~ 219 ~ International Journal of Orthopaedics Sciences 2021; 7(1): 219-221 E-ISSN: 2395-1958 P-ISSN: 2706-6630 IJOS 2021; 7(1): 219-221 © 2021 IJOS www.orthopaper.com Received: 07-11-2020 Accepted: 09-12-2020 Dr. Dilip Gupta Consultant, Department of Orthopedics, District Hospital Basti, Alinagar Marg, Murlijot, Basti, Uttar Pradesh, India Dr. Narendra Kumar Kushwaha Associate Professor, Department of Orthopedics, King George's Medical University, Shah Mina Rd, Chowk, Lucknow, Uttar Pradesh, India Dr. Vijay Gupta Consultant, Department of Orthopedics, Siddhartha Ortho & Neuro Care Center Railway Godam Road Chapadiya, Coloney, Khalilabad, Sant Kabir Nagar, Uttar Pradesh, India Corresponding Author: Dr. Narendra Kumar Kushwaha Associate Professor, Department of Orthopedics, King George's Medical University, Shah Mina Rd, Chowk, Lucknow, Uttar Pradesh, India A prospective study of the patients, commonly elderly people of complex proximal femur fractures, in North India tertiary teaching hospital Dr. Dilip Gupta, Dr. Narendra Kumar Kushwaha and Dr. Vijay Gupta DOI: https://doi.org/10.22271/ortho.2021.v7.i1d.2483 Abstract Background: The incidence of this type of fracture with age, due mainly to the increase in the number of falls associated to a larger osteoporosis prevalence. It is more commonly related with senior females, resident in the urban areas and institutionalized. Femur fractures are devastating injuries that most commonly affect the elders and young population also. In young and healthy individuals, the injury results from high energy trauma, whereas in the elder age group, most of the fractures are osteoporotic, resulting from a trivial fall. Aim: To study of the patients, commonly elderly people of complex proximal femur fractures. Material and Methods: In our study, we have studied 20 cases of adult patients with complex proximal femur fractures with communition and osteoporosis. Clinical and demographic characteristic were studied such as mode of injury, side affected and associated injuries too. Results: In our result section majority of the patients were in the age group of 41-60 years and 61-80 years i.e., 8 patients each (40% each). Most of the patients were male i.e., 12 (60%) and 8 (40%) were female. The most common mode of injury was road traffic accidents in 10 patients (50%) followed by fall from height in 7 (35%) patients. Both right and left side were equally affected. Conclusion: Here we can conclude that as per recent studies so as in our study too complex proximal femur fractures were more common in old age and in females which could be attributed by underlying osteoporosis prevalent more in females. The intra-hospital mortality, until the end of one month, three months, six months, one year and two years. Other decisive factors in the mortality, such as walking ability capacity previous to the fracture, ASA index, anemia, hypalbuminemia, lymphopenia and the existence of CVA were found in some isolated studies. Keywords: femur fractures, complex proximal femur fractures, old age, trivial fall, road traffic accidents Introduction Femur fractures are devastating injuries that most commonly affect the elders and young population also. With the increase of the life expectancy and consequently with the largest proportion of seniors in the population, mainly the so-called "big" seniors (those with more than 80 years), the importance of this type of fracture has been increasing in the last years [1] . In England and Wales, in the biennium 1997/1998, sixty six thousand seniors were hospitalized with a fracture of the femur, while in the United States it was considered that 350.000 fractures of the femur occurred annually, with a total cost of approximately 6 billion dollars a year, in medical care only. In young and healthy individuals, the injury results from high energy trauma, whereas in the elder age group, most of the fractures are osteoporotic, resulting from a trivial fall. These fractures have a tremendous impact on both the health care system and society in general. Proximal femur fractures comprise, fractures of intertrochanteric and subtrochanteric region. Subtrochanteric fractures are complicated by delayed or non-union [2] . The factors responsible for these complications in subtrochanteric fractures are high stress concentration, predominance of cortical bone and difficulties in getting biomechanically sound reduction because of comminution and intense concentration of deforming forces. In inter-trochanteric fractures, which usually occur in the elderly, stabilization of the fracture and restoring the patient to his or her preinjury functional activity at the earliest possible time is essential to prevent complications of recumbency [3] .