Volume 27, Issue 139, September 2023

Epidemiology of intertrochanteric hip fractures at a state hospital in Malaysia

Yong Ying Nyia^1♦, Mohammad Arshad Ikram², Thinesh Varan Subramaniam³, Navodith Chrishmal Fernando¹, Mugtadi Osman¹, Jia Sheng Lam¹, Zhi How Ng¹

¹Medical Student, School of Medicine, International Medical University (IMU), Malaysia
²Associate professor and consultant, Head of Division of Surgery, International Medical University (IMU), Malaysia
³Orthopaedic surgeon, Hospital Tuanku Ja’afar Seremban, Malaysia

^♦Corresponding author
Medical Student, School of Medicine, International Medical University (IMU), Malaysia

ABSTRACT

Background: Intertrochanteric fractures are amongst the most common hip fractures in older adults and are most commonly caused by low-energy trauma. This study aims to identify the causes, demographic information, and presence of comorbidities among patients admitted with intertrochanteric hip fractures at a state hospital in Malaysia. Methods: Patients with intertrochanteric fractures presenting to Hospital Tuanku Ja’afar Seremban, Malaysia, from January 2019 to December 2021 were identified from a retrospective trauma database. Patient data were analyzed using IBM SPSS version 28 for logistic regression. Statistical significance was set at p<0.05. Results: A total of 306 patients were included in this study. The mean age of patients was 69.9 ± 16.4 years, with 51.6% female. 78.8% (n= 241/306) of patients had comorbidities. Most fractures were caused by a same-level fall (67.3%) at the patient’s accommodation. 258 patients underwent surgical management, 17 developed postoperative complications, and had underlying comorbidities. Conclusion: Intertrochanteric fractures are most commonly seen in females and the elderly population. Early screening of comorbidities and implementing fall prevention strategies may help reduce fracture incidence.

Keywords: Epidemiology, intertrochanteric, hip fracture, comorbidity, fall prevention

Medical Science, 2023, 27, e342ms3081

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DOI: https://doi.org/10.54905/disssi.v27i139.e342ms3081

Published: 02 September 2023