Study on correlation between hip fracture and bone mineral density in the elderly
Objective To investigate the correlation between hip fracture and bone mineral density(BMD)in the elderly.Methods 196 patients with hip fracture admitted to the Central Hospital of Shenyang Medical College from January 2020 to October 2022 were selected as the study objects.Patients were divided into group A(femoral neck fracture,n =136)and group B(femoral tro-chanter fracture,n =60)according to the location of hip fracture.BMD of lumbar spine and bilateral femur was examined by gual-ener-gy x-ray absorptiometry in all subjects.The T values of lumbar BMD,total BMD of both femurs,and BMD of healthy and affected fe-murs were recorded and compared between the two groups.The T values of BMD on the affected and healthy femur of all patients were compared.Results The T value of lumbar BMD and double femur BMD in group A were higher than those in group B,with statistical significance(P<0.05).The T value of the BMD of the affected side and the healthy side of the femur in group A were higher than those in group B,with statistical significance(P<0.05).The mean T value of the BMD on the affected side was(-1.59±1.16),which was higher than that on the healthy side(-2.13±1.33),and the difference was statistically significant(P<0.05).Conclusion The healthy femur bone mass is lower in patients with hip fracture,and the osteoporosis is more serious in patients with femoral trochanteric fracture.More attention should be paid to the treatment of osteoporosis in diagnosis and treatment to prevent the occurrence of secondary fractures on the healthy side.
ElderlyBone mineral densityHip fractureOsteoporosis