Original Article
J Korean Hip Soc 2007; 19(4): 499-503
Published online December 1, 2007
© The Korean Hip Society
50세 이상 고관절 주위골절 환자에서의 골다공증 치료
김태영∙하용찬*∙김연호*∙이성락†∙김상림‡∙김장락§∙김신윤‖∙구경회*
한림대학교 성심병원 정형외과학교실, 분당서울대학교병원 정형외과*, 제주한라병원 정형외과†, 제주대학교 의과대학 정형외과학교실‡, 경상대학교 의과대학 예방의학교실§, 경북대학교 의과대학 정형외과학교실‖
Treatment of Osteoporosis after Hip Fractures in Patients Older than 50 Years
Correspondence to : 구경회
경기도 성남시 분당구 구미동 300번지 분당서울대학교병원 정형외과
TEL: 82-31-787-7190
FAX: 82-31-787-4056
E-mail: khkoo@snu.ac.kr
Purpose: This study examined the rate in which a diagnostic workup and treatment for osteoporosis are performed on patients with a hip fracture in Jeju Island, South Korea.
Materials and Methods: This study reviewed the medical records and radiographs of 174 patients (141 women and 33 men) older than 50 years and diagnosed with femoral neck or intertrochanteric fractures at 8 hospitals in Jeju Island during 2005. The mean age at the time of diagnosis was 78.3 years (range, 50-104 years). The number of patients examined with bone densitometry and treated for osteoporosis after the hip fracture was calculated.
Results: DXA was performed on 35 patients (20.1%) diagnosed with osteoporosis (T-score < -2.5). Of these 35 patients, 27 patients were treated for osteoporosis after a hip fracture. Among the 174 patients, only 27 patients (15.5%) had received medication for osteoporosis.
Conclusion: The detection and treatment of osteoporosis are essential for reducing the incidence of another fracture after a hip fracture. However, a diagnostic study and the treatment for osteoporosis were performed only in a small portion of hip fracture patients.
Keywords Hip fracture, Osteoporosis, Jeju island
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Original Article
J Korean Hip Soc 2007; 19(4): 499-503
Published online December 1, 2007 https://doi.org/10.5371/jkhs.2007.19.4.499
Copyright © The Korean Hip Society.
50세 이상 고관절 주위골절 환자에서의 골다공증 치료
김태영∙하용찬*∙김연호*∙이성락†∙김상림‡∙김장락§∙김신윤‖∙구경회*
한림대학교 성심병원 정형외과학교실, 분당서울대학교병원 정형외과*, 제주한라병원 정형외과†, 제주대학교 의과대학 정형외과학교실‡, 경상대학교 의과대학 예방의학교실§, 경북대학교 의과대학 정형외과학교실‖
Treatment of Osteoporosis after Hip Fractures in Patients Older than 50 Years
Tae-Young Kim, M.D., Yong-Chan Ha, M.D.*, Yeun-Ho Kim, M.D.*, Sung-Rak Lee, M.D.†, Sang-Rim Kim, M.D.‡, Jang-Rak Kim, M.D.§, Shin-Yoon Kim, M.D.‖, Kyung-Hoi Koo, M.D.*
Department of Orthopaedic Surgery , Hallym University Sacred Heart Hospital, Anyang, South Korea,
Department of Orthopaedic Surgery , Seoul National University Bundang Hospital, Seongnam, South Korea*,
Department of Orthopaedic Surgery, Halla General Hospital, Jeju, South Korea†,
Department of Orthopaedic Surgery, College of Medicine, Cheju National University, Jeju, South Korea‡,
Department of Preventive Medicine, College of Medicine, Gyeongsang National University, Chinju, South Korea§,
Department of Orthopaedic Surgery, College of Medicine, Kyungpook National University, Daegu, South Korea‖
Correspondence to:구경회
경기도 성남시 분당구 구미동 300번지 분당서울대학교병원 정형외과
TEL: 82-31-787-7190
FAX: 82-31-787-4056
E-mail: khkoo@snu.ac.kr
Abstract
Purpose: This study examined the rate in which a diagnostic workup and treatment for osteoporosis are performed on patients with a hip fracture in Jeju Island, South Korea.
Materials and Methods: This study reviewed the medical records and radiographs of 174 patients (141 women and 33 men) older than 50 years and diagnosed with femoral neck or intertrochanteric fractures at 8 hospitals in Jeju Island during 2005. The mean age at the time of diagnosis was 78.3 years (range, 50-104 years). The number of patients examined with bone densitometry and treated for osteoporosis after the hip fracture was calculated.
Results: DXA was performed on 35 patients (20.1%) diagnosed with osteoporosis (T-score < -2.5). Of these 35 patients, 27 patients were treated for osteoporosis after a hip fracture. Among the 174 patients, only 27 patients (15.5%) had received medication for osteoporosis.
Conclusion: The detection and treatment of osteoporosis are essential for reducing the incidence of another fracture after a hip fracture. However, a diagnostic study and the treatment for osteoporosis were performed only in a small portion of hip fracture patients.
Keywords: Hip fracture, Osteoporosis, Jeju island
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