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Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XXXVIII | Pages 136 - 136
1 Sep 2012
Guy P Sobolev B Kuramoto L Lefaivre KA
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Purpose

The prevention of a subsequent, contralateral hip fracture is targeted as an avoidable event in the elderly. Fall prevention and bone strengthening measures have met with limited success and the urgency of their effect is undetermined. Our objective was to evaluate the time to second hip fracture (the time between a first and a subsequent, contralateral fracture) in elderly patients, using a population-based administrative health data set.

Method

The 58,286 records of persons older than 60 yrs and hospitalized for a hip fracture between 1985 and 2005 were obtained from a Provincial administrative health database. We excluded non-traumatic cases and identified the care episodes related to a subsequent hip fracture for each patient using unique identifiers. We used a 5 year “wash-out period” to avoid counting a second fracture as a first one.

We calculated the proportion of first and second fractures and sex distribution over time (fiscal years) and quantified the time between first and second fracture, while correlating it to age, sex and fracture type.


Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XXXVIII | Pages 79 - 79
1 Sep 2012
Slobogean GP Lefaivre KA Ngai J Broekhuyse HM O'Brien PJ
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Purpose

The measurement of functional outcomes in pelvic fracture patients remains difficult for authors. We aimed to test the construct validity, respondent burden, and patient perception of three previously published pelvic outcome questionnaires.

Method

Subjects completed three pelvic specific, and three general functional outcome instruments. Time for each pelvic instrument was recorded, as was which score the patient felt best addressed their symptoms. Patients stated the three most significant impacts the pelvic fracture had on their life.


Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XXXVIII | Pages 195 - 195
1 Sep 2012
Guy P Lefaivre KA Levy AR Sobolev B Cheng SY Kuramoto L
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Purpose

To determine whether there have been changes in the age, sex and subtype specific first hip fracture rates in Canadian province of British Columbia (BC) between 1990 and 2004.

Method

Records of all persons aged 60 years and older hospitalized with hip fractures in BC between 1985 and 2004 were obtained from the Canadian Institute for Health Information Discharge Abstract Database. Only the first hip fracture records were included, and fractures likely due to causes other than trauma were excluded. Age- and sex-specific rates were calculated using population denominators from Statistics Canada and direct standardization was used. Age standardized rates allowed for comparison across years with adjustment for age distribution.