Skip to main content
Log in

Fractures of the proximal femur in Picardy, France, in 1987

  • Original Article
  • Published:
Osteoporosis International Aims and scope Submit manuscript

Abstract

Between 1 January and 31 December 1987, 1178 hip fractures were recorded in the 28 clinical centres, public and private, of the Picardy region (19443 km2, 1.8 million inhabitants). Patients under 20 years and those with metastatic cancer and myelomatous fractures were excluded. Women sustained 853 fractures (age mean ± SD: 80.2±10.4 years) and men 325 (age 69.7±16.0 years). The crude incidence rate per 10 000 person years was 13.4 for women and 5.4 for men (female/male ratio 2.6). These incidences are among the lowest recorded in Northern Europe. Women with trochanteric fractures were older than those with cervical ones, but no difference was observed for men. After adjusting for age and sex, the incidence of hip fracture was greater in urban (10.5 per 10 000 person years) and semi-rural areas (8.2) than in rural areas (5.3). The mean bed-days per patient (±SD) was 21.6±16.0 (quartiles: 13–17–26 days); no difference was observed between sex or age classes. The in-hospital mortality rate was 8.7%, it increased with age and was higher in men, whatever their age. We review the data in different countries, mostly European, to compare with the Picardy region.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Finsen V, Benum P. Changing incidence of hip fractures in rural and urban areas of central Norway. Clin Orthop 1987;218:104–10.

    Google Scholar 

  2. Lüthje P. Incidence of hip fracture in Finland: a forecast for 1990. Acta Orthop Scand 1985;56:223–5.

    Google Scholar 

  3. Nilsson R, Löfman O, Berglund K, Larsson L, Toss T. Increased hip-fracture incidence in the county of Ostergötland, Sweden, 1940–1986, with forecasts up to the year 2000: an epidemiological study. Int J Epidemiol 1991;20:1018–24.

    Google Scholar 

  4. Campion EW, Jette AM, Clearly PD, Harris BA. Hip fracture: a prospective study of hospital course, complications, and costs. J Gen Intern Med 1987;2:78–82.

    Google Scholar 

  5. Owen RA, Melton LJ, Gallagher JC, Riggs BL. The national costs of acute care of hip fractures associated with osteoporosis. Clin Orthop 1980;150:172–6.

    Google Scholar 

  6. Farmer ME, White LR, Brody JA, Bailey KR. Race and sex differences in hip fracture incidence. Am J Public Health 1984; 74:1374–80.

    Google Scholar 

  7. Silverman SL, Madison RE. Decreased incidence of hip fracture in Hispanics, Asians, and Blacks: California Hospital Discharge Data. Am J Public Health 1988;78:1482–3.

    Google Scholar 

  8. Ray WA, Griffin MR, West R. Incidence of hip fracture in Saskatchewan, Canada, 1976–1985. Am J Epidemiol 1990; 131:502–9.

    Google Scholar 

  9. Bacon WE, Smith GS, Baker SP. Geographic variation in the occurrence of hip fractures among the elderly White US population. Am J Public Health 1989;79:1556–8.

    Google Scholar 

  10. Jacobsen SJ, Goldberg J, Miles TP, Brody JA, Stiers W, Rimm AA. Regional variation in the incidence of hip fracture: US white women aged 65 years and older. JAMA 1990;264:500–2.

    Google Scholar 

  11. Stroup NE, Freni-Titulaer LW, Schwartz JJ. Unexpected geographic variation in rates of hospitalisation for patients who have fracture of the hip. J Bone Joint Surg [Am] 1990;72A:1294–8.

    Google Scholar 

  12. Falch JA, Ilebekk A, Sungaard U. Epidemiology of hip fractures in Norway. Acta Orthop Scand 1985;56:12–6.

    Google Scholar 

  13. Hedlung R, Lindgren U, Ahlbom A. Age- and sex-specific incidence of femoral neck and trochanteric fractures. Clin Orthop 1987; 222:132–9.

