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대한고관절학회> Hip & Pelvis(구 대한고관절학회지)

Hip & Pelvis(구 대한고관절학회지) update

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  • : 대한고관절학회지(~2012) → hip & pelvis(2012~)

수록정보
수록범위 : 1권1호(1989)~32권3호(2020) |수록논문 수 : 1,377
Hip & Pelvis(구 대한고관절학회지)
32권3호(2020년 09월) 수록논문
최근 권호 논문
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KCI등재

1Recent Epidemiology of Hip Fractures in South Korea

저자 : Boo-seop Kim , Jae-young Lim , Yong-chan Ha

발행기관 : 대한고관절학회 간행물 : Hip & Pelvis(구 대한고관절학회지) 32권 3호 발행 연도 : 2020 페이지 : pp. 119-124 (6 pages)

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The aging of the Korean population is expected to result in an increase in the prevalence of hip fractures. The aim of this review is to evaluate potential hip-fracture trends in Korea during the last few decades. Data from a hip fracture-related epidemiology study informed by: (1) a cohort study; (2) hospital-based cohort study; and (3) claims database, were reviewed and summarized. The incidence of hip fractures rose from 159.1/100,000 in 2008 to 181.5/100,000 in 2012, and the total number of hip fractures is estimated to increase by 1.4 times over the next 10 years (35,729 in 2016 to 51,259 in 2025). The use of intramedullary nails has greatly surpassed the use of plates for the treatment of intertrochanteric fractures. The 1-year cumulative mortality rates in patients aged ≥50 years after hip fractures based on National Health Insurance Service data were 17.2% (3,575/20,849) in 2008 and 16.0% (4,547/28,426) in 2012; the decrease was mainly observed among women. In addition, the mean 1-year mortality rates were 21% for men and 15% for women, indicating that mortality was 1.4 times higher in men than in women. The number of hip fractures is rapidly increasing, and the incidence of hip fractures demonstrated a slightly increasing trend until 2012. Trends in the use of varying surgical options for treatments for femoral neck and intertrochanteric fractures follow global trends. Although the high mortality rate after hip fractures in Korea remains concerning, a decrease in these rates over the study period was observed.

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2Postoperative Rehabilitation after Hip Fracture: A Literature Review

저자 : Kyung-jae Lee , Sang-hyun Um , Young-hun Kim

발행기관 : 대한고관절학회 간행물 : Hip & Pelvis(구 대한고관절학회지) 32권 3호 발행 연도 : 2020 페이지 : pp. 125-131 (7 pages)

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As the proportion of elderly individuals within the population grows, the incidence of hip fractures increases. Traditionally, orthopedic surgeons used to focus on surgical treatment of hip fractures; however, the field's appreciation for the importance of postoperative rehabilitation has been increasing recently. Many studies have shown that proper rehabilitation after hip fracture surgery can shorten hospital stays and improve clinical outcomes. However, such studies use different methods and published rehabilitation protocols address varying aspects that do not always overlap. Here, we review and summarize the latest guidelines and studies on postoperative rehabilitation of elderly patients with hip fractures.

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3Assessing Low Skeletal Mass in Patients Undergoing Hip Surgery: The Role of Sonoelastography

저자 : Ki-choul Kim , Jae-wook Park

발행기관 : 대한고관절학회 간행물 : Hip & Pelvis(구 대한고관절학회지) 32권 3호 발행 연도 : 2020 페이지 : pp. 132-141 (10 pages)

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Purpose: To analyze the utility of sonoelastography-a radiation-free procedure to characterize muscle properties-as an instrument to qualitatively and quantitatively assess the rectus femoris muscle.
Materials and Methods: Fifty-one consecutive patients who underwent a pelvic computed tomography (CT) exam were enrolled prospectively. The final analysis was conducted using data from 39 patients after 12 were removed due to exclusion criteria (muscle strength could not be measured due to poor cognition [n=11]; too young [n=1]). The potential correlation between average Hounsfield unit (HFU) at the rectus femoris muscle (measured by CT) and muscle quality grade (determined by sonoelastography) was assessed along with a retrospective analysis of the relationship between hand grip strength, knee extensor power, history of intensive care unit stay, length of hospital day and sonoelastographic grade.
Results: There was a significant correlation between sonoelastographic grade and the average HFU (P<0.001). Furthermore, hand grip strength (P<0.001) and knee extensor power (P<0.001) decreased significantly as the sonoelastographic grade increased. The likelihood of an intensive care unit stay and prevalence of low skeletal mass increased significantly with an increase in sonoelastography grade (P=0.037, P<0.001, respectively). The sensitivity, specificity, and accuracy of sonoelastographic images for predicting low skeletal mass were 77.3%, 100%, and 87.5%, respectively.
Conclusion: Sonoelastography advantages, including the lack of radiation and greater accessibility, may make it a valuable alternative to qualitatively and quantitatively identify sarcopenia and low skeletal mass.

