Epidemiology of femur fracture in adults at King Abdulaziz Medical City from 2020 to 2024: a cross-sectional study

Objective: This study aimed to determine the epidemiology, common sites, and demographic patterns of femur fractures among adults at King Abdulaziz Medical City in Riyadh, Saudi Arabia. Methods: This cross-sectional study analyzed data from 6,148 adult patients (≥18 years) with confirmed femur fractures treated between January 2020 and September 2024. Patient information was extracted from electronic medical records (BESTCare system) using a consecutive sampling technique. Data included demographic characteristics, fracture sites, and relevant comorbidities (BMI, vitamin D deficiency, thyroid disorders, and osteoporosis). Results: Of the 6,148 patients, 58.0% were male (n=3,358). Proximal femur fractures were most prevalent (43.4%, n=2,685), followed by unspecified fractures (23.7%, n=1,465). The highest incidence occurred in patients above 75 years (30.2%, n=1,865), followed by those aged 60-74 years (25.4%, n=1,568). Gender differences were statistically significant (p