Purpose; Observational study in tertiary care bone and joint surgery hospital in Indian subcontinent for variables associated with hip fractures and measures to control them.
Method; This observational study was conducted in lone tertiary care orthopedic centre of Kashmir valley, where peripheral/ district hospital rarely manage fracture cases especially hip fractures , so all fractures are referred to our department of orthopedics, total admission in one year were 660 which is a very good number to consider.
Results; A total of 660 hip fractures got admitted during 2012 - 2013, with majority being elderly above 55 years age and male female ratio being 2/3. As per Singh’s criteria for osteoporosis most of fractures were graded as osteoporotic grade 3, all fractures were evaluated in terms of age, sex mode of trauma, associated co morbidity and medication, which showed lot of associated co morbidities usually the cause of trivial trauma leading to fracture. Smoking and steroids were also considered as risk factors for fall and fracture besides cardiovascular, metabolic and neurological co morbidities.
Conclusion; Hip fractures in elderly are a source of morbidity and mortality, though a preventable factors are cause of fall. hip fracture incidence don't follow secular trend Worldwide and as aged population accumulates hip fractures are expected to increase very rapidly
