A Study on the Correlation of Pertrochanteric Osteoporotic Fracture Severity with the Severity of Osteoporosis
Introduction: Osteoporosis is a metabolic bone disease caused by progressive bone loss. It is characterized by low Bone Mineral Density (BMD) and structural deterioration of bone tissue leading to bone fragility and increased risk of fractures. When classifying a fracture, high reliability and v...
Main Authors: | , , , , |
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Format: | Article |
Language: | English |
Published: |
JCDR Research and Publications Private Limited
2016-04-01
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Series: | Journal of Clinical and Diagnostic Research |
Subjects: | |
Online Access: | https://jcdr.net/articles/PDF/7629/19267_CE(RA1)_F(T)_PF1(ROAK)_PFA(AK)_PF2(PAG).pdf |
Summary: | Introduction: Osteoporosis is a metabolic bone disease caused
by progressive bone loss. It is characterized by low Bone Mineral
Density (BMD) and structural deterioration of bone tissue leading
to bone fragility and increased risk of fractures. When classifying
a fracture, high reliability and validity are crucial for successful
treatment. Furthermore, a classification system should include
severity, method of treatment, and prognosis for any given
fracture. Since it is known that treatment significantly influences
prognosis, a classification system claiming to include both
would be desirable. Since there is no such classification system,
which includes both the fracture type and the osteoporosis
severity, we tried to find a correlation between fracture severity
and osteoporosis severity.
Aim: The aim of the study was to evaluate whether the AO/ASIF
fracture classification system, which indicates the severity of
fractures, has any relationship with the bone mineral status in patients
with primary osteoporosis. We hypothesized that fracture severity
and severity of osteoporosis should show some correlation.
Materials and Methods: An observational analytical study
was conducted over a period of one year during which 49
patients were included in the study at HIMS, SRH University,
Dehradun. The osteoporosis status of all the included patients
with a pertrochanteric fracture was documented using a DEXA
scan and T-Score (BMD) was calculated. All patients had a
trivial trauma. All the fractures were classified as per AO/ASIF
classification. Pearson Correlation between BMD and fracture
type was calculated.
Statistical Analysis used: Data was entered on Microsoft Office
Excel version 2007 and Interpretation and analysis of obtained
data was done using summary statistics. Pearson Correlation
between BMD and fracture type was calculated using the SPSS
software version 22.0.
Results: The average age of the patients included in the study
was 71.2 years and the average bone mineral density was-4.9.
The correlation between BMD and fracture type was calculated
and the r–values obtained was 0.180, which showed low a
correlation and p-value was 0.215, which was insignificant.
Conclusion: Statistically the pertrochanteric fracture configuration as per AO Classification does not correlate with the
osteoporosis severity of the patient. |
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ISSN: | 2249-782X 0973-709X |