with low-energy hip fractures. The clinical parameters evaluated included age, sex, bone mineral density (BMD), T score, and hip flexor strength deficit. Patients were stratified into two groups: those with (n = 12) and those without contralateral fractures (n = 103).ResultsContralateral fractures occurred in 10.4% of the patients. Logistic regression revealed that age (OR = 1.08), reduced BMD (OR = 0.33), lower T score (OR = 1.45), and hip flexor imbalance (OR = 2.2) were significant predictors.ConclusionA multimodal approach that integrates anti-osteoporosis therapy and targeted rehabilitation may reduce contralateral fracture risk in elderly patients. |
| format | Article |
| id | doaj-art-a46db092155b433db52d78d4ef6bfd0f |
| institution | Kabale University |
| issn | 2673-6217 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Aging |
| spelling | doaj-art-a46db092155b433db52d78d4ef6bfd0f2025-08-20T03:46:46ZengFrontiers Media S.A.Frontiers in Aging2673-62172025-08-01610.3389/fragi.2025.16331841633184Risk factors and predictors of contralateral hip fracture after surgical treatment in elderly patientsHuan YangYusong YuanRuidong GeLei ShiFangda SiYing ChenBackgroundHip fractures are common in elderly patients, with some experiencing contralateral fractures. Even so, information on predictors of hip fractures in elderly adults is lacking. In this study, we investigated risk factors for contralateral hip fractures after surgical treatment of primary fractures.MethodsThis was a prospective cohort study of 115 patients aged ≥65 years with low-energy hip fractures. The clinical parameters evaluated included age, sex, bone mineral density (BMD), T score, and hip flexor strength deficit. Patients were stratified into two groups: those with (n = 12) and those without contralateral fractures (n = 103).ResultsContralateral fractures occurred in 10.4% of the patients. Logistic regression revealed that age (OR = 1.08), reduced BMD (OR = 0.33), lower T score (OR = 1.45), and hip flexor imbalance (OR = 2.2) were significant predictors.ConclusionA multimodal approach that integrates anti-osteoporosis therapy and targeted rehabilitation may reduce contralateral fracture risk in elderly patients.https://www.frontiersin.org/articles/10.3389/fragi.2025.1633184/fullhip fractureosteoporosisbone mineral densitymuscle imbalancerehabilitationgeriatric trauma |
| spellingShingle | Huan Yang Yusong Yuan Ruidong Ge Lei Shi Fangda Si Ying Chen Risk factors and predictors of contralateral hip fracture after surgical treatment in elderly patients Frontiers in Aging hip fracture osteoporosis bone mineral density muscle imbalance rehabilitation geriatric trauma |
| title | Risk factors and predictors of contralateral hip fracture after surgical treatment in elderly patients |
| title_full | Risk factors and predictors of contralateral hip fracture after surgical treatment in elderly patients |
| title_fullStr | Risk factors and predictors of contralateral hip fracture after surgical treatment in elderly patients |
| title_full_unstemmed | Risk factors and predictors of contralateral hip fracture after surgical treatment in elderly patients |
| title_short | Risk factors and predictors of contralateral hip fracture after surgical treatment in elderly patients |
| title_sort | risk factors and predictors of contralateral hip fracture after surgical treatment in elderly patients |
| topic | hip fracture osteoporosis bone mineral density muscle imbalance rehabilitation geriatric trauma |
| url | https://www.frontiersin.org/articles/10.3389/fragi.2025.1633184/full |
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