Abstract
BackgroundHip and wrist fractures are the most common orthopaedic injuries. Combined hip and distal radius fractures are an important clinical and public health problem, since mobilisation and rehabilitation is challenging and likely to be prolonged in this setting. Few studies have explored the influence of an associated wrist fracture in patients with hip fracture. We present the largest series of patients with concomitant hip and wrist fractures. We perform the first meta-analysis of the literature on patients with concurrent hip and wrist fractures.Material and methodsIn this single-centre retrospective study we compared 88 consecutive patients with simultaneous hip and wrist fractures with 772 consecutive patients who suffered isolated hip fractures.ResultsPatients with the combined fracture were of a similar age compared to those with isolated hip fracture. There were a significantly higher proportion of women in the cohort with both hip and wrist fractures (female:male ratio of 9:1 versus 4:1 p < 0.0001). The combination fracture group had a greater length of hospitalisation (18 vs 13 days p < 0.0001). The survivorship of both groups was not significantly different even after adjustment for age and gender. Meta-analysis of the literature showed female preponderance, increased length of stay but no significant difference in survival in patients with concomitant hip and wrist fractures.ConclusionThe combination fracture occurs much more commonly in women and patients require a greater length of hospitalisation. The patients who sustained simultaneous hip and wrist fractures experienced no statistically significant difference in survivorship when compared to those who suffer isolated hip fractures. This is not withstanding the presence of two fractures. This difference in mortality did not reach statistical significance.Level of evidenceLevel III (retrospective comparative study).
Highlights
In England and Wales, the National Institute for Health and Clinical Excellence guidance on the management of patients with hip fractures reflects the ascendancy this injury has achieved in recent years over other injuries [1]
We present the largest series of patients with concomitant hip and wrist fractures
Patients with the combined fracture were of a similar age compared to those with isolated hip fracture
Summary
The hip fracture is arguably the most clinically significant fracture treated by the orthopaedic surgeon, given the high mortality associated with the injury. The wrist fracture is one of the most common fractures treated by the orthopaedic community. Few studies have explored the outcome of wrist fractures associated with neck of femur fractures. The purpose of the study is to compare the mortality of patients who sustain simultaneous hip and distal radius fractures to those who suffer isolated hip fractures. Hip and wrist fractures are the most common orthopaedic injuries. Few studies have explored the influence of an associated wrist fracture in patients with hip fracture. Material and methods In this single-centre retrospective study we compared 88 consecutive patients with simultaneous hip and wrist fractures with 772 consecutive patients who suffered isolated hip fractures
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