A comparison of foot fractures relative to other fragility fractures: a review and analysis of the American Orthopaedic Association’s Own the Bone Database
Authors' conclusion
Foot fragility fracture patients are more likely to be female and younger compared to patients with a non-foot fragility fracture. A foot fragility fracture is a sentinel event considering that a prior foot fragility fracture is strongly predictive of a subsequent foot fragility fracture.
Study context
- Population
- Patients with fragility fractures in the American Orthopaedic Association's Own the Bone database, January 2009 to March 2022
- Participants
- 58,001 fragility fractures
- Exposure
- Foot fragility fracture vs non-foot fragility fracture
- Foot fragility fracturen = 750
- Non-foot fragility fracturen = 57,251reference
- Outcome
- Characteristics of patients with isolated foot fragility fracture vs non-foot fragility fracture
Methodological detailssecondary cohort comparative analysis, Own the Bone (OTB) database
- Secondary cohort comparative analysis
- OTB database
Main finding
As reported in the abstract
Patient characteristics
| Group | Value | Female | BMI |
|---|---|---|---|
| Foot fragility fracture | 66.9 years old | 91.5% | 28.3 kg/m² |
Foot fragility fracture
Value66.9 years old
Female91.5%
BMI28.3 kg/m²
- Foot fragility fracture vs Non-foot fragility fracture: P < 0.0001 — younger, more often female, higher BMI
Observational data: associations, not effects.
Further findings
| Outcome | OR (CI) | P value | |
|---|---|---|---|
| Prior foot fragility fracture | 9.119 (7.44–11.18) | P < 0.001 | |
| 0.050.21520Odds ratio (log scale) |
Future foot fragility fracture
- Young, female patients with a prior foot fragility fracture at higher risk of a future foot fragility fracture; risk increased as BMI increased
Original publication
A comparison of foot fractures relative to other fragility fractures: a review and analysis of the American Orthopaedic Association’s Own the Bone Database. Osteoporos Int. Published 18 June 2024. doi:10.
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