Journal of Korean Medical Science最新文献

{"title":"Letter to the Editor: Avoiding a Telemedicine Regional Battle - Lessons From Republic of Korea's Platform War for Czechia and Beyond.","authors":"Michal Doležel","doi":"10.3346/jkms.2025.40.e290","DOIUrl":"10.3346/jkms.2025.40.e290","url":null,"abstract":"","PeriodicalId":16249,"journal":{"name":"Journal of Korean Medical Science","volume":"40 37","pages":"e290"},"PeriodicalIF":2.3,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453977/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Classifying Eschar Morphologies: Enhancing Early Diagnosis of Scrub Typhus.","authors":"Chang-Seop Lee, Seonglyeong Kim, Hwanseung You, Jeongeun Song, Seung Hee Choi, Tae-Jong Kang, Hyohyun Yoo, Jin Park","doi":"10.3346/jkms.2025.40.e234","DOIUrl":"10.3346/jkms.2025.40.e234","url":null,"abstract":"<p><strong>Background: </strong>Scrub typhus, a rickettsial disease caused by <i>Orientia tsutsugamushi</i>, presents with diverse clinical manifestations, with eschar formation being a key diagnostic feature.</p><p><strong>Methods: </strong>In this retrospective study, we analyzed 81 confirmed cases at Jeonbuk National University Hospital between January 2018 and December 2020 to systematically categorize eschar morphology and distribution.</p><p><strong>Results: </strong>Eschars were classified into five types based on their morphology: erythematous macules (2.5%), vesicular (4.9%), erosive/ulcerative (13.6%), crusted (74.1%), and sclerotic (4.9%). The most common site was the anterior body (44.4%) followed by the inguinal area (18.5%). Notably, 25.9% of cases exhibited atypical eschars lacking classical black crust, complicating the diagnosis. Eschar type distribution differed significantly between covered and exposed body areas (<i>P</i> = 0.038), probably due to physiological differences in skin regions or the timing of eschar detection.</p><p><strong>Conclusion: </strong>These findings highlight the need for comprehensive skin examinations and increased awareness of atypical eschars to enhance the diagnostic accuracy and improve the clinical outcomes of scrub typhus.</p>","PeriodicalId":16249,"journal":{"name":"Journal of Korean Medical Science","volume":"40 37","pages":"e234"},"PeriodicalIF":2.3,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identification of High-Risk Population for Mortality and Severe Clinical Outcomes Among Patients With Myasthenia Gravis: A Nationwide Population-Based Cohort Study in Korea.","authors":"Jieun Woo, Seung Woo Kim, Ju Hwan Kim, Jayeon Yuk, Kyungyeon Jung, Yongtai Cho, Yeongmin Park, Ju-Young Shin, Ha Young Shin","doi":"10.3346/jkms.2025.40.e240","DOIUrl":"10.3346/jkms.2025.40.e240","url":null,"abstract":"<p><strong>Background: </strong>Myasthenia gravis (MG) is a rare chronic neurological condition characterized by skeletal muscle weakness and fatigue. Some patients with MG have poorly controlled symptoms with conventional treatments. While new treatments could be considered in patients with poorly controlled MG, their costs are considerably higher and may impose a financial burden on patients and the national health insurance system. Therefore, we sought to identify high-risk populations for mortality and severe clinical outcomes among MG patients to effectively allocate health resources.</p><p><strong>Methods: </strong>A population-based cohort study was conducted using the Health Insurance Review and Assessment database from South Korea (2007-2023). Among patients with incident MG, we defined six clinical criteria expected to be associated with poor prognosis of MG. Separate study cohorts were constructed for the history of each criterion within two years of the first MG diagnosis to compare the risk of mortality, myasthenic crisis (MC), intensive care unit (ICU) admission, and MG-related hospitalization between patients. To adjust for any potential confounding, each covariate was assessed for inclusion in a multivariate Cox proportional hazards model, and findings were presented using hazard ratios (HRs) and 95% confidence intervals (CIs).</p><p><strong>Results: </strong>We identified 10,458 patients with incident MG (54.2% aged over 60 years; 56.8% female), of whom 361 and 319 were defined as MG patients with history of MC and refractory MG, respectively. Among MG patients, patients with history of any of the predefined clinical criteria showed worse prognosis than those without. Patients with a history of MC had a significantly higher risk of mortality compared to those without (54.0 vs. 17.9 per 1,000 person-year; HR, 2.33; 95% CI, 1.87-2.89). Similarly, across six different criteria, including refractory MG, the risk of serious clinical outcomes, defined MC, ICU admission, and MG-related hospitalization were increased in patients who met the criteria versus those who didn't.</p><p><strong>Conclusion: </strong>Our study identified high-risk populations among patients with MG. Patients with a history of certain clinical criteria, including MC or refractory MG, had elevated risk of mortality and severe clinical outcomes. These findings may be utilized to establish the reimbursement strategy by identifying MG patients with a priority need for new treatments.