Retrospective Research Of Osteoporotic Hip Fracture

ObjectiveWe conducted a prospective study among osteoporotic fracture of hip men and women with a first osteoporotic hip fracture near five years, document survival rate in hospital period as well as above one year of soteoporotic fracture of hip; and to determine whether Chinese type of syndrome, survival rate, ande functional outcomes, life quality of these fracture differ by fracture type.MethodThe design was a half a year retrospective study. The case was collected from Orthopedic and trauma hospital,Guangzhou university of TCM, .We screen and bring into some first hip osteoporotic fracture cases which fit our standard to fill in osteoporotic hip fracture survey form ( attached table 1),then we follow up the cases and fill in osteoporotic hip fracture revisit table (attached table 2) and Guangzhou University of Chinese medicine Attached Bone Traumatology department Hospital survival quality questionnaire (attached table 3). then input collected information to computer. Finally, all data was analysed by spss11.5 software.ResultAt first, According to integrates, the elimination, the diagnosis standard, two hundred and thirty cases was collected to our research ,one hundred and nine femoral neck fracture and one hundred and twenty one intertrochanter fracture, There were no significant differences between the two groups with respect to Demography and clinical baseline characteristics.Secondly, Chinese pattern of syndrome charged four classes, which concludeganshen-yinxu, pishen-yangxu, shen-yangxu, qizhi-xueyu. Specifically, the large point was ganshen-yinxu, which account for 38.3%(92case), next, shen-yangxu and qizhi-xueyu13.9% (32case), pishen-yangxu and qizhi-xueyu 10. 4% (24 case); simple qizhi-xueyu, the smallest one, which account for 3. 5% (8 case). There were no significant differences between the two groups with respect to Chinese pattern of syndrome.Thirdly, At hospital discharge, intertrochanteric hip fracture patients had a higher mortality, (3/121 virsus 1/109); In one year the fatality count is: Thighbone neck group 7 examples (7%) intertrochanteric group 15 examples (14%), and has the serious function barrier;Above one year, thighbone neck group 3 examples (3%) intertrochanteric group 5 examples (4%), both in mortality rate not obvious statistics difference in both groups.Finally Function result and survival quality grading , osteoporotic fracture of hip which finished contains body pain , self-care ability, household duties, daily activities, social intercourse, healthy concept, mental status, were no significant differences between the two groups with respect to all items.ConclusionFirst, We conclude that intertrochanteric fractures are associated with increased mortality compared to femoral neck fractures. Functional outcome differs according to fracture type at hospital discharge, but these differences do not persist over time. These differences cannot be explained by differences in age or comorbidity. To address the mechanism(s)by which intertrochanteric fractures carry excess mortality compared to femoral neck fractures, future studies in hip fracture patients should include a comprehensive assessment of the degree of frailty, vitamin D status, and fall dynamics.Secondly, Chinese pattern of syndrome of osteoporotic hip fracture's Chinese medicine card distribution by four distributions, the multi-skill are primarily many, the sole card are few; Indicated that the inferior card period of five days minute is suitable with the osteoporotic hip fracture (femoral neck fracture and intertrochanter fracture). In clinic, we can treat elding fracture men or wemen, according to this Chinese pattern of syndrome.Thirdly, 2 group of function results and the survival quality result's contrast result does not have the obvious statistics difference, this provides the basis for the hip department bone fracture's occurrence and the prognosis.