Cortical thickness index (CTI): Can it influence type of hip fracture in proximal femur?

Abstract

Introduction: Proximal femur fractures account for mortality and morbidity in elderly population. Postmenopausal women, decreased physical work in urban population, estrogen deficiency can cause osteoporosis in Indian population. Osteoporosis can result in proximal femur fracture. Decreased oseoblastic response, in elderly population results in osteoporosis. Here by we intend to find the correlation between cortical thickness Index and type of fracture in proximal femur. Null Hypothesis: Cortical Thickness Index cannot determine the type of proximal femur fracture Materials and Methods: A retrospective study was carried out, over a period of 2 months. All patients admitted into hospital with proximal femur fractures into hospital were included into study. Radiological evaluation of Singh's Osteoporosis Index Grading, Cortical Thickness Index (CTI) in anterior-posterior (AP), and canal calcar ratio were calculated. Results: 100 patients were included into study. 45 females and 55 males were present. Average age of patients in the study was 71 years. 31 Intracapsular (Neck of Femur) and 69 extra capsular (Intertrochanteric and Sub trochanteric) fractures were found. Average CTI (AP) was 0.53, and canal calcar ratio was 0.63. Conclusion:There exists a Negative correlation exists between CTI (AP) and CC Ratio. Null Hypothesis remains rejected.

Cortical Thickness Index and Canal Calcar Ratio: A Comparison of Proximal Femoral Fractures and Non-Fractured Femora in Octogenarians to Centenarians

“…Some authors infer conclusions by making a comparison between the unaffected femoral bone and the contralateral side [27]. Other publications did not provide detailed information on the measured side [28,29]. The current results, especially when focusing on the non-fractured cohort, show that CTI and CCR do not differ between the left and right proximal femurs.…”