Observational Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Feb 18, 2022; 13(2): 160-170
Published online Feb 18, 2022. doi: 10.5312/wjo.v13.i2.160
Bone mineral density in fracture neck of femur patients: What's the significance?
Hussam Elamin Ahmed, Oday Al-Dadah
Hussam Elamin Ahmed, Oday Al-Dadah, Department of Trauma and Orthopaedic Surgery, South Tyneside District Hospital, Harton Lane, South Tyneside NE34 0PL, United Kingdom
Oday Al-Dadah, Translational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, Newcastle-upon-Tyne NE2 4HH, United Kingdom
Author contributions: Elamin Ahmed H contributed to study design, literature review and manuscript production; Al-Dadah O contributed to study design, literature review, statistical analysis and manuscript production.
Institutional review board statement: This was a retrospective observational cohort study which did not require IRB/ Ethics Committee approval.
Informed consent statement: Informed consent was obtained from all patients as part of their routine clinical care in this pragmatic study which evaluated the existing clinical practice within the department.
Conflict-of-interest statement: The authors report no conflict of interest.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Noncommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hussam Elamin Ahmed, MBBS, Doctor, Department of Trauma and Orthopaedic Surgery, South Tyneside District Hospital, Harton Lane, South Tyneside NE34 0PL, United Kingdom. hussam.elamin-ahmed@nhs.net
Received: May 9, 2021
Peer-review started: May 9, 2021
First decision: June 16, 2021
Revised: July 1, 2021
Accepted: January 11, 2022
Article in press: January 11, 2022
Published online: February 18, 2022
Core Tip

Core Tip: The results in this study place more emphasis on bone mineral density (BMD) when assessing fracture risk, in comparison to key factors incorporated into the Fracture Risk Assessment Tool (FRAX) predictive score. Menopause age and female gender had an indeterminate influence on BMD, as well as World Health Organization classification of osteoporosis. Body mass index had a significant influence on BMD. Osteoporosis was more common in patients with extra-capsular hip fracture patterns. This study shows that BMD is significant in assessing risk of fracture neck of femur in comparison to the FRAX predictive score.