{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T17:24:49Z","timestamp":1780507489342,"version":"3.54.1"},"reference-count":41,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"5","license":[{"start":{"date-parts":[[2011,5,1]],"date-time":"2011-05-01T00:00:00Z","timestamp":1304208000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2011,5]]},"abstract":"<jats:p>We examined prospectively collected data from 6782 consecutive hip fractures and identified 327 fractures in 315 women aged \u226465 years. We report on their demographic characteristics, treatment and outcome and compare them with a cohort of 4810 hip fractures in 4542 women aged &gt; 65 years.<\/jats:p><jats:p>The first significant increase in age-related incidence of hip fracture was at 45, rather than 50, which is when screening by the osteoporosis service starts in most health areas. Hip fractures in younger women are sustained by a population at risk as a result of underlying disease. Mortality of younger women with hip fracture was 46 times the background mortality of the female population. Smoking had a strong influence on the relative risk of \u2018early\u2019 (\u2264 65 years of age) fracture.<\/jats:p><jats:p>Lag screw fixation was the most common method of operative treatment. General complication rates were low, as were re-operation rates for cemented prostheses. Kaplan-Meier implant survivorship of displaced intracapsular fractures treated by reduction and lag screw fixation was 71% (95% confidence interval 56 to 81) at five years. The best form of treatment remains controversial.<\/jats:p>","DOI":"10.1302\/0301-620x.93b5.24536","type":"journal-article","created":{"date-parts":[[2011,4,21]],"date-time":"2011-04-21T16:23:37Z","timestamp":1303403017000},"page":"658-664","source":"Crossref","is-referenced-by-count":49,"title":["Epidemiology and outcome of fracture of the hip in women aged 65 years and under"],"prefix":"10.1302","volume":"93-B","author":[{"given":"A.","family":"Karantana","sequence":"first","affiliation":[{"name":"Nottingham University, Hospitals NHS Trust, Queen\u2019s Medical Centre Campus, Derby Road, Nottingham NG7 2UH, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Boulton","sequence":"additional","affiliation":[{"name":"Nottingham University, Hospitals NHS Trust, Queen\u2019s Medical Centre Campus, Derby Road, Nottingham NG7 2UH, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Bouliotis","sequence":"additional","affiliation":[{"name":"NIHR Research Design Service for the East Midlands, Tower Building, University Park, Nottingham NG7 2RD, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. Shan Shan","family":"Shu","sequence":"additional","affiliation":[{"name":"Nottingham University, Hospitals NHS Trust, Queen\u2019s Medical Centre Campus, Derby Road, Nottingham NG7 2UH, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B. E.","family":"Scammell","sequence":"additional","affiliation":[{"name":"Nottingham University, Hospitals NHS Trust, Queen\u2019s Medical Centre Campus, Derby Road, Nottingham NG7 2UH, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. G.","family":"Moran","sequence":"additional","affiliation":[{"name":"Nottingham University, Hospitals NHS Trust, Queen\u2019s Medical Centre Campus, Derby Road, Nottingham NG7 2UH, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38643.663843.55"},{"key":"R2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2003.51110.x"},{"key":"R3","doi-asserted-by":"publisher","DOI":"10.1177\/0269215507081573"},{"key":"R4","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-003-1404-5"},{"key":"R5","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.80.7.871"},{"key":"R6","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-199206000-00006"},{"key":"R7","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.92B3.23036"},{"key":"R8","doi-asserted-by":"crossref","unstructured":"Holt G, Smith R, Duncan K, Finlayson DF, Gregori A.Early mortality after surgical fixation of hip fractures in the elderly: an analysis of data from the Scottish hip fracture audit. J Bone Joint Surg [Br] 2008:90-B:1537\u201363.","DOI":"10.1302\/0301-620X.90B10.21328"},{"key":"R9","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.92B7.23793"},{"key":"R10","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2008.04.015"},{"key":"R11","unstructured":"Robinson CM, Court-Brown CM, McQueen MM, Christie J.Hip fractures in adults younger than 50 years of age: epidemiology and results. Clin Orthop 1995;312:238\u201346."},{"key":"R12","doi-asserted-by":"crossref","unstructured":"Askin SR, Bryan RS.Femoral neck fractures in young adults. Clin Orthop 1976;114:259\u201364.","DOI":"10.1097\/00003086-197601000-00029"},{"key":"R13","doi-asserted-by":"crossref","unstructured":"Protzman RR, Burkhalter WE.Femoral-neck fractures in young adults. J Bone Joint Surg [Am] 1976;58-A:689\u201395.","DOI":"10.2106\/00004623-197658050-00020"},{"key":"R14","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.90B4.20264"},{"key":"R15","unstructured":"No authors listed.Scottish Hip Fracture Audit: 2008 report. http:\/\/www.shfa.scot.nhs.uk\/AnnualReport\/SFHA_Report_2008.pdf (date last accessed 28 January 2011)."