EFFECT OF BISPHOSPHONATES ON FRACTURE HEALING AMONG THE ELDERLY PEOPLE WITH INTERTROCHANTERIC FRACTURE

Abstract

Background: Hip fractures in the elderly are commonly associated with osteoporosis, and the surgical outcome is therefore inuenced by its concurrent management. Understanding the role of the osteoporosis drug and its healing mechanism with the fracture is crucial for managing the fracture and osteoporosis properly. The purpose of our study is to determine whether bisphosphonate administration in stable intertrochanteric (IT) fractures helps in early fracture healing. Aim: The aim of the study is to assess the effect of bisphosphonates on intertrochanteric fracture among elderly people aged >50 years in preoperatively conrmed osteoporotic patients. Methodology: This is a non-randomized study done in the Department of Orthopaedics at Assam Medical College, Dibrugarh for a period of 1 year, from May 2021 to April 2022. The total sample size attained was 50, consisting of 25 patients in each group. Demographic details like age, sex, mean bone mineral density of hip and spine, and mean body mass index were obtained. The collected data was entered into MS Excel and statistics were done with SPSS 16. Results: Among the study participants, the majority were female: 15(60%) in the bisphosphonate group and 19(76%) in the control group; the rest were males. The mean age of the study participants was 56±2.1 years. In both groups, xation of the fracture was done by intramedullary nailing. The mean time difference in fracture healing between the two groups was not found to be signicant. Conclusion:The mean healing time for the fracture healing was not found to be statistically signicant when compared with the placebo group