alexa Hip Fractures Risk and Postoperative Period in Elderly
ISSN: 2155-6156

Journal of Diabetes & Metabolism
Open Access

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Review Article

Hip Fractures Risk and Postoperative Period in Elderly Diabetic Patients

Pawel Skowronek1, Pawel Piatkiewicz2*, Andrzej Lewandowicz3 and Agnieszka Maksymiuk-Klos2

1Department of Orthopaedics and Traumatology; Regional Hospital WSZZ Kielce, Jan Kochanowski University, Poland

2Department of Internal Medicine, Diabetology and Endocrinology, Warsaw Medical University, Poland

3Department of Geriatrics, National Institute of Geriatrics, Rheumatology and Rehabilitation, Spartanska 1, 02-637 Warsaw, Poland

*Corresponding Author:
Pawel Piatkiewicz
Department of Internal Medicine
Diabetology and Endocrinology
Warsaw Medical University, Poland
Tel: +48 22 3265817
E-mail: [email protected]

Received date: May 15, 2017; Accepted date: June 08, 2017; Published date: June 13, 2017

Citation: Piatkiewicz P, Skowronek P, Lewandowicz A, Maksymiuk-Klos A (2017) Hip Fractures Risk and Postoperative Period in Elderly Diabetic Patients. J Diabetes Metab 8:746. doi:10.4172/2155-6156.1000746

Copyright: © 2017 Skowronek P , et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Hip fractures with the numbers about 1.6 million over the world in 2000 are serious health problem which drastically limits the functionality and increases mortality in geriatric population. Peritrochanteric and neck hip fractures result from the reduction of mineral bone density or impaired quality, however age related co-morbidities add additional risk related to increased incidence of falls. The one of the diseases found to increase hip fractures incidence and associated mortality is diabetes which currently affects 415 million adults over the world with increasing prevalence, predicted to 642 million by 2040. Type 1 diabetes contributes to fragility by unfavorable changes in bone metabolism. Although type 2 diabetes effects on bone may be paradoxically opposed, it still increases risk of falls and hip fractures. The causes of increased fractures risk via precedent falls comprise of diabetic angio and neuropathic complications affecting central nervous system, vision, balance and also results from polypharmacy. Diabetes influences also the postoperative period, deteriorating wounds healing and promoting sores formation. The scope of diabetes impact on hip fractures risk and orthopaedic surgery results should be particularly considered together with proper glycemic control to prevent postoperative complications and improve patient prognosis.

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