},{"key":"R16","unstructured":"No authors listed.The Caldicott Committee. Report on the review of patient-identifiable information. London: Department of Health, 1997. http:\/\/www.dh.gov.uk (date last accessed 28 January 2011)."},{"key":"R17","unstructured":"No authors listed.National Office of Statistics. 2008. http:\/\/www.statistics.gov.uk (date last accessed 27 September 2008)."},{"key":"R18","unstructured":"No authors listed.National Joint Registry. 2008. http:\/\/www.njrcentre.org.uk (date last accessed 27 September 2008)."},{"key":"R19","unstructured":"Woodward M.Epidemiology: study design and data analysis. Second ed. Boca Raton: Chapman & Hall\/CRC, 2005:33\u2013103."},{"key":"R20","unstructured":"Collett D.Modelling survival data. In:Modelling survival data in medical research. Second ed. Boca Raton: Chapman & Hall, 2003:54\u2013109."},{"key":"R21","doi-asserted-by":"crossref","unstructured":"Cox DR.Regression models and life tables. J Roy Statistic Soc B 1972;34:187\u2013220.","DOI":"10.1111\/j.2517-6161.1972.tb00899.x"},{"key":"R22","unstructured":"No authors listed.Fit Cox proportional hazards model. In:Stata statistical software: release 10. College Station: Stata Corp, 2007:122\u201356."},{"key":"R23","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2006.04.130"},{"key":"R24","doi-asserted-by":"crossref","unstructured":"No authors listed.NIH Consensus Development Panel on Osteoporosis Prevention, Diagnosis, and Therapy, March 7\u201329, 2000: highlights of the conference. South Med J 2001;94:569\u201373.","DOI":"10.1097\/00007611-200106000-00005"},{"key":"R25","unstructured":"American Society of Anesthesiologists.New classification of physical status. Anesthesiology 1963;24:111."},{"key":"R26","doi-asserted-by":"publisher","DOI":"10.1007\/BF01880448"},{"key":"R27","unstructured":"Parker MJ, Pryor GA.Hip fracture management. First ed. Blackwell Scientific Publications, 1993:213\u201352."},{"key":"R28","doi-asserted-by":"publisher","DOI":"10.1007\/BF02555245"},{"key":"R29","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2008.11.004"},{"key":"R30","doi-asserted-by":"crossref","unstructured":"Swiontkowski MF, Winquist RA, Hansen ST Jr.Fractures of the femoral neck in patients between the ages of twelve and forty-nine years. J Bone Joint Surg [Am] 1984;66-A:837\u201346.","DOI":"10.2106\/00004623-198466060-00003"},{"key":"R31","doi-asserted-by":"crossref","unstructured":"Verettas DA, Galanis B, Kazakos K, Hatziyiannakis A, Kotsios E.Fractures of the proximal part of the femur in patients under 50 years of age. Injury 2002;33:41\u20135.","DOI":"10.1016\/S0020-1383(01)00070-5"},{"key":"R32","doi-asserted-by":"crossref","unstructured":"Libanati CR, Schulz EE, Shook JE, Bock M, Baylink DJ.Hip mineral density in females with a recent hip fracture. J Clin Endocrinol Metab 1992;74:351\u20136.","DOI":"10.1210\/jcem.74.2.1730813"},{"key":"R33","doi-asserted-by":"publisher","DOI":"10.1007\/BF02556089"},{"key":"R34","unstructured":"No authors listed.Alendronate, etidronate, risedronate, raloxifene, strontium ranelate and teriparatide for the secondary prevention of osteoporotic fragility fractures in postmenopausal women. National Institute for Health and Clinical Excellence: technology appraisal TA161. http:\/\/guidance.nice.org.uk\/TA161 (date last accessed 18 March 2011)."},{"key":"R35","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(01)02909-0"},{"key":"R36","unstructured":"Dontas IA, Yiannakopoulos CK.Risk factors and prevention of osteoporosis-related fractures. J Musculoskeletal Neuronal Interact 2007;7:268\u201372."},{"key":"R37","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.epirev.a017956"},{"key":"R38","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199503233321202"},{"key":"R39","doi-asserted-by":"crossref","unstructured":"Ly TV, Swiontkowski MF.Treatment of femoral neck fractures in young adults. J Bone Joint Surg [Am] 2008;90-A:2254\u201366.","DOI":"10.1016\/S0276-1092(08)79366-0"},{"key":"R40","doi-asserted-by":"crossref","unstructured":"Lu-Yao GL, Keller RB, Littenberg B, Wennberg JE.Outcomes after displaced fractures of the femoral neck: a meta-analysis of one hundred and six published reports. J Bone Joint Surg [Am] 1994;76-A:15\u201325.","DOI":"10.2106\/00004623-199401000-00003"},{"key":"R41","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.84B8.0841150"}],"container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.93B5.24536","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.93B5.24536","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.93B5.24536","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,11,22]],"date-time":"2021-11-22T00:24:18Z","timestamp":1637540658000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.93B5.24536"}},"subtitle":["A COHORT STUDY"],"short-title":[],"issued":{"date-parts":[[2011,5]]},"references-count":41,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2011,5]]}},"alternative-id":["10.1302\/0301-620X.93B5.24536"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.93b5.24536","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,5]]}}}