ORIGINAL RESEARCH article
Front. Aging
Sec. Musculoskeletal Aging
Volume 6 - 2025 | doi: 10.3389/fragi.2025.1633184
This article is part of the Research TopicInterdisciplinary Insights Into Musculoskeletal Aging: Mechanisms and InterventionsView all articles
Risk Factors and Predictors of Contralateral Hip Fracture After Surgical Treatment in Elderly Patients
Provisionally accepted
- China-Japan Friendship Hospital, Beijing, China
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Background: Hip fractures are common in elderly patients, with some experiencing contralateral fractures. Even so, information on predictors of hip fractures in elderly adults is lacking. In this study, we investigated risk factors for contralateral hip fractures after surgical treatment of primary fractures. Methods: This was a prospective cohort study of 115 patients aged ≥65 years with low-energy hip fractures. The clinical parameters evaluated included age, sex, bone mineral density (BMD), T score, and hip flexor strength deficit. Patients were stratified into two groups: those with (n=12) and those without contralateral fractures (n=103). Results: Contralateral fractures occurred in 10.4% of the patients. Logistic regression revealed that age (OR=1.08), reduced BMD (OR=0.33), lower T score (OR=1.45), and hip flexor imbalance (OR=2.2) were significant predictors. Conclusion: A multimodal approach that integrates anti-osteoporosis therapy and targeted rehabilitation may reduce contralateral fracture risk in elderly patients.
Keywords: Hip fracture, Osteoporosis, bone mineral density, Muscle imbalance, Rehabilitation, Geriatric trauma, Secondary Prevention
Received: 22 May 2025; Accepted: 06 Aug 2025.
Copyright: © 2025 Yang, Yuan, Ge, Shi, Si and Chen. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Ying Chen, China-Japan Friendship Hospital, Beijing, China
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