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A Journal on Orthopedics and Traumatology

Official Journal of the Piedmontese-Ligurian-Lombard Society of Orthopedics and Traumatology
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Minerva Ortopedica e Traumatologica 2003 October;54(5):375-9

language: English

Hip fractures in patients with diabetes mellitus

Koukos A., Triantaphyllidis I., Koukos C., Georgakopoulos K., Choleris G.

Department of Orthopaedics E. Dimitriou Hospital, Florina, Greece


Aim. Hip fractures occur more frequently in patients with diabetes mellitus, either of type I or II, when compared with the general population.
Methods. A retrospective study of 100 pa-tients suffering from diabetes mellitus of both types for 10-30 years, in a total of 970 patients who had a hip fracture, during the period 1980-1999, was performed.
Results. We found that there was an increased incidence of hip fractures in diabetic patients regardless of diabetes type, when compared with the general population. Besides, intertrochanteric prevails in comparison with femoral neck fractures in patients receiving oral agents or insulin. The ratio of intertro-chanteric to femoral neck fractures in such patients is 3.5:1,while the respective ratio in the general population is 2.3:1.
Conclusion. In patients suffering from diabetes mellitus for a long period there is advanced osteoporosis and simultaneously muscular weakness. These result in an increased incidence of fractures in the hip area.

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