</p>","PeriodicalId":16249,"journal":{"name":"Journal of Korean Medical Science","volume":"40 37","pages":"e240"},"PeriodicalIF":2.3,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interstitial Lung Abnormality in Health Screening Examinees: Prevalence, Outcomes, and Risk Factors.","authors":"Jooae Choe, Ju Hyun Oh, Han Na Noh, Eun Jin Chae, Jin Woo Song","doi":"10.3346/jkms.2025.40.e237","DOIUrl":"10.3346/jkms.2025.40.e237","url":null,"abstract":"<p><strong>Background: </strong>The prevalence, outcome and risk factors of interstitial lung abnormality (ILA) in the Asian population remains unclear.</p><p><strong>Methods: </strong>We retrospectively enrolled participants who had health check-up and undergone serial chest computed tomography (CT) more than 5 years apart from baseline. The presence of ILA, as well as the temporal changes, was evaluated. Multivariable logistic regression was used to assess baseline risk factors associated with the progressive ILA (defined as development or progression of equivocal ILA or ILA) upon follow-up.</p><p><strong>Results: </strong>In total, 2,589 participants with a mean baseline age of 49 years (57 years upon follow-up scans) and a median follow-up of 7.0 years were included. We found that the prevalence of ILA or equivocal ILA increased between baseline and follow-up (baseline: 0.2% and 0.3%, respectively; follow-up: 0.8% and 0.9%, respectively) (<i>P</i> < 0.001). Additionally, radiologic progression was observed in 83.3% of participants with ILA at baseline. In the multivariable analysis, older age, ever-smoking status, higher white blood cell counts, higher erythrocyte sedimentation rates, and higher rheumatoid factors at baseline were independent risk factors for progressive ILA upon follow-up. Both ILA and equivocal ILA at the follow-up CT were significantly associated with all-cause mortality (adjusted hazard ratio [aHR] for equivocal ILA, 3.73, <i>P</i> = 0.005; aHR for ILA, 4.01, <i>P</i> = 0.004) when compared with those without ILA; however, progressive ILA further increased the risk of mortality (aHR, 3.92, <i>P</i> < 0.001) compared with non-progressive or no ILA.</p><p><strong>Conclusion: </strong>The prevalence of ILA in middle-aged Korean health screening participants was relatively low but increased with age, with its presence associated with long-term impacts on mortality. Radiologic progression on ILA at baseline was common. Risk factors for progressive ILA, such as age, smoking history, and elevated inflammatory markers, were identified. These findings emphasize the importance of early identification and monitoring of ILA in at-risk populations to improve long-term outcomes.</p>","PeriodicalId":16249,"journal":{"name":"Journal of Korean Medical Science","volume":"40 37","pages":"e237"},"PeriodicalIF":2.3,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is the Modified Allen's Test a Useful Tool for Evaluating the Vascular Dominance of the Forearm?","authors":"JeeHyun Moon, Gun Hee Lee, Tae Jun Park, Sae Hwi Ki","doi":"10.3346/jkms.2025.40.e230","DOIUrl":"10.3346/jkms.2025.40.e230","url":null,"abstract":"<p><strong>Background: </strong>The modified Allen's test (MAT) is commonly used to evaluate the collateral blood supply from the ulnar artery before harvesting a radial or ulnar forearm free flap. We hypothesized that the outcome of the MAT would be inversely proportional to the vessel's diameter. Therefore, we investigated the correlation between MAT results and arterial diameter to determine whether the MAT could serve as a decisive factor for evaluation of distal forearm circulation.</p><p><strong>Methods: </strong>Patients who underwent forearm based free flap were identified by retrospective chart review between September 2012 and April 2023. The diameter of the radial and ulnar arteries was measured by computed tomography angiography (CTA). Correlation between capillary refill time measured during the Allen test and vessel size was analyzed.</p><p><strong>Results: </strong>A total of 25 patients met the inclusion criteria. The radial artery was significantly larger than the ulnar artery on both sides. However, correlation analysis showed no association between the diameters of the radial and ulnar arteries and the MAT results.</p><p><strong>Conclusion: </strong>The MAT does not adequately represent the diameters of the radial or ulnar artery; it merely indicates the presence of collateral circulation between them. Preoperative CTA or ultrasonography would be recommended to identify forearm vascularity precisely.