Incidence of proximal femur fractures in older age groups in the city of Armavir

Background : The increase in the incidence of proximal femoral fractures in older age groups and the lack of official statistics on their number in the country requires epidemiological studies.Aim: To improve the quality of medical care for older patients, study the incidence of proximal femoral fractures in people aged 50 years and older in the population of the city of Armavir Materials and methods : A cross-sectional retrospective study of proximal femoral fractures in individuals aged 50 years and older that occurred between January 1, 2019 and December 31, 2019 was conducted, with active identification of all cases and verification of the diagnosis according to ICD-10th revisen. Results : In the study population, 189 cases of low-energy proximal femoral fractures were identified, the ratio of women to men was 1.8:1.0, trochanteric fractures predominated (57% versus 42%). The overall incidence of femoral fractures was 262.6 per 100,000 population; for men — 230.5, women — 285.3. In the age range of 50–69 years, the incidence of proximal femoral fractures was higher in men, and from 70 years — in women. Compared with the data from 2008–2009, the incidence of femoral fractures in men increased by 30.9%, in women — by 2.3%. Conclusion : The identified increase in the incidence of femoral fractures indicates the need to examine men aged 50–69 for osteoporosis during a medical examination and begin treatment, which will reduce the risk of falls and fractures.