Life style risk factors for femoral neck fracture in Dr. Sardjito Hospital

Abstract

As life expentancy improved, the incidence of femoral neck fracture, as one of the most
common traumatic injuries in the elderly, has also increased. Risk for fracture is not only
determined by age and sex but also by the degree of osteoporosis and certain life-styles.
The purpose of this study was to investigate life-style risk factors for femoral neck fracture
in Dr. Sardjito General Hospital, Yogyakarta. In this case-control study, all patients with
femoral neck fractures admitted to the Orthopedic Division and Traumatology, Department
of Surgery in 2013 – 2014 was included as cases. Controls were subjects without
fracture of similar age and sex. Data of corticosteroid use, habitual coffee consumption,
visual acuity disorders, habitual use of slippers and engagement in routine sport activity
were collected with questionnaires. We invited 63 patients (51 females and 12 males)
and 63 controls. Corticosteroid use, habitual coffee consumption, visual acuity disorder
and habitual use of slippers were risks factors for fractures, OR (95% CI) = 7.5 (2.9-
21.6), p < 0.001; 7.5 (2.9-21.6), p < 0.001; 3.2 (1.6-6.8), p < 0.001 and 5.7 (2.7-
12.6), p < 0.001, respectively. Engagement in routine sport activity was a protecting
factor, OR (95% CI) = 0.10 (0.02-0.33), p < 0.001. In conclusion, corticosteroid use,
habitual coffee consumption, visual acuity disorder and habitual use of slippers are risk
for fractures, while engagement in routine sport is a protecting factor