What is the importance of canal-to-diaphysis ratio on osteoporosis-related hip fractures?
Yıl: 2019 Cilt: 30 Sayı: 3 Sayfa Aralığı: 296 - 300 Metin Dili: İngilizce DOI: 10.5606/ehc.2019.70745 İndeks Tarihi: 20-11-2020
What is the importance of canal-to-diaphysis ratio on osteoporosis-related hip fractures?
Öz: Objectives: This study aims to investigate whether the ratioof the canal-to-diaphysis in femoral subtrochanteric region ishelpful in determining risk before hip fracture.Patients and methods: The study group consisted of 116patients with osteoporotic hip fractures (26 males, 90 females;mean age 77.8 years; range, 61 to 89 years) and the controlgroup consisted of 56 subjects (11 males, 45 females; meanage 75.3 years; range, 60 to 83 years). The canal-to-diaphysisratio of patients in the study group was measured on plainradiographs. The results of the affected side and intact sidewere compared. To ensure the interobserver reliability ofthe measurements and to minimize technical errors, theassessments were performed twice (two weeks apart) by twodifferent orthopedic surgeons.Results: The canal-to-diaphysis ratio was significantly increasedin patients with hip fracture compared with the intact side ofsame patient (p<0.001) and control subjects (p<0.001). Accordingto the results of the receiver operating characteristic analysis,canal-to-diaphysis ratio had a diagnostic value in predictinghip fracture in osteoporosis patients, and the limit value wasapproximately 0.53 (sensitivity: 81%, specificity: 86%). An indexof 0.53 represents a risk of intertrochanteric hip fracture of 89%.Conclusion: This method can be easily applied by allphysicians as X-ray device is readily accessible with low cost.The risk of hip fracture should be determined, osteoporosisshould be evaluated, and treatment should be started inpatients with high risk to take the necessary precautionsbefore the fracture develops.
Anahtar Kelime: Kanal-diyafiz oranının osteoporozla ilişkili kalça kırıklarında önemi nedir?
Öz: Amaç: Bu çalışmada femoral subtrokanterik bölge kanaldiyafiz oranının kalça kırığı öncesi riskin belirlenmesinde yararlı olup olmadığı araştırıldı. Hastalar ve yöntemler: Çalışma grubu osteoporotik kalça kırıklı 116 hastadan (26 erkek, 90 kadın; ort. yaş 77.8 yıl; dağılım, 61-89 yıl), kontrol grubu ise 56 bireyden (11 erkek, 45 kadın; ort. yaş 75.3 yıl; dağılım, 60-83 yıl) oluştu. Çalışma grubundaki hastaların düz radyografilerinde kanaldiyafiz oranı ölçüldü. Etkilenen taraf ve sağlam tarafın sonuçları karşılaştırıldı. Ölçümlerin gözlemciler arasında güvenilirliğini sağlamak ve teknik hataları en aza indirmek için değerlendirmeler iki farklı ortopedik cerrah tarafından iki kere (iki hafta ara ile) yapıldı. Bulgular: Kalça kırıklı hastalarda kanal-diyafiz oranı aynı hastanın sağlam tarafına (p<0.001) ve kontrol deneklerine (p<0.001) göre anlamlı olarak artmıştı. Alıcı işletim karakteristik analizinin sonuçlarına göre, osteoporoz hastalarında kalça kırığını öngörmede kanal diyafiz oranı tanısal bir değere sahipti ve sınır değer yaklaşık 0.53 (duyarlılık: %81, özgüllük: %86) idi. 0.53’lük indeks, %89’luk intertrokanterik kalça kırığı riskini temsil eder. Sonuç: X-ışını cihazına düşük maliyetle rahatlıkla erişilebildiği için bu yöntem tüm hekimler tarafından kolayca uygulanabilir. Yüksek riskli hastalarda kalça kırığı riski belirlenmeli, osteoporoz değerlendirilmeli ve kırık gelişmeden gerekli önlemleri almak için tedaviye başlanmalıdır.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Bozkurt H, Tokgöz M, Yapar A, Atik O (2019). What is the importance of canal-to-diaphysis ratio on osteoporosis-related hip fractures?. , 296 - 300. 10.5606/ehc.2019.70745 |
