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Current Issue - November 2020, Volume 14, Issue No. 3

Official Journal of Malaysian Orthopaedic Association and ASEAN Orthopaedic Association

The Current and Future Challenges of Hip Fracture Management in Malaysia


  1. Hernlund E, Svedbom A, Ivergard M, Compston J, Cooper C, Stenmark J, et al. Osteoporosis in the European Union: medical management, epidemiology and economic burden. Arch Osteoporos. 2013; 8(1-2): 136. doi: 10.1007/s11657-013-0136-1
  2. Veronese N, Maggi S. Epidemiology and social costs of hip fracture. Injury. 2018; 49(8): 1458-60. doi: 10.1016/j.injury.2018.04.015
  3. Nazrun AS, Tzar MN, Sabarul AM, Mohamed IN. A systematic review of the outcomes of osteoporotic fracture patients after hospital discharge: morbidity, subsequent fractures, and mortality. Ther Clin Risk Manag. 2014; 10: 937-48. doi: 10.2147/TCRM.S72456
  4. Stevenson MD, Davis SE, Kanis JA. The hospitalisation costs and out-patient costs of fragility fractures. Women’s Health Medicine. 2006; 3(4): 149-51. doi: 10.1383/wohm.2006.3.4.149
  5. Cheung CL, Ang SB, Chadha M, Chow ESL, Chung YS, Hew FL, et al. An updated hip fracture projection in Asia: The Asian Federation of Osteoporosis Societies study. Osteoporos Sarcopenia. 2018; 4(1): 16-21. doi: 10/1016/j.afos.2018.03.003
  6. Tey NP, Siraj S, Kamaruzzaman SB, Chin AV, Tan MP, Sinnappan GS, et al.Aging in multi-ethnic Malaysia. Gerontologist. 2016; 56(4): 603-9. doi: 10.1093/geront/gnv153
  7. Department of Statistics Malaysia. Population projection (revised) Malaysia, 2010-2040. The Source of Malaysia’s Official Statistics. 2016. Y3kwU2tSNVFDOWp1YmtZYnhUeVBEdz09&menu_id=L0pheU43NWJwRWVSZklWdzQ4TlhUUT09 (accessed on 8 April 2020)
  8. Asia-Pacific regional audit Malaysia. International Osteoporosis Foundation. 2013. (accessed on 8 April 2020).
  9. Sabarul AM. Current scenario of hip fracture cases in Malaysia. RUMes. 2015; 3(3): 1-2.
  10. Yeap SS, Jaisamrarn U, Park YS, Takeuchi Y, Xia W. The Asian Federation of Osteoporosis Societies’ call to action to improve the undertreatment of osteoporosis in Asia. Osteoporos Sarcopenia. 2017; 3(4): 161-3. doi: 10.1016/j.afos.2017.11.002
  11. Lau EMC, Lee JK, Suriwongpaisal P, Saw SM, Das De S, Khir A, et al. The incidence of hip fracture in four Asian countries: The Asian Osteoporosis Study (AOS). Osteoporos Int. 2001; 12(3): 239-43. doi: 10.1007/s001980170135
  12. Kanis JA, Oden A, McCloskey EV, Johansson H, Wahl DA, Cooper C. A systematic review of hip fracture incidence and probability of fracture worldwide. Osteoporos Int. 2012; 23(9): 2239-56. doi: 10.1007/s00198-012-1964-3
  13. Lee CM, Sidhu JS, Pan KL. Hip fracture incidence in Malaysia 1981-1989. Acta Orthop Scand. 1993; 64(2): 178-80. doi: 10.3109/17453679308994565
  14. Lee JK, Khir ASM. The incidence of hip fracture in Malaysians above 50 years of age: variation in different ethnic groups. Int J Rheum Dis. 2007; 10(4): 300-5. doi: 10.1111/j.1479-8077.2007.00314.x
  15. Isnoni I, Mohamad Adam B, Muralitharam M, Tajuddin A, Jaya Purany SP, Manmohan S, et al. Pre-injury demographic patterns of patients sustaining hip fractures in Malaysia. Malays Orthop J. 2012; 6(4): 11-5. doi: 10.5704/MOJ.1211.004
