2022.1-2023.12 contrallateral group database(personal info hidden)

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.背景：髋部骨折在老年群体中较为常见，部分患者会出现对侧髋部骨折。尽管如此，目前仍缺乏针对老年人群髋部骨折预测因子的相关研究数据。本研究旨在探讨首次髋部骨折手术治疗后，对侧髋部骨折的危险因素。 方法：本研究为一项纳入115例年龄≥65岁低能量髋部骨折患者的前瞻性队列研究。评估的临床参数包括年龄、性别、骨密度（BMD）、T值以及髋屈肌力量缺损情况。根据是否发生对侧髋部骨折，将患者分为两组：骨折组（n=12）与非骨折组（n=103）。 结果：10.4%的患者出现对侧髋部骨折。经Logistic回归分析发现，年龄（OR=1.08）、骨密度降低（OR=0.33）、较低的T值（OR=1.45）以及髋屈肌失衡（OR=2.2）均为对侧髋部骨折的独立预测因素。 结论：整合抗骨质疏松治疗与针对性康复训练的多模式干预方案，可降低老年患者对侧髋部骨折的发生风险。