Background: This study was done to know whether patients with hip injury have pre-existing osteoporosis due to which, the patient sustained the fracture, subsequent fracture of the contralateral hip, any osteoarthritic changes of the contralateral hip at the time of index fracture, and ten-year probability of a major osteoporotic fracture by calculating fracture risk assessment percentage (FRAX%). Methods: 34 patients were evaluated for age, gender, body mass index (BMI), fracture type, Singh index, bone mineral density (BMD), T-scores using dual-energy X-ray absorptiometry (DEXA) scan, and ten-year probability of fracture using FRAX%. Results: Average age of the patients with hip fractures was 72. 1 years. About 85% of patients were women. 67. 6% of the patients were with BMI of 18. 5-25 kg/m2. The Singh index for osteoporosis fell in grades 2 and 3 in most patients. The mean interval between index fracture and contralateral hip injury was 4. 25 years. Osteoarthritis of the contralateral hip was seen in 9%. The probability in ten years of hip fracture in 30 indexed patients using the FRAX% tool was 15%, and for 4 patients who were having bilateral hip fractures was 22. 75%. There was a significant relationship between FRAX% with the Singh index and osteoarthritis of the contralateral hip. FRAX% was high in female patients. Conclusion: Contralateral hip fracture in patients with osteoporosis was high in women and patients with low and high BMI. Fractures were also high in patients with low Singh index and T-scores. FRAX% increased with an increase in age and increased with a decrease in T-score.

Background: Blind individuals are more prone to falls and subsequent proximal femoral fractures. While hip hemiarthroplasty is a common treatment option for displaced femoral neck fractures in the elderly, evidence regarding the outcomes of hip hemiarthroplasty in blind individuals is still lacking.Objectives: This retrospective study aimed to evaluate the clinical and radiographic outcomes among a series of blind patients who received hip hemiarthroplasty for femoral neck fractures.Methods: Fifteen patients (15 cases, 11 females) with a mean age of 79.7 years (range, 59-100) at the time of surgery were included in this study. Seven patients were bilaterally blind, while eight patients had unilateral blindness. All of the patients received hip hemiarthroplasty (10 received bipolar and 5 unipolar hemiarthroplasty) for displaced femoral neck or proximal femoral fractures.Results: The mean follow-up for all patients is 49 months. At their last follow-up visits, fourteen cases were able to bear weight fully with or without assistive devices while one patient was wheelchair-bound. The mean calculated pre-injury, and last follow-up postoperative Parker Mobility Index for all patients were 4.7 and 4.5, respectively (p=.8). Three patients (20%) had subsequent, recurrent falls that resulted in other skeletal fractures without hemiarthroplasty dislocations or periprosthetic fractures. One patient developed a prosthetic joint infection and was managed with surgical debridement and antibiotic spacer placement.Conclusions: Hip hemiarthroplasty is a practical treatment option for elderly blind individuals who suffer from displaced femoral neck fractures with overall good implant-related outcomes. Patients should be counseled about the incidence of postoperative recurrent falls and should be instructed to use assistive devices during ambulation.

Background: Osteoarthritis (OA) is a highly prevalent chronic degenerative joint disease with different risk factors, which need tobe investigated in order to perform more appropriate interventions in earlier phases of Osteoarthritis. Objectives: Therefore, the aim of this study was to determine the correlation between hip morphology and hip Osteoarthritis. Methods: This cross-sectional study was conducted on patients aged 15 to 60 years old with hip problems, diagnosed with hip Osteoarthritis, comparedwith healthy individuals as the controlgroup. Thenradiographic parameters, such as alpha angle, acetabularangle of sharp (AA), lateral center-edge angle (LCEA), femoral neck-shaft angle (FNA), coxa profunda, acetabular protrusio, crossoversign, posterior wall sign, and the ischial sign were measured by pelvic (AP) X-ray, using PACS systems in both groups. Results: This study found that alpha angle and AA were significantly greater in OA patients as compared to healthy individuals(P < 0. 001). Furthermore, LCEA was significantly greater in the Osteoarthritis group on the left side as compared to the controlgroup (38. 93 8. 43 versus 36. 81 4. 74, P = 0. 042) yet LCEA on the right side and total amount were not different between the twogroups (P>0. 05). By grouping studied angles, it was found that the frequency of alpha angle > 55° , AA > 38° , and LCEA > 40° weresignificantly higher in theOAgroup as compared to the control group (P< 0. 05). Furthermore, the researchers observed that the frequencyof acetabular protrusio (P = 0. 013) and posterior wall sign were significantly higher in the OA group as compared to healthyindividuals (P < 0. 05). Conclusions: The current results showed that the higher Body Mass Index (BMI), greater alpha and acetabular angles, sharp, lateralcenter-edge angle center-edge angle, the higher rate of a posterior wall sign, and acetabular protrusio increased the risk of OA, whichsupport that these structural changes are major contributors to OA development.