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Hip fractures expected to double by 2050

Hip fractures expected to double by 2050

 


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Experts say most hip fractures require surgery followed by a period of rehabilitation. Erdark/Getty Images
  • A new report predicts that the number of hip fractures worldwide will double by 2050 as the world population ages.
  • Experts say the increase will strain the medical community, as hip fractures usually require surgery.
  • They note that hip fractures can cause other medical problems and increase the risk of death in older people.
  • They say installing grab bars around the house, making sure the floor is clear of objects you can trip over, and doing strength and balance exercises regularly can reduce the risk of hip fractures. say.

According to a new study completed at the University of Hong Kong, hip fracture As the world population ages, it could become a global problem.

In their study, researchers analyzed data from 19 countries, including people over the age of 50 who had a hip fracture between 2005 and 2018.

The researchers noted that the number of hip fractures decreased in 19 countries. This is probably due to better medical care, hygiene, diet, and other factors.

Some countries, such as Denmark, Singapore and Hong Kong, experienced a significant decrease in hip fractures during the study period.

However, other countries such as the Netherlands and South Korea saw increases.

Despite the overall decline, researchers say Average life Between 2018 and 2050, the number of hip fractures worldwide could double.

of united nations Life expectancy is expected to reach 77 years by 2050, but the age presented by this study indicates an increased risk of hip fractures.

The researchers said they expected men to experience the most significant proportional increase.

Another possible reason they osteoporosisis a leading cause of hip fractures and is underdiagnosed and undertreated in men.

“Our research anti-osteoporosis drug Men have a 30% to 67% lower risk after hip fracture than women.” Chan Ching-lungAssociate Professor of Pharmacology and Pharmacy at the University of Hong Kong and lead author of the study, PhD, said in a statement. ”

Researchers note that treatment after fractures remains inadequate in many countries, with the incidence in people over the age of 85 twice as high as in other age groups.

The researchers said they do not believe that the decline in the incidence of hip fractures will offset the increase in the aging population and increase the burden of hip fractures.

This research is today annual meeting President of the American Bone Mineral Research Society in Austin, Texas. This study has not yet been peer-reviewed or published.

“Almost all hip fractures require surgery.” Dr. Michael HunterAn orthopedic surgeon at the Hoag Orthopedic Institute in Southern California told Healthline. “This is especially true in an aging society. Non-surgical management is generally only available in certain cases of incomplete fractures where the patient is too ill to undergo surgery or where the patient can adequately protect against weight bearing. will be adapted.”

The type of surgery depends on the location and severity of the fracture.

According to , the two main types of surgery are hip repair and hip replacement. stanford medicine:

  • Hip repair (also called hip fusion) is used when the doctor can align the bones properly. Metal screws, rods, or plates hold bones together as they heal.
  • A total hip replacement is usually done when the bones cannot align properly. Hip replacement surgery can be partial or total. A partial hip replacement replaces the upper portion of the femur. A total hip replacement replaces the top of the femur and the hip socket.

“The recovery period is highly dependent on the patient’s medical and physical condition, the severity of the overall injury, and the type of surgery required,” he explained. AS Dr. John Tiberiusan orthopedic surgeon specializing in joint replacement and joint preservation at the Cedars Sinai Karlan Jobe Institute in Los Angeles.

“Bone and soft tissue healing can take about three months,” he told Healthline. “But the recovery period, which includes conditioning and strengthening, can take up to a year.”

Approximately 1 in 3 women and 1 in 12 men will experience a hip fracture in their lifetime. National Institutes of Health.

About 86% of hip fractures occur in people over the age of 65.In the United States, more than 300,000 hospitalized with hip fractures every year.

Most fractures are caused by sideways falls, but osteoporosis is often the underlying cause. Fractures often result in decreased mobility and an increased amount of care needed.

According to one study, the mortality rate in the first year after surgery to treat a fracture is 15-36%. Studies published in 2019Each year of age at which the fracture occurred was associated with a 9% increased risk of dying within 12 months of surgery.

“Hip fractures are dangerous because they are associated with so much morbidity and mortality. Dr. Timothy GibsonOrthopedic Surgeon and Medical Director, Memorial Care Joint Replacement Center, Orange Coast Medical Center, California.

“It’s not uncommon for hip fracture patients to develop altered mental status, pneumonia, blood clots, bedsores, anemia, and other medical problems,” he told Healthline.

Experts say there are drugs that can help prevent bone loss and reduce the risk of fractures.

“Many are promising and generally safe. We recommend that patients with osteoporosis consult with their primary care physician and consider all current options.” Dr. Benjamin BendsOrthopedic Surgeon and Director of Special Surgery, Hip and Knee Replacement Center, Providence St. John’s Health Center, California.

of Centers for Disease Control and Prevention To reduce the risk of hip fractures, we suggest:

  • Get screened for osteoporosis and follow treatment plan if needed
  • include strength and balance exercises in your daily life
  • Check your eyes to make sure you can see well
  • install grab bar In the bathtub or shower, outside the shower, next to the toilet, or wherever necessary
  • Make sure all stairs have handrails on both sides
  • Keep tripping objects off the floor
  • Add extra lights or bright bulbs where needed

“Maintaining bone health requires a healthy diet and adequate calcium intake. Dr. Michael Changis an interventional cardiologist at Providence St. Jude Medical Center, California.

“Additionally, it’s essential to maintain a routine of weight-bearing exercise such as walking, hiking, dancing, elliptical training, tennis and pickleball,” he told Healthline.

Sources

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2/ https://www.healthline.com/health-news/hip-fractures-expected-to-double-by-2050-heres-why-and-what-you-can-do

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