DOI: 10.36347/sjams.2018.v06i08.037

Pages: 3126-3130

Fractures of hip pose significant liability on health care service providers due to being one of the foremost reasons of illness and death in the senior residents. This study aims to report the epidemiology of fractures of hip at a rural teaching institute situated in Gurgaon in Northern India. A retroactive study was performed on patients admitted with fractures of hip (proximal femoral fractures) during the period 2015-2017 in the Department of Orthopedics, Faculty of Medicine and Health Sciences, Budhera, Gurgaon, a district of Northern India. Case records including x-rays of patients were studied for age, sex, mode of injury, additional diseases, fracture type and existence of osteoporosis. There were total 844 admissions of patients with fractures of hip during the 2015-2017 periods. Males were 389 while 455 were females. Forty six percent patients belonged to the 60-75 years age group, while the average age was 58.1 years. Trivial injuries such as sheer fall in aged patients, were accountable for >80% of fractures with existence of substantial osteoporosis (Singh’s index grade 3). There was overall 1.3% death rate in the hospital. Inter-trochanteric fractures were most common (55.4%) followed by femoral neck (33.8%) and sub trochanteric (10.8%). A substantial number of patients were having various concomitant medical diseases and were regular smokers. Fractures of hip are posing an alarming health related problem due to improved long life. The prevalence of these fractures will drop following various precautionary actions if taken for osteoporosis and sheer falls.