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OSTEOPOROSIS AND HIP FRACTURE
Povoroznjuk V.V., Pidlesetsky T.M
A femoral fracture is the most serious osteoporosis complication. This work aimed to study the structural-functional state of bone tissue, degree of its aging, and the osteoporosis prevalence in patients with femoral neck fractures. In the group of 20 female subjects (10 aged 60-69 and 10 aged 70-79 years) with femoral neck fractures, we examined the heel bone of an intact foot by means of ultrasound osteodensitometer ?Achilles+? (Lunar Firm). The control group included healthy female subjects of the same age, being standardized by their body mass index and specifics of nutrition. The structural-functional age of bone system and its aging were determined according to the method proposed earlier. The ultrasound bone tissue characteristics were fairly better in patients without any fractures in their anamnesis compared to those who had the femoral neck fractures, p < 0,001. The degree of the bone system aging in patients with femoral neck fractures significantly exceeded the populational standard: by 8,5 years in the 60-69-year old group and by 10,3 years in the 70-79-year old group. The accelerated bone system aging has led to an increase in the proportion of patients with a severe osteoporosis form among the women with femoral neck fractures (at 60-69 years - 90 % and at 70-79 years - 100 %).
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