Incidence of Hip Fracture in Shiraz

Backgrounds: hip fracture, the most serious complication of osteoprosis, burdens lots of costs on any health provinding system. Previous reports on rates of hip fractures in Asian countries used to differ a lot. The aim of this study was to estimate the insidence rate of hip fractures in the city of Shiraz, Iran. Methods: all operating room logs with diagnosis of hip fracture were reviewed for hip fractures procceded by a simple falling down in patients over 50 years, between 21st of march 2000 to 21st march of 2003.according to patients medical records, age, sex, type of fracture (intertrochanteric, neck, dubtrochanteric) and patients residency regions regrding to Shiraz municipality division were obtained. Results: the age adjusted incidence rates of hip fracture comparing to the United states population records in 1985: (325.74/100000 fro men and 519.05/100000 for women) and to the United state population records in 1989: (384.61/100000 fro men and 548.17/100000 fro women) was the highest in Asia. The intertrochanteric fracture was significantly higher among females (P=0.003).the incidence if intertrochanteric and neck fractures were increased with age. In all the age groups, females had more incidence rates of fractures except of the age of over 80,in which males had more incidence rates than females. Conclusion: high incidence rate of hip fractures in our population especially in our males of over 80 shows that preventive strategies for hip fractures and osteoprosis should be considered in males as well as females. Further studies are needed to find this incidence rate in other cities especially city of Tehran.