    Google Scholar 

  14. Jarnlo GB, Jakobsson B, Ceder L, Thorngren KG. Hip fracture incidence in Lund, Sweden, 1966–1986. Acta Orthop Scand 1989;60:278–82.

    Google Scholar 

  15. Lüthje P. Fractures of the proximal femur in Finland in 1980. Ann Chir Gynaecol 1983;72:282–6.

    Google Scholar 

  16. Frandsen PA, Kruse T. Hip fractures in the county of Funen, Denmark: implication of demographic aging and changes in incidence rates. Acta Orthop Scand 1983;54:681–6.

    Google Scholar 

  17. Gallannaugh SC, Martin A, Millard PH. Regional survey of femoral neck fractures. BMJ 1976;2:1496–7.

    Google Scholar 

  18. Rees JL. Secular changes in the incidence of proximal femoral fracture in Oxfordshire: a preliminary report. Community Med 1982; 4:100–3.

    Google Scholar 

  19. Caniggia M, Morreale P. Epidemiology of hip fractures in Siena, Italy, 1975–1985. Clin Orthop 1989;238:131–8.

    Google Scholar 

  20. Lizaur-Utrilla A, Puchades Orts A, Sanchez del Campo F, Anta Barrio J, Guttierrez Carbonell P. Epidemiology of trochanteric fractures of the femur in Alicante, Spain, 1974–1982. Clin Orthop 1987;218:24–31.

    Google Scholar 

  21. Tiret L, Hatton F. La fracture du col du fémur après 65 ans: morbidité, mortalité, létalité. Rev Epidemiol Sant Publique 1987;35:157–63.

    Google Scholar 

  22. Rothman KJ. Modern epidemiology. Little Brown and Company, 1986.

  23. Conover WJ. Practical nonparametric statistics, 2nd edn. Wiley, 1980.

  24. Kaplan EL, Meier P, Nonparametric estimation from incomplete observation. J Am Statist Assoc 1958;53: 457–81.

    Google Scholar 

  25. Knowelden J, Buhr AJ, Dunbar O. Incidence of fractures in persons over 35 years of age. Br J Prevent Soc Med 1964;18: 130–41.

    Google Scholar 

  26. Jensen JS. Incidence of hip fractures. Acta Orthop Scand 1980;51:511–3.

    Google Scholar 

  27. Cummings SR, Black DM, Nevitt MC, et al. Appendicular bone density and age predict hip fracture in women. JAMA 1990;263–665–8.

  28. Nydegger V, Rizzoli R, Rapin CH, Vasey II, Bonjour JP. Epidemiology of fractures of the proximal femur in Geneva: incidence, clinical and social aspects. Osteoporosis Int 1991;2: 42–7.

    Google Scholar 

  29. Gallagher JC, Melton LJ, Riggs BL, Bergstrath E. Epidemiology of fractures of the proximal femur in Rochester, Minnesota. Clin Orthop 1980;150:163–71.

    Google Scholar 

  30. Alffram PA. An epidemiologic study of cervical and trochanteric fractures of the femur in an urban population. Acta Orthop Scand 1964; 65:1–109.

    Google Scholar 

  31. Nilsson BE, Obrant KJ. Secular tendencies of the incidence of fracture of the upper end of the femur. Acta Orthop Scand 1978;49: 389–91.

    Google Scholar 

  32. Sernbo I, Johnell O. Background factors in patients with hip fractures: differences between cervical and trochanteric fractures. Compr Gerontol [A] 1987;1:109–11.

    Google Scholar 

  33. Zetterberg C, Elmerson S, Andersson GB. Epidemiology of hip fractures in Göteborg, Sweden, 1940–1983. Clin Orthop 1984;191:43–52.

    Google Scholar 

  34. Sernbo I, Johnell O. Changes in bone mass and fracture type in patients with hip fractures. Clin Orthop 1989;238:139–47.

