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ASSESSMENT OF NUTRITIONAL STATE AND BONE FUNCTION TESTS IN PATIENTS PRESENTED WITH ACUTE FRACTURES OF PROXIMAL FEMUR
Rabah Abdulla AL- Ebadi*, Zamil Rakan Qasim, Laith Katab Omar AL- Ashou and Mamoon Abdulmunem AL-Dabbagh
Background: Proximal femoral fractures in elderly patients are common cause of functional disability and mortality. Minor trauma causing fracture in those patients suggests that they are secondary to primary skeletal pathology or diseased bone. Objective: The aim of the study to find out the incidence of osteomalacia and malnutrition in elderly patients presented with acute proximal femoral fractures to improve treatment outcome. Patient and Methods: This is a case control study. carried out in orthopedic unit in Al-Jumhoori Teaching Hospital from November 2019 to September 2020. The total number of patients were (51) patients. patients with ages over (60) years with acute proximal femoral fractures that occur with simple fall or with simple traumas were included in this study while Patients with history of orthopedic, major trauma, medical or surgical disease that may affect study results. Was excluded from this study Parameters for bone function test were (serum calcium, serum phosphorus, serum alkaline phosphatase and blood urea), for nutritional state (serum albumin and total lymphocyte count). Control group was selected from normal people with the same number, age group and sex. Statistical Analysis: .H0 µ 1(control group) = µ 2(test group), H1 µ 1? µ2 Sample size=51, z-test and X2 test (chi-squire). Results: The study showed that, there is statistically significant low serum calcium and phosphorus, and osteomalacia is statistically significant in patients presented with recent fracture proximal femur, Low serum albumin, total lymphocyte count and malnutrition were also statistically significant in those patients. No statistical correlation between osteomalacia and malnutrition in patients and there is no significant sex differences in malnutrition and osteomalacia. Conclusion: Malnutrition and osteomalacia are common in elderly patients recently presented with proximal femoral fractures and need special care to reduce incidence of these conditions, to improve treatment and to reduce their complications.[Full Text Article]