Medical Science
Volume 24, Issue 106, November - December, 2020
Second hip fracture in osteoporotic patients and its risk factors in Al-Ahsa, Saudi Arabia: A case-control study
Mohammad K Alsaleem1, Ali A Alsakkak2, Adia A Almutairi2, Zahrah A Al Abdullah2♦
1Orthopedic department, King Fahad Hospital, Hofuf, Saudi Arabia
2Medical intern, College of medicine, King Faisal University, Saudi Arabia
♦Corresponding author
Medical intern, College of medicine, King Faisal University,
Saudi Arabia;
Email: zahrah29@hotmail.com
ABSTRACT
2Medical intern, College of medicine, King Faisal University, Saudi Arabia
Medical intern, College of medicine, King Faisal University, Saudi Arabia; Email: zahrah29@hotmail.com
Background: Osteoporosis is a systemic disorder characterized by microarchitectural deterioration of bone and decreased bone mass
with increased bone fragility resulting in increased susceptibility to fracture. The fracture caused by bone’s fragility is a common
pathology among old subjects and the frequency rises within the increase of the average age of the population. Hip fractures are
the main cause of hospitalization in elderly patients in industrialized countries. Methods: A case control study that was conducted in
the king Fahd hospital in Al-hufof over three months interval, by using patients file data including 95 participants of osteoporotic
patients with previous hip fracture. Results: High BMI (>20 Kg/m2), history of having fractures with osteoporosis, and rheumatoid
arthritis were the most important risk factors for second fracture among study patients. While family history and early menarche or
late menopauses were insignificantly associated with second fracture history. Nicotine abuse recorded 70% more risk to have second
fracture among osteoporotic patients with no statistical significance. Patients with anorexia nervosa had a significant tripled risk for
second fracture compared to others without. Conclusion: Osteoporotic patients with first hip fracture are highly liable to get the
second hip fracture. We highly suggest that the ministry of health to implement an effective guidelines in terms of following the
elderly patient with first hip fracture.
Keywords: Osteoporosis, Second hip fracture, Risk factors
Medical Science, 2020, 24(106), 3931-3938
