National and regional trend over time in the prevalence of osteonecrosis of the femoral head among military draft-eligible males in South Korea: an analysis of a nationwide database from 2013 to 2022.

IF 1.4 Q3 ORTHOPEDICS

European Journal of Orthopaedic Surgery and Traumatology Pub Date : 2025-04-11 DOI:10.1007/s00590-025-04278-5

Hong Jin Kim, Pil Whan Yoon, Jae Youn Yoon, Hyun Woog Lee, Sung Min Park, Dong-Hoon Lee, Jun-Ki Moon

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引用次数: 0

Abstract

Purpose: To evaluate the prevalence of ONFH among the military draft-eligible male population in South Korea between 2013 and 2022.

Methods: A total of 3,166,669 individuals were examined at regional Military Manpower Administration offices for 10 years. In a study using a retrospective analysis of prospectively collected data, the prevalence of ONFH per 100,000 individuals, along with the 95% confidence interval (CI), was measured among military draft-eligible Korean males. The Mann-Kendall trend test was performed to assess the correlation of the ONFH prevalence with several potentially related factors.

Results: The mean annual prevalence of ONFH was 13.04 (95% CI: 9.06-17.01), indicating a rare entity. The prevalence was nearly consistent (Tau = - 0.2; p = 0.484), with the highest in 2018 (21.54; 95% CI: 16.42-26.66) and the lowest in 2020 (10.99; 95% CI: 7.12-14.85). Unilateral ONFH had a higher proportion than bilateral ONFH. There was a significant correlation between the prevalence of ONFH and the rate of risk alcohol consumption (Tau = 0.644, p = 0.009).

Conclusion: The prevalence of ONFH in military draft-eligible males was low, with nearly consistent trends between 2013 and 2022. Unilateral ONFH was relatively high compared to bilateral cases, highlighting distinctive characteristics in the military draft-eligible male population.

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韩国符合兵役条件的男性股骨头骨坏死患病率的国家和地区趋势：2013年至2022年全国数据库分析

目的：评估2013年至2022年韩国符合兵役条件的男性人口中ONFH的患病率。方法：对各地区军务管理处3166669人进行为期10年的调查。在一项对前瞻性收集的数据进行回顾性分析的研究中，在符合兵役条件的韩国男性中测量了每10万人中ONFH的患病率以及95%置信区间（CI）。采用Mann-Kendall趋势检验来评估ONFH患病率与几个潜在相关因素的相关性。结果：ONFH的年平均患病率为13.04 (95% CI: 9.06-17.01)，为罕见病例。患病率几乎一致(Tau = - 0.2；P = 0.484)， 2018年最高(21.54；95% CI: 16.42-26.66)， 2020年最低(10.99；95% ci: 7.12-14.85)。单侧ONFH的比例高于双侧ONFH。ONFH患病率与危险饮酒率之间存在显著相关性（Tau = 0.644, p = 0.009）。结论：在符合兵役条件的男性中，ONFH的患病率较低，2013年至2022年的趋势几乎一致。与双边病例相比，单侧ONFH相对较高，突出了符合兵役条件的男性人口的独特特征。

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来源期刊

European Journal of Orthopaedic Surgery and Traumatology 医学-整形外科

CiteScore

3.00

自引率

5.90%

发文量

265

审稿时长

3-8 weeks

期刊介绍： The European Journal of Orthopaedic Surgery and Traumatology (EJOST) aims to publish high quality Orthopedic scientific work. The objective of our journal is to disseminate meaningful, impactful, clinically relevant work from each and every region of the world, that has the potential to change and or inform clinical practice.