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Acta clinica Croatica, Vol. 62. No. Supplement 3, 2023.

Original scientific paper

https://doi.org/10.20471/acc.2023.62.s3.9

The impact of sarcopenia on fracture patterns of the proximal femur

Dino Bobovec ; Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia
Tomislav Žigman ; Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia
Daniel Rajačić ; Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia
Andreja Prtorić ; Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia
Tihomir Banić ; Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia
Ivan Dobrić ; Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia

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Abstract

A single-centre cross-sectional study was performed to investigate the potential association between the presence of sarcopenia and fracture patterns in patients with a proximal femoral fracture. We identified all consecutive patients who were admitted due to proximal femoral fracture. The patient’s demographic data and the presence of sarcopenia were assessed. The presence of sarcopenia was investigated preoperatively according to EWGSOP2 criteria using the SARC-F questionnaire and the hand grip strength test. According to the presence of sarcopenia, two groups were formed and analysed. We identified 70 patients who matched the inclusion criteria and were analysed in this study. In the sarcopenic group, there was a significantly higher proportion of extracapsular fractures (63.6 % vs. 26.9 %; p = 0.00298, z = 2.9684) with an increased proportion of pertrochanteric fractures (52.3 % vs. 23 %; p = 0.0164, z = 2.396) compared to the non-sarcopenic group. Also, we observed a significant difference in the proportions of femoral neck fractures between two analysed groups (36.4 % vs. 73.1 %; p = 0.0029, z = -2.9684). It is important to screen for sarcopenia and apply comprehensive geriatric care to all hip fracture patients, especially those with pertrochanteric fracture patterns.

Keywords

Sarcopenia; Hip Fractures; Trauma

Hrčak ID:

310127

URI

https://hrcak.srce.hr/310127

Publication date:

31.8.2023.

Article data in other languages: croatian

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