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In the elderly, fracture is usually caused by mild forces acting on brittle bone.
The ratio of RANKL OPG was increased in bone from elderly fracture patients [ 53, 54] and low levels of RANKL have been suggested as a predictor of fracture [ 55].
26, 27 The cost of therapy, patient frailty, and the presence of cognitive impairment – not uncommon in elderly fracture patients 28, 29 – have also been identified as potential barriers to treatment.
In the RSA study by Campbell et al. (2009) of patients with osteoarthritis who received the same version of the collarless Corail stem, the mean retroversion was half of the values in our elderly fracture population, and distal migration was one third of the corresponding values in the present study.
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The association between reduced mortality and post-fracture use of anti-osteoporosis drugs in elderly hip fracture patients has been addressed in earlier studies.
Disquietingly, 50% of elderly hip fracture cases are not classified as being osteoporotic by densitometry [1]; and while elderly UK hip fracture cases had femoral neck cortices thinned locally by up to 30% compared to controls [12,13], they also had normal-for-age femoral neck trabecular bone density [14,15].
We assessed the association of serum anticholinergic activity with delirium and its risk factors in a longitudinal study on elderly hip fracture patients.
Shiri-Sharvit O, Arad M, Mizrahi EH, Fleissig Y, Adunsky A. The association between psychotropic medication use and functional outcome of elderly hip fracture patients undergoing rehabilitation.
The objectives are to describe for the first time a home-based exercise intervention for frail elderly hip fracture patients and to describe the feasibility of this exercise program.
Two-thirds of these elderly hip fracture patients were women.
Osteoporosis is an important problem in the elderly, since fracture incidence increases with age.
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