Unit:
Faculty of MedicineLibrary of the School of Health Sciences
Dissertation committee:
Ιωάννης Βλάμης, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Σπυρίδων Πνευματικός, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Βασίλειος Κοντογεωργάκος, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Ευστάθιος Χρονόπουλος, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Ανδρέας Μαυρογένης, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Ηλίας Βασιλειάδης, Επίκουρος Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Δημήτριος - Στέργιος Ευαγγελόπουλος, Επίκουρος Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Επιδημιολογία και μορφολογική μελέτη των καταγμάτων του άνω πέρατος του μηριαίου. Συσχέτιση με τον τύπο κατάγματος
Translated title:
Epidemiology and morphological study of the fractures of the proximal femur. Correlation with the fracture type
Summary:
The incidence of proximal femoral fractures is escalating rapidly, presenting a significant challenge for healthcare systems worldwide and carrying serious social and economic implications. The primary objective of this study was to identify potential distinguishing factors between fractures occurring in the femoral neck and the trochanteric region. To this end, we conducted a prospective cohort study involving the radiographic images and Dual-energy X-ray absorptiometry (DEXA) measurements of 70 individuals over 65 years of age who were admitted to the orthopedic department with hip fractures and met our eligibility criteria.
In the first part of our investigation, we recorded Neck Length (NL), Offset Length (OL), Hip Axis Length (HAL), Neck Shaft Angle (NSA), Wiberg Angle (WA), Acetabular Angle (AA), Femoral Neck Diameter (FND), Femoral Head Diameter (FHD), Femoral Shaft Diameter (FSD), Femoral Canal Diameter (FCD), and Tonnis classification. The second part included the registration of T-score and Bone Mass Density (BMD) for the upper and lower parts of the femoral neck, the trochanteric area, and the femoral shaft.
No statistically significant differences were observed when comparing the selected parameters of the proximal femur with the type of fracture. This finding was consistent across variables such as age, gender, and Tonnis classification.
The inability of our research to establish differentiating factors between femoral neck and trochanteric fractures underscores the need for further studies. Future investigations should not only incorporate more precise techniques but also undertake a comprehensive examination that considers both intrinsic and extrinsic characteristics of the proximal femur.
Main subject category:
Health Sciences
Keywords:
Femoral neck fractures, Trochanteric fractures, Proximal femur, Osteoporosis, Epidemiology
Number of references:
268
