ANALIZ FAKTOROV, VLIYaYuShchIKh NA RAZVITIE PERELOMOV ShEYKI BEDRA

Abstract

Aim: Study offactors influencing on the fractures of proximal femur not connected with osteoporosis. Material and methods: Study is based on the simultaneous and prospective clinical-epidemiological study in patients of Yaroslavl aged 50 and more with proximal femoral fractures. Radiological method of assessment of femoral fractures followed by radiomorphological analysis of hip joints radiographs was used. Control group standardized by sex and age included persons without fractures and was numbered twice more than experimental group. Results: In 132 out of 133 cases the fractures were connected with falling down and only in one case with lifting the load. Accidental falling in males were reliably more frequent as compared with other reasons of falling (p=0.03). In females the fallings connected with cardiovascular diseases and cerebral disturbances reliably prevailed. Decreasing of points in psychodiagnostic test (MMST) lower than 24 is the risk factor of fallings (OP-3.022, p<0.01). Conclusion: Aside from osteoporotic process during femoral fractures one should consider other factors, such as anatomical peculiarities of proximal femur, body mass, height and concomitant diseases.