Epidemiology of fractures of the proximal femur in people older than 50 years: what has changed in the last 30 years?

Abstract

The analysis of works devoted to the issues of the epidemiology of fractures of the proximal femur confirms the relevance of these studies, which is associated with both the aging of the population and the increase in cases of osteoporosis and the number of fractures against this background. The review presents data on the hospitalization of patients in Russia and the CIS countries with PPBP. It is shown that selective hospitalization of patients with PPBP does not allow obtaining objective data on their prevalence, while this information is an important component of planning and organizing medical care, including at the stage of providing specialized trauma and orthopedic care. As for treatment, in Russia and the countries there is a low level of surgical and high conservative treatment using outdated techniques. This approach reduces the possibility of almost 70% of patients returning to the quality of life they had before the fracture. At the same time, monitoring the situation can be the first step in organizing organizational measures in a particular country or region to improve the detection of fractures and their treatment.