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4Effectiveness of Ultrasound-guided Single-injection Triple Nerve Block Before Cementless Bipolar Hip Hemiarthroplasty in Femoral Neck Fractures

저자 : Jung-wook Huh , Man-jun Park , Woo-myung Lee , Dong-ha Lee

발행기관 : 대한고관절학회 간행물 : Hip & Pelvis(구 대한고관절학회지) 32권 3호 발행 연도 : 2020 페이지 : pp. 142-147 (6 pages)

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Purpose: To compare efficacy of ultrasound (US)-guided single-injection nerve blocks (SINB) before bipolar hemiarthroplasty (BHA) of the hip in patients with femoral neck fractures.
Materials and Methods: Clinical outcomes of 89 patients who underwent BHA between September 2016 and February 2018 were retrospectively compared. Eight patients were excluded according to exclusion criteria and the remaining patients were divided into two groups: patients who received SINB before surgery (Group I; n=40), and patients who did not (Group II; n=41). The femoral, obturator, and lateral femoral cutaneous nerves were each blocked separately under US guidance. Pain scores determined using the visual analogue scale (VAS) were recorded 6, 12, 24, and 48 hours postoperatively, and all use of analgesics were recorded separately for 72 hours after surgery. Duration of hospitalization, general complications, and local complications due to SINB were also compared among the groups.
Results: Significant differences were observed between the two groups: I) VAS at 6 hours and at 12 hours after the operation, II) total amounts of analgesics used. VAS at 24 hours and at 48 hours were not significantly different between the two groups. General complications and duration of hospitalization were also not significantly different between the groups.
Conclusion: US-guided lower limb nerve blocks provide excellent immediate postoperative pain relief and can be used as a safe, and effective method of pain control after BHA.

KCI등재

5Clinical Outcomes of Total Hip Arthroplasty for Displaced Femoral Neck Fractures in Patients 80 Years of Age and Older Selected by Clinical Frailty Score

저자 : Suenghwan Jo , Se Hwan Lee , Sun-jung Yoon

발행기관 : 대한고관절학회 간행물 : Hip & Pelvis(구 대한고관절학회지) 32권 3호 발행 연도 : 2020 페이지 : pp. 148-155 (8 pages)

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Purpose: The utility of total hip arthroplasty (THA) for the treatment of displaced femoral neck fractures in elderly patients (≥80 years of age) remains controversial as a patient's general condition is an essential factor impacting recovery. This study aims to determine if THA is a valuable option for appropriately selected elderly patients.
Materials and Methods: All patients underwent cementless THA using a direct lateral approach with a rectangular stem. Eighty-two patients ≥80 years of age underwent THA due to a displaced femoral neck. Clinical frailty scale (CFS) scores <5 were indicated for THA. The modified Harris hip score (mHHS), visual analogue scale (VAS), and patient satisfaction were used to assess outcomes.
Results: Nine of 82 patients died in the study period with another underlying disease. One, a 90-year-old male with pneumonia expired in the intensive care unit at 7-day postoperatively, while the other eight died due to causes unrelated to THA. Of the remaining 73 patients: (i) mean mHHS score increased to 80.57±21.36 at 1- year postoperatively; (ii) VAS was 2.3±0.9 points six-months postoperatively; and (iii) 78.7% of patients reported that they were very satisfied or satisfied 1-year postoperatively. The number of perioperative complications was 10.8% (9 hips) without the need for revision surgery.
Conclusion: The use of THA in patients ≥80 years of age with low CFS scores (<5) described here yielded favorable results and a relatively low rate of complications. However, a well-controlled comparative study or randomized trial is required to further refine selection criteria for THA in this patient population.

KCI등재

6Ceramic Liner Fracture Caused by an Impingement between the Stem Shoulder and the Ceramic Liner

저자 : Sunhyung Lee , Seung Won Jeon , Jeong Joon Yoo , Hee Joong Kim

발행기관 : 대한고관절학회 간행물 : Hip & Pelvis(구 대한고관절학회지) 32권 3호 발행 연도 : 2020 페이지 : pp. 156-160 (5 pages)

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Mechanisms of ceramic liner fractures have not yet been fully elucidated. Impingement between a stem and ceramic liner is a proposed cause of ceramic liner fractures. We experienced a case of ceramic liner fracture caused by direct impingement between the stem shoulder and the ceramic liner. This type of impingement, unlike impingements with a stem neck, has not been previously reported. While we assume that certain characteristics of the stem contributed to the impingement, we report this case to note that caution may be needed when using certain stem designs.

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