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Systematic Review

Vol. 8 No. 1 (2004)

Hip Protectors and their Role in Hip Fracture Prevention: A Review

  • Paul David Cowling
DOI
https://doi.org/10.26443/mjm.v8i1.378
Submitted
October 25, 2020
Published
2020-12-01

Abstract

Hip fractures cause severe worldwide morbidity and loss of independence, costing national healthcare systems millions of pounds each year. The incidence is increasing with the expanding elderly population common of many Western countries. Hip protectors have been progressively studied in recent years focussing upon their use in hip fracture prevention, and compliance levels. This review aims to determine the effectiveness of protectors, and also investigates compliance levels. A search for English language Randomised Controlled Trials (RCTs) testing effectiveness of hip protectors was performed on Medline and Embase. Nine articles fulfilling the search criteria were found. Each was reviewed for hip protector effectiveness and compliance rates within the study, with results and conclusions critically-appraised. Of the nine articles, six (66.6%) found hip protectors to be effective in preventing hip fractures in selective populations. However, poor compliance rates were found in all reviewed trials. Future research should therefore focus upon improving compliance rates in the studied population.

References

  1. Cooper C, Campion G, Melton LJ III. Hip fractures in the elderly: a worldwide projection. Osteoporosis International 2: 285-9; 1992
  2. Melton LJ III. Epidemiology of hip fractures: implications of the exponential increase with age. Bone 18 (Suppl 3): 121S-25S; 1996
  3. Balasegaram S, Majeed A, Fitz-Clarence H. Trends in hospital admissions for fractures of the hip and femur in England, 1989-1990 to 1997-1998. Journal of Public Health Medicine 23(1):11-17; 2001
  4. Lauritzen JB, Petersen MM, Lund B. Effect of external hip protectors on hip fractures. Lancet 341:11-13; 1993
  5. Kannus P, Parkkari J, Niemi S et al. Prevention of hip fracture in elderly people with use of a hip protector. New England Journal of Medicine 343(21):1506-13; 2000
  6. Ekman A, Mallmin H, Michaelsson K, Ljunghall S. External hip protectors to prevent osteoporotic hip fractures. Lancet 348:1535-41; 1996
  7. Chan DK, Hillier G, Coore M et al. Effectiveness and acceptability of a newly designed hip protector: a pilot study. Archives of Gerontology and Geriatrics 30:25-34; 2000
  8. Harada A, Mizuno M, Takemura M, Tokuda H, Okuizumi, Niino N. Hip fracture prevention trial using hip protectors in Japanese nursing homes. Osteoporosis International 12:215-221; 2001
  9. Ross PD, Norimatsu H, Davis JW et al. A comparison of hip fracture incidence among native Japanese, American-Japanese and American Caucasians. American Journal of Epidimiology 133:801-9; 1991
  10. Orimo H, Hashimoto T, Sakata K, Yoshimura N. Suzuki T. Hosoi T . Trends in the incidence of hip fracture in Japan, 1987-1997: the third nationwide survey. Journal of Bone & Mineral Metabolism 18:126-31; 2000
  11. Cameron ID, Venman J, Kurrle SE et al. Hip protectors in age-care facilities: a randomised trial of use by individual higher-risk residents. Age and Ageing 30:477-481; 2001
  12. Van Schoor NM, Smit JH, Twisk JWR, Bouter LM, Lips P. Prevention of hip fractures by external hip protectors: a randomised controlled trial. JAMA 289:1957-1962; 2003
  13. Cameron ID, Cumming RG, Kurrle SE et al. A randomised trial of hip protector use by frail older women living in their own homes. Injury Prevention 9:138-141; 2003
  14. Birks YF, Hildreth R, Campbell P, Sharpe C, Torgerson DJ, Watt I.Randomised controlled trial of hip protectors for the prevention of second hip fractures. Age and Ageing 32:442-444; 2003
  15. French F, Torgerson DJ, Porter R. A cost analysis of hip fracture. Age and Ageing 24:185-9; 1995
  16. Schroder HM, Peterson KK, Erlansen M. Occurrence and incidence of second hip fracture. Clinical Orthopaedics 289:166-9; 1993
  17. Meunier PJ. Prevention of hip fractures. Am J Med 95(suppl):75-78; 1993
  18. Hochberg MC, Williamson J, Skinner EA, Guralnik J. Kasper JD. Fried LP.. The prevalence and impact of self-reported hip fracture in elderly community-dwelling women: The Women's Health and Ageing Study. Osteoporosis International 8:385-389; 1998
  19. Chapuy M-C, Arlot ME, Duboeuf F et al. Vitamin D3 and calcium to prevent hip fractures in elderly women. New England Journal of Medicine 327:1637-42; 1992
  20. Black DM, Cummings SR, Karpf DB et al. Randomised trial of effect of alendronate on risk of fracture in women with existing vertebral fractures. Lancet 348:1535-1541; 1996
  21. van Schoor NM, Deville WL, Bouter LM and Lips P. Acceptance and compliance with external hip protectors: A systematic review of the literature. Osteoporosis International 13:917-924; 2002

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