La Tunisie Medicale · Dec 1, 2024

Survival rate after osteoporotic proximal femur fractures

By Zrour S, Belhaj Salem S, Ben Chekaya N et al.

OBJECTIVES: To evaluate survival after osteoporotic fractures of the upper femur and determine its associated factors. METHODS: Cross-sectional study of patients hospitalized for fractures of the upper end of the femur during 2020 at Monastir University Hospital. Outcome was determined up to 2 years. The Kaplan-Meier curve is used for survival analysis. RESULTS: Eighty one patients with mean age of 77.46 ± 17,36 years and a sex ratio of 0.61 were evaluated. The femoral neck fracture was observed in54% of cases. Overall survival was 84.6% at 6 months, 75.4% at 1 year and 63.4% at 2 years. Median survival was 30 months. Patients older than 75 years had a shorter survival (68% versus 83% at one year and 55% versus 72% at 2 years ; p < 10-3). CONCLUSION: The osteoporotic fracture of the upper femur is serious due to its severe outcome. One-year mortality was aboutt 25%. Increased mortality was associated to elderly population.

doi.org/10.62438/tunismed.v102i12.5178 Open access PubMed 39748698 Populations