FRAX predictior with and without BMD for assessment of osteoporotic fracture risk in the Himalayan state of India: A comparative study

Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 4

Abstract

Objective: BMD (bone mineral density) testing facilities are not available in every places in India. We compare the predictive ability of FRAX with BMD and FRAX without BMD for major osteoporotic and hip fracture in Himalayan population. Materials and methods: a hospital based cross sectional study was conducted on patients attending the outpatient Department of orthopaedics of SGRRIMHS, and others for a period of 2 years from Aug 2015 to July 2017. A total no. of 125 patients (104 F+ 21M) in the age group 40 -90 years were selected randomly for study. Exclusion criteria were age less than 40 and more than 90 years, confirmed cases of osteoporosis, patients on antiresorptive treatment, cases of surgically removed ovary and uterus, bone metastasis. Dual Energy X-ray Absorptiometry (DXA) scans were obtained to assess presence of low BMD. FRAX calculations with and without addition of femoral neck BMD were done in all patients. Statistical Package for Social Sciences (SPSS) version 20 was used for statistical analysis. Results: Hip fracture probabilities (6.00±10.47% ̴5.03±10.26%) and MO fracture probabilities (11.34±12.85% ̴ 11.89±12.87%) were similar with or without inclusion of BMD in FRAX tool respectively. Conclusion: FRAX may be used to assess for 10 year hip and major osteoporotic fracture probabilities status in the absence of DXA facilities or avoiding unnecessary DXA scanning.

Authors and Affiliations

Pankaj Sharma, Madan Mohan Nagar, Jyoti Shukla, Mohit Dingra, Navneet Badoni, Puneet Gupta

Keywords

Related Articles

To study the outcome of micro decompression by unilateral laminotomy in lumbar canal stenosis

Introduction: Lumbar Canal Stenosis is developmental or congenital narrowing of the spinal canal that produces compression of the neural elements before their exit from the neural foramen. The narrowing may be limited to...

Closed intramedullary interlocking nailing for fracture shaft of femur: Prospective study

Introduction: Diaphyseal fractures of femur are most common due to increase in road traffic accidents and fall from height from building constructions. Closed or open reduction and intramedullary interlocking nailing is...

Navigation assisted total knee arthroplasty - Evaluation of correction of clinico - Radiololgical parameters in substantial varus deformity

Background: In the present scenario arthritis of knee joint is inevitable. Total- knee replacement is the final solution in severely deformed joints for pain free mobility. Longevity of the replaced joint is mainly depen...

Functional outcome following open reconstruction of anterior cruciate ligament using bone patellar tendon bone graft and interference screws

Background: Various surgical methods have been described for the anterior cruciate ligament (ACL)tear with its own merits and demerits. Though arthroscopic reconstruction is the commonly done surgery, open reconstruction...

Functional outcome of Medial patellofemoral ligament injury (MPFL) reconstruction in recurrent patellar dislocation

Introduction: Patella dislocation is defined as interposition of patella out of the trochlear groove. Patella dislocation is typically lateral and most often traumatic. Surgical treatment for patellar dislocation has evo...

Download PDF file
  • EP ID EP481007
  • DOI 10.22271/ortho.2017.v3.i4b.19
  • Views 140
  • Downloads 0

How To Cite

Pankaj Sharma, Madan Mohan Nagar, Jyoti Shukla, Mohit Dingra, Navneet Badoni, Puneet Gupta (2017). FRAX predictior with and without BMD for assessment of osteoporotic fracture risk in the Himalayan state of India: A comparative study. International Journal of Orthopaedics Sciences, 3(4), 114-117. https://europub.co.uk/articles/-A-481007