What is the prognosis for hip fractures caused by osteoporosis?

Updated: Jan 20, 2021
  • Author: Rachel Elizabeth Whitaker Elam, MD, MSc; Chief Editor: Herbert S Diamond, MD  more...
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More than 250,000 hip fractures are attributed to osteoporosis each year. Like vertebral fractures, they are associated with significantly increased morbidity and mortality rates in men and women. In the year following hip fracture, excess mortality rates can be as high as 20%. [87, 89] Men have higher mortality rates following hip fracture than do women.

Patients with hip fractures incur decreased independence and a diminished quality of life. Of all patients with hip fracture, approximately 20% require long-term nursing care. [4] Among women who sustain a hip fracture, 50% spend time in a nursing home while recovering. Approximately 50% of previously independent individuals become partially dependent, and one third become completely dependent. [90] Only one-third of patients return to their pre-fracture level of function. [91]

Secondary complications of hip fractures include nosocomial infections and pulmonary thromboembolism.

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