  16. Chew FLM, Yong CK, Ayu SM, Tajunisah, I. The association between various visual function tests and low fragility hip fractures among the elderly: a Malaysian experience. Age Ageing. 2010; 39(2): 239-45. doi: 10.1093/ageing/afp259
  17. Chong PY, Tan MP, Khor HM. Time to hospital presentation and time to operation among older hip fracture patients in a teaching hospital in Malaysia. Osteoporos Sarcopenia. 2017; 3(3): s1-s17. doi: 10.1016/j.afos.2017.08.013
  18. Penafort R, Hussein AM, Sengupta S, Poi P. One year outcome of hip fractures in the elderly. Med J Malaysia. 2002; 57(suppl C): 39-47.
  19. Yeak R, Yap YY, Nasir NM. 58 Epidemiology of falls and hip fractures among the elderly community dwellers in Malaysia. Age Ageing. 2019; 48(suppl 4): iv13-7. doi: 10.1093/ageing.afz164.58
  20. Yeap SS, Fazirah MFRN, Aisyah CN, Sham SYZ, Samsudin IN, Thambiah SC, et al. Trends in post osteoporotic hip fracture care from 2010 to 2014 in a private hospital in Malaysia. Osteoporos Sarcopenia. 2017; 3(2): 112-6. doi: 10.1016/j.afos.2017.05.001
  21. Ang HL, Mohamad AB, Tajuddin A, Isnoni I, Suzanna A, Anwar Hau M, et al. Associated factors for in-hospital mortality following hip fracture. Malaysian J Public Health Med. 2016; 16(1): 1-5.
  22. National Orthopaedic Registry of Malaysia (NORM). Annual report of National Orthopaedic Registry Malaysia (NORM) hip fracture. Kuala Lumpur: Jointly published by the National Orthopedic Registry of Malaysia (NORM) and the Clinical Research Centre (CRC), Ministry of Health Malaysia; 2010. 35 p.
  23. Pang GHM, Chong EGM, Razali RM, Lee FS, Yau WK. 61 Hip fracture management of older adults in a public tertiary hospital in Kuala Lumpur: analysis and comparison with the standard of care in UK. Age Ageing. 2019; 48(suppl 4): iv13-17. doi: 10.1093/ageing/afz164.61
  24. Kung AW, Fan T, Xu L, Xia WB, Park IH, Kim HS, et al. Factors influencing diagnosis and treatment of osteoporosis after a fragility fracture among postmenopausal women in Asian countries: a retrospective study. BMC Women’s Health. 2013;13:7. doi: 10.1186/1472-6874-13-7
  25. Map of Best Practice. International Osteoporosis Foundation 2019. (accessed on 13 November 2020)
  26. Khor HM, The HX, Tan FC, Shanmugam T, Kumar SC, Tan KM, et al. 66 Short term outcomes following fragility hip fracture in Malaysia. Age Ageing. 2019;48(suppl 4): iv13-7. doi: 10.1093/ageing/afz164.66
  27. Royal College of Physicians. National Hip Fracture Database Annual Report 2019. London: RCP; 2019. (accessed on 8 April 2020).
  28. NHS National Services Scotland. Hip Fracture Care Pathway Report 2019. Edinburgh: National Services Scotland; 2019. 61 p. (accessed on 8 April 2020).
  29. Annual Report 2019. Australia and New Zealand Hip Fracture Registry. 2019. (accessed on 8 April 2020).
  30. Clinical databases and Disease registers in Malaysia affiliated with ACRM. Association of Clinical Registries in Malaysia. 2012. (accessed on 8 April 2020).
  31. Department of Public Health. National strategic plan for non-communicable disease. Medium term strategic plan to further strengthen the NCD prevention and control program in Malaysia (2016-2025). Putrajaya: Non-Communicable Disease (NCD) Section Disease Control Division Ministry of Health Putrajaya; 2016. 28 p. (accessed on 8 April 2020).
