Association of New Coronavirus Disease With Fragility Hip and Lower Limb Fractures in Elderly Patients

Abstract

The novel coronavirus-induced infection (COVID-19) was declared a pandemic by the World Health Organization on<br />March 11, 2020. Iran is one of the countries with a high incidence of COVID-19 infection.<br />Data on three patients with fragility hip fracture and COVID-19 infection were collected from one hospital located in<br />Badrud, Isfahan, Iran, from March 1, 2010, to March 30, 2020. All patients were elderly and had fracture induced by fall<br />from standing height.<br />All patients (n=3) were admitted with fragility hip fracture due to low energy trauma. The most common symptoms were<br />weakness and fatigue. Positive C-reactive protein (CRP) and Leukopenia were the most common abnormal laboratory<br />evaluations. According to the results, two patients underwent surgical treatment, and one patient had negative reverse<br />transcription-CRP; however, all of them underwent medical treatment for COVID-19 infection.<br />There is a possible relationship between COVID-19 infection and fragility hip fracture in elderly patients. It could be<br />induced by fatigue and weakness due to COVID-19 disease. COVOID-19 infection should be considered in elderly<br />patients with fragility hip fracture during the coronavirus pandemic.<br />Level of evidence: IV