| Chicago | Bozkurt Hasan Hüseyin,Tokgöz Mehmet Ali,Yapar Aliekber,Atik O. Sahap What is the importance of canal-to-diaphysis ratio on osteoporosis-related hip fractures?. (2019): 296 - 300. 10.5606/ehc.2019.70745 |
| MLA | Bozkurt Hasan Hüseyin,Tokgöz Mehmet Ali,Yapar Aliekber,Atik O. Sahap What is the importance of canal-to-diaphysis ratio on osteoporosis-related hip fractures?. , 2019, ss.296 - 300. 10.5606/ehc.2019.70745 |
| AMA | Bozkurt H,Tokgöz M,Yapar A,Atik O What is the importance of canal-to-diaphysis ratio on osteoporosis-related hip fractures?. . 2019; 296 - 300. 10.5606/ehc.2019.70745 |
| Vancouver | Bozkurt H,Tokgöz M,Yapar A,Atik O What is the importance of canal-to-diaphysis ratio on osteoporosis-related hip fractures?. . 2019; 296 - 300. 10.5606/ehc.2019.70745 |
| IEEE | Bozkurt H,Tokgöz M,Yapar A,Atik O "What is the importance of canal-to-diaphysis ratio on osteoporosis-related hip fractures?." , ss.296 - 300, 2019. 10.5606/ehc.2019.70745 |
| ISNAD | Bozkurt, Hasan Hüseyin vd. "What is the importance of canal-to-diaphysis ratio on osteoporosis-related hip fractures?". (2019), 296-300. https://doi.org/10.5606/ehc.2019.70745 |
| APA | Bozkurt H, Tokgöz M, Yapar A, Atik O (2019). What is the importance of canal-to-diaphysis ratio on osteoporosis-related hip fractures?. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), 30(3), 296 - 300. 10.5606/ehc.2019.70745 |
| Chicago | Bozkurt Hasan Hüseyin,Tokgöz Mehmet Ali,Yapar Aliekber,Atik O. Sahap What is the importance of canal-to-diaphysis ratio on osteoporosis-related hip fractures?. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) 30, no.3 (2019): 296 - 300. 10.5606/ehc.2019.70745 |
| MLA | Bozkurt Hasan Hüseyin,Tokgöz Mehmet Ali,Yapar Aliekber,Atik O. Sahap What is the importance of canal-to-diaphysis ratio on osteoporosis-related hip fractures?. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), vol.30, no.3, 2019, ss.296 - 300. 10.5606/ehc.2019.70745 |
| AMA | Bozkurt H,Tokgöz M,Yapar A,Atik O What is the importance of canal-to-diaphysis ratio on osteoporosis-related hip fractures?. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.). 2019; 30(3): 296 - 300. 10.5606/ehc.2019.70745 |
| Vancouver | Bozkurt H,Tokgöz M,Yapar A,Atik O What is the importance of canal-to-diaphysis ratio on osteoporosis-related hip fractures?. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.). 2019; 30(3): 296 - 300. 10.5606/ehc.2019.70745 |
| IEEE | Bozkurt H,Tokgöz M,Yapar A,Atik O "What is the importance of canal-to-diaphysis ratio on osteoporosis-related hip fractures?." Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), 30, ss.296 - 300, 2019. 10.5606/ehc.2019.70745 |
| ISNAD | Bozkurt, Hasan Hüseyin vd. "What is the importance of canal-to-diaphysis ratio on osteoporosis-related hip fractures?". Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) 30/3 (2019), 296-300. https://doi.org/10.5606/ehc.2019.70745 |
