Characteristics of the structural and functional state of bone tissue in elderly and senile patients with femur acetabulum fractures

Authors

  • Y. D. Valovina Ivano-Frankivsk National Medical University
  • Z. Y. Vitvitsky Ivano-Frankivsk National Medical University
  • N. Y. Valovina Ivano-Frankivsk National Medical University

DOI:

https://doi.org/10.11603/2414-4533.2020.4.11790

Keywords:

bone mineral density

Abstract

The aim of the work: to analyze the structural and functional state of bone tissue (SFSBT) in the elderly and senile patients and the structure of the acetabulum fractures of the femur due to violations in bone mineral density (BMD).

Materials and Methods. The paper analyzes the results of the examination of 98 elderly and senile patients who were treated at the Ivano-Frankivsk Regional Clinical Hospital of the Ivano-Frankivsk Regional Council during 2008–2018. The mean age of the patients was (75.4±10.8) (60 to 90 years). The group consisted of 46 patients with acetabulum fractures of the femur (main group), they received low-energy injuries. The control group included 52 people who were examined for diseases of the musculoskeletal system. All patients underwent dual-energy x-ray absorptiometry (DEXA) of the lumbar spine. In patients of group I, the type of fracture was determined according to the AO/ASIF classification.

Results and Discussion. Violations of BMD were found in 72 (73.5 %) patients in both groups. In group I the maximum decrease rate in bone mass T index was – 3.5, in group II – T = -2.8. In elderly patients of group I, the average T index was – 1.32, and in senile patients of group I – -1.86. In elderly patients of group II, the average T was -0.85, and in senile patients of group II – -1.33. Among group I patients, in whom densitometry revealed violations in bone structure, according to the classification of AO/ASIF, most fractures were complex, i.e., fragmentary with displacement, and amounted to 39 (84.8 %) cases.

The elderly and senile patients examined by us revealed that the violations in BMD and the high frequency of complex multifragmentary fractures indicate the necessity in further SFSBT study as well as optimization of treatment in patients of this age category.

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Published

2021-02-15

How to Cite

Valovina, Y. D., Vitvitsky, Z. Y., & Valovina, N. Y. (2021). Characteristics of the structural and functional state of bone tissue in elderly and senile patients with femur acetabulum fractures. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (4), 84–88. https://doi.org/10.11603/2414-4533.2020.4.11790

Issue

No. 4 (2020)

Section

EXPERIENCE OF WORK

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