  32. World report on ageing and health 2015. World Health Organization. 2015. (accessed on 8 April 2020).
  33. Malaysian Osteoporosis Society. Clinical guidance on management of osteoporosis 2012. Petaling Jaya: Malaysian Osteoporosis Society; 2015. 63 p. MOH/P/PAK/345.17(GU)
  34. 1st FFNM President’s Message. Fragility Fracture Network of Malaysia. 2020. (accessed on 8 April 2020).
  35. Klestil T, Roder C, Stotter C, Winkler B, Nehrer S, Lutz M, et al. Impact of timing of surgery in elderly hip fracture patients: a systematic review and meta-analysis. Sci Rep. 2018; 8: 13933. doi: 10.1038/s41598-018-32098-7
  36. Grigoryan KV, Javedan H, Rudolph JL. Orthogeriatric care models and outcomes in hip fracture patients. A systematic review and meta-analysis. J Orthop Trauma. 2014; 28(3): e49-55. doi: 10.1097/BOT.0b013e3182a5a045.
  37. Sabharwal S, Wilson H. Orthogeriatrics in the management of frail older patients with a fragility fracture. Osteoporos Int. 2015; 26(10): 2387-99. doi: 10.1007/s00198-015-3166-2
  38. Prestmo A, Hagen G, Sletvold O, Helbostad JL, Thingstad P, Taraldsen K, et al. Comprehensive geriatric care for patients with hip fractures: a prospective, randomised, controlled trial. Lancet. 2015; 385(9978): 1623-33. doi: 10.1016/S0140- 6736(14)62409-0
  39. Walters S, Khan T, Ong T, Sahota O. Fracture liaison services: improving outcomes for patients with osteoporosis. Clin Interv Aging. 2017; 12: 117-27. doi: 10.2147/CIA.S85551
  40. Department of Statistics Malaysia Ministry of Economic Affairs. Pocket Stats: Quarter 4 2019. Putrajaya: Department of Statistics Malaysia. 2020. 124 p. (accessed on 8 April 2020).
  41. Kong YC, Bhoo-Pathy N, Subramaniam S, Bhoo-Pathy N, Taib NA, Jamaris S, et al. Advanced stage at presentation remains a major factor contributing to breast cancer survival disparity between public and private hospitals in a middle-income country. Int J Environ Res Public Health. 2017; 14(4): 427. doi: 10.3390/ijerph14040427
  42. Rahman NA, Teng CL, Sivasampu S. Antibiotic prescribing in public and private practice: a cross-sectional study in primary care clinics in Malaysia. BMC Infect Dis. 2016; 16: 208. doi: 10.1186/s12879-016-1530-2
  43. Doshi HK, Ramason R, Azellarasi J, Naidu G, Chan WLW. Orthogeriatric model for hip fracture patients in Singapore: our early experience and initial outcomes. Arch Orthop Trauma Surg. 2014; 134(3): 351-7. doi: 10.1007/s00402-013-1900-9
  44. Chandran M, Tan MZW, Cheen M, Tan SB, Leong M, Lau TC. Secondary prevention of osteoporotic fractures – an “OPTIMAL” model of care from Singapore. Osteoporos Int. 2013; 24(11): 2809-17. doi: 10.1007/s00198-013-2368-8

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The Malaysian Orthopaedic Journal is a peer-reviewed journal that is published three times a year in both print and electronic online version. The purpose of this journal is to publish original research studies, evaluation of current practices and case reports in various subspecialties of orthopaedics and traumatology, as well as associated fields like basic science, biomedical engineering, rehabilitation medicine and nursing.

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