Archives of Osteoporosis

, 14:100 | Cite as

Effects of postoperative osteoporosis treatment on subsequent fracture and the 5-year survival rates after hemiarthroplasty for hip fracture

  • Adem Cobden
  • Serap Bulut Cobden
  • Yalkin CamurcuEmail author
  • Hanifi Ucpunar
  • Serda Duman
  • Hakan Sofu
Original Article



According to the literature, only 20–30% of patients are screened for osteoporosis after a hip fracture. Osteoporosis treatment may have a potential protective effect on the 5-year mortality rate. Our results demonstrated that 5-year survival is higher in patients who received osteoporosis treatment after hemiarthroplasty for hip fracture compared with those who did not.


This study aims to investigate the status of osteoporosis treatment in patients who underwent hemiarthroplasty for an osteoporotic hip fracture and to compare subsequent fractures and the 5-year survival rates of these patients with those who did not receive the osteoporosis treatment.


Patients > 65 years of age who underwent hemiarthroplasty for an osteoporotic hip fracture were included in this retrospective multicenter study. Patients who died within 12 months postoperative, who were lost to follow-up, and those with malignancy and secondary osteoporosis were excluded. Group I comprised patients who had no postoperative osteoporosis screening and treatment, and Group II comprised those who received the screening and treatment.


A total of 460 of 562 patients (82%) did not receive osteoporosis treatment after hip fracture. No significant difference was observed between the groups in terms of subsequent fracture numbers and fracture sites (p = 0.296 and 0.240, respectively). Mean 5-year survival rate was significantly higher in Group II (p = 0.002).


According to our results, elderly patients who underwent hemiarthroplasty for an osteoporotic hip fracture were not commonly screened or treated for osteoporosis. Our results demonstrated no significant difference between the groups in terms of subsequent fracture. However, we observed a significant high 5-year survival rate among patients who received the osteoporosis treatment.


Osteoporosis Hip fracture Hemiarthroplasty Mortality Survival 


Compliance with ethical standards

This retrospective multicenter study was performed with the approval of an institutional ethical review board and in accordance with the Declaration of Helsinki.

Conflict of interest



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Copyright information

© International Osteoporosis Foundation and National Osteoporosis Foundation 2019

Authors and Affiliations

  1. 1.Department of Orthopaedics and TraumatologyMinistry of Health Kayseri City HospitalKayseriTurkey
  2. 2.Department of OtorhinolaryngologyMinistry of Health Kayseri City HospitalKayseriTurkey
  3. 3.Department of Orthopaedics and TraumatologyErzincan Binali Yildirim University Faculty of MedicineErzincanTurkey
  4. 4.Department of Orthopaedics and TraumatologySelahaddin Eyyubi State HospitalDiyarbakirTurkey
  5. 5.Department of Orthopaedics and TraumatologyAltinbas University Bahcelievler Medicalpark HospitalIstanbulTurkey

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