    Google Scholar 

  35. Stewart IM. Fractures of the neck of femur: incidence and implications. BMJ 1955;1:698–701.

    Google Scholar 

  36. Pogrund H, Makin M, Robin G, Menczel J, Steinberg R. Osteoporosis in patients with fractured femoral neck in Jerusalem. Clin Orthop 1977;124:165–72.

    Google Scholar 

  37. Mannius S, Mellström D, Odŋ A, Rundgren A, Zetterberg C. Incidence of hip fracture in Western Sweden 1974–1982: comparison of rural and urban populations. Acta Orthop Scand 1987;58:38–42.

    Google Scholar 

  38. Sernbo I, Johnell O, Andersson T. Differences in the incidence of hip fracture: comparison of an urban and a rural population in Southern Sweden. Acta Orthop Scand 1988;59:382–5.

    Google Scholar 

  39. Fitts WT, Lehr HB, Schor S, Roberts B. Life expectancy after fracture of the hip. Surg Gynecol Obstet 1959;108: 7–12.

    Google Scholar 

  40. Manpel J, Marzulli V, Boley SJ. The fractured hip, a complication of ageing. Arch Surg 1961;82:474–7.

    Google Scholar 

  41. Beals RK. Survival following hip fracture: long follow-up of 607 patients. J Chronic Dis 1972;25:235–44.

    Google Scholar 

  42. Swanson AJG, Murdoch G. Fractured neck of femur: pattern of incidence and implications. Acta Orthop Scand 1983;54:348–55.

    Google Scholar 

  43. Lawton JO, Baker MR, Dickson RA. Femorl neck fractures: two populations. Lancet 1983;ii:70–2.

    Google Scholar 

  44. Gordon PC. The probability of death following a fracture of the hip. Can Med Assoc J 1971;105:47–51, 62.

    Google Scholar 

  45. Kenzora JE, McCarthy RE, Lowell JD, Sledge CB. Hip fracture mortality: relation to age, treatment, preoperative illness, time of surgery, and complications. Clin Orthop 1984;186:45–56.

    Google Scholar 

  46. Schenk WG, Smith RG, Stevens JG. The fracture hip: a major surgical and sociologic problem. Am J Surg 1956;91:618–20.

    Google Scholar 

  47. Dahl E. Mortality and life expectancy after hip fractures. Acta Orthop Scand 1980;51:163–70.

    Google Scholar 

  48. Colbert DS, O'Muircheartaigh I. Mortality after hip fracture and assessment of some contributory factors. Ir J Med Sci 1976; 145:44–50.

    Google Scholar 

  49. Miller CW. Survival and ambulation following hip fracture. J Bone Joint Surg [Am] 1978;60A:930–4.

    Google Scholar 

  50. Barnes R, Brown JT, Garden RS, Nicoll EA. Subcapital fractures of the femur: a prospective review. J Bone Joint Surg [Br] 1976; 58B:2–24.

    Google Scholar 

  51. Fisher ES, Baron JA, Malenka DJ, et al. Hip fracture incidence and mortality in New England. Epidemiology 1991;2: 116–22.

    Google Scholar 

  52. Myers AH, Robinson EG, Van Natta ML, Michelson JD, Collins K, Baker SP. Hip fractures among the elderly: factors associated with in-hospital mortality. Am J Epidemiol 1991;134: 1128–37.

    Google Scholar 

  53. Mikkelsen OA, Langholm O. Life expectancy after hip fractures in the aged. Acta Chir Scand 1964;127:46–56.

    Google Scholar 

  54. Bertrand M. 20 ans de consommation alimentaire 1969–1989. INSEE Première 1992 No. 188.

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Baudoin, C., Fardellone, P., Potard, V. et al. Fractures of the proximal femur in Picardy, France, in 1987. Osteoporosis Int 3, 43–49 (1993). https://doi.org/10.1007/BF01623176

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01623176

Keywords

Navigation