Characteristics of the hip problems in Sanglah General Hospital April 2016 until April 2017

Background: Problems surrounding the pelvis are usually associated with high morbidity and mortality. The most common problem is hip fractures, and falling is generally the leading cause. The incidence rate of hip fracture increases with advancing age, but it is not fully explained by an increase in the frequency of falling or by a reduction in bone mineral density. It suggests that circumstances of falling may also affect the risk of hip fracture. Aim: The study aims to evaluate fracture characteristics, gender, and treatment among patients with hip fragility fractures. Methods: This is a descriptive retrospective study. The data were obtained from the patient’s medical record in Sanglah General Hospital between April 2016 and April 2017, resulting 162 patients. The variables obtained were sex, age, types of fracture, management, bone osteoporosis, mechanism of injury, and energy of the trauma. Then, these data were analyzed using the SPSS 22. Results: Of the 162 patients who were reported having problems surrounding the hip, 51.9% were female. Most patients (30.2%) suffered from the intertrochanteric femoral fracture. Most patients (27.2%) were treated with THR. Only 13% had osteoporosis, while 87% did not. Most patients (41.4%) had low energy trauma. 72.8% of the fractures were due to traumatic mode-of-injury. Conclusion: The female was the one that sustained most hip fracture. The patients mostly did not have osteoporosis and mostly sustained an intertrochanteric fracture. Traumatic mode of injury was the most common cause with low energy trauma as the most prevalent one. The most performed management of hip fractures at Sanglah General Hospital was a total hip replacement. Proper management of hip fractures will curb the number of hip problems experienced by the elderly population.