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Review
. 2024 Jan;34(1):21-29.
doi: 10.1007/s00590-023-03664-1. Epub 2023 Aug 7.

Epidemiology of proximal femur fractures in the young population of Qatar

Ashraf T Hantouly  1 , Asim AlBarazanji  1 , Mohammed Al-Juboori  1 , Mohanad Alebbini  1 , Ahmad A Toubasi  2 , Asma Mohammed  1 , Osama Alzobi  1 , Ghalib Ahmed  3
Affiliations
Review

Epidemiology of proximal femur fractures in the young population of Qatar

Ashraf T Hantouly et al. Eur J Orthop Surg Traumatol. 2024 Jan.

Abstract

Purpose: To review the epidemiological characteristics of proximal femur fractures in the young population (< 60 years) of Qatar between 2017 and 2019.

Methods: All patient treated for proximal femur fractures at Hamad General Hospital (HGH), a level one trauma center, were retrospectively reviewed between Jan 2017 and Dec 2019. All adults (18-60 years) with proximal femur fracture (femur head, femur neck, intertrochanteric and subtrochanteric fractures) were included with no restriction to the AO/OTA classification or fractures subtypes. Excluded cases were pathological fractures, cases with insufficient documentation or no radiographs.

Results: A total of 203 patients with a mean age of 40.07 ± 11.76 years were included, of who 89.9% were males. The incidence of proximal femur fracture was 3.12/100,000/year. Fall from height (48.1%) followed by road traffic accidents (26.9%) were common cause of injury. The most common fracture type was intertrochanteric fracture (36.1%) followed by femur neck fractures (33.7%).

Conclusion: This study provides the initial insights into the proximal femur fractures in the young population of Qatar. This is the first study to investigate of the epidemiology of such fractures in this particular patient group. Contrary to the existing literature on older age groups, the majority of the injuries were observed in males. Falls from height followed by road traffic accidents were the primary mechanisms leading to these fractures. Improved understanding of the profile of these injuries can aid in their prevention by implementing more effective safety measures.

Keywords: Epidemiology; Femur; Hip fractures; Qatar.

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Conflict of interest statement

The authors have no financial or proprietary interests in any material discussed in this article.

Figures

Fig. 1
Fig. 1
Proximal femur fractures at HGH between 2017 and 2019. NOF Neck of femur, IT Intertrochanteric, ST Subtrochanteric
Fig. 2
Fig. 2
Number of fractures according to age group
Fig. 3
Fig. 3
Mechanism of injury according to age group
Fig. 4
Fig. 4
Fracture type according to age group
See this image and copyright information in PMC

References

    1. Lu Y, Uppal H. Hip fractures: relevant anatomy, classification, and biomechanics of fracture and fixation. Geriatr Orthop Surg Rehabil. 2019;10:2151459319859139. doi: 10.1177/2151459319859139. - DOI - PMC - PubMed
    1. Cummings SR, Kelsey JL, Nevitt MC, O'Dowd KJ. Epidemiology of osteoporosis and osteoporotic fractures. Epidemiol Rev. 1985;7:178–208. doi: 10.1093/oxfordjournals.epirev.a036281. - DOI - PubMed
    1. Maalouf G, Bachour F, Hlais S, Maalouf NM, Yazbeck P, Yaghi Y, Yaghi K, El Hage R, Issa M. Epidemiology of hip fractures in Lebanon: a nationwide survey. Orthop Traumatol Surg Res. 2013;99(6):675–680. doi: 10.1016/j.otsr.2013.04.009.2013. - DOI - PubMed
    1. Egol KA, Leucht P. Proximal femur fractures: an evidence-based approach to evaluation and management. Cham: Springer International Publishing; 2018.
    1. Roberts KC, Brox WT, Jevsevar DS, Sevarino K. Management of hip fractures in the elderly. J Am Acad Orthop Surg. 2015;23(2):131–137. doi: 10.5435/JAAOS-D-14-00432. - DOI - PubMed