</p>","PeriodicalId":16249,"journal":{"name":"Journal of Korean Medical Science","volume":"40 36","pages":"e230"},"PeriodicalIF":2.3,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12437239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison Between the Mini-Mental State Examination and the Mini-Mental State Examination-2 in Patients With Mild Cognitive Impairment and Alzheimer's Disease.","authors":"Min Jae Baek, Young Ho Park, SangYun Kim","doi":"10.3346/jkms.2025.40.e235","DOIUrl":"10.3346/jkms.2025.40.e235","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to compare the diagnostic utility of the Mini-Mental State Examination-2 (MMSE-2) and the Korean version of the Mini-Mental State Examination (K-MMSE) in differentiating normal cognitive aging, mild cognitive impairment (MCI), and Alzheimer's disease (AD) within a Korean population.</p><p><strong>Methods: </strong>A total of 226 individuals with MCI, 97 with AD, and 91 cognitively healthy older adults were recruited. Participants underwent the MMSE-2, K-MMSE, and a comprehensive neuropsychological assessment battery. Discriminant analysis was employed to compare the classification accuracy of each tool, while sensitivity and specificity were evaluated using receiver operating characteristic (ROC) curve analysis.</p><p><strong>Results: </strong>Discriminant analysis revealed that the MMSE-2 accurately classified 71.1% of participants, including 68.6% of MCI patients, 78.4% of AD patients, and 72.5% of healthy controls. In contrast, the K-MMSE achieved an overall classification accuracy of 67.9%, with 83.6% accuracy for MCI, 68.0% for AD, and 28.6% for healthy controls. ROC analysis indicated that the area under the curve (AUC) values for the MMSE-2: Brief Version (BV) (0.708), Standard Version (SV) (0.720), and Expanded Version (EV) (0.728) surpassed that of the K-MMSE (0.703) in distinguishing healthy controls from MCI patients. However, the K-MMSE (AUC = 0.936) demonstrated superior performance compared to the MMSE-2:BV (0.930), MMSE-2:SV (0.925), and MMSE-2:EV (0.921) in differentiating MCI from AD.</p><p><strong>Conclusion: </strong>The MMSE-2:SV and MMSE-2:EV exhibit greater sensitivity in detecting cognitive impairment between normal aging and MCI. Conversely, the MMSE-2:BV and K-MMSE demonstrate superior sensitivity in distinguishing between MCI and AD. These findings underscore the importance of selecting an appropriate cognitive assessment tool based on specific diagnostic objectives and clinical contexts.</p>","PeriodicalId":16249,"journal":{"name":"Journal of Korean Medical Science","volume":"40 36","pages":"e235"},"PeriodicalIF":2.3,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12437240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Outcomes of Extracorporeal Membrane Oxygenation Use in Patients With Intracranial Hemorrhage.","authors":"Byung Mo Gu, Hong Kyu Lee, Sang Ook Ha, Sunghoon Park, Sun Hee Lee, Hyoung Soo Kim","doi":"10.3346/jkms.2025.40.e233","DOIUrl":"10.3346/jkms.2025.40.e233","url":null,"abstract":"<p><strong>Background: </strong>Patients undergoing extracorporeal membrane oxygenation are at a high risk of developing intracranial hemorrhage as a neurological complication. Consequently, many physicians consider a history of intracranial hemorrhage as a relative contraindication for extracorporeal membrane oxygenation and are hesitant to use it in these patients, even in cases of acute severe heart or lung failure. This study aimed to examine the clinical outcomes of extracorporeal membrane oxygenation use in patients with intracranial hemorrhage.</p><p><strong>Methods: </strong>We retrospectively obtained the medical records of patients diagnosed with intracranial hemorrhage who received extracorporeal membrane oxygenation owing to acute cardiopulmonary failure between January 2011 and July 2020. Data pertaining to patients' characteristics and clinical outcomes were collected. Disseminated intravascular coagulation score and extracorporeal membrane oxygenation score before and after application of extracorporeal membrane oxygenation were also examined to observe trends.</p><p><strong>Results: </strong>Eighteen patients were included. Ten had traumatic intracranial hemorrhage, and the most common indication for extracorporeal membrane oxygenation was acute respiratory distress syndrome. The 30-day survival rate was 72% (13 patients), and 61% (11 patients) survived to discharge. Two patients underwent neurosurgery due to worsening of intracranial hemorrhage. However, both were discharged without neurological deterioration.</p><p><strong>Conclusion: </strong>A 72% survival rate was observed in extracorporeal membrane oxygenation patients with intracranial hemorrhage, suggesting that extracorporeal membrane oxygenation could be a viable option in patients with intracranial hemorrhage unresponsive to conventional therapy.</p>","PeriodicalId":16249,"journal":{"name":"Journal of Korean Medical Science","volume":"40 36","pages":"e233"},"PeriodicalIF":2.3,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12437245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quantitative Changes in the Number of Basic Medicine Faculty at Medical Schools in Korea: A Cross-Sectional Study.","authors":"Janghee Park, Sejin Kim, Minjeong Kim, Woo Mi Kim, Seung-Min Yoo, Kyung Hye Park","doi":"10.3346/jkms.2025.40.e263","DOIUrl":"10.3346/jkms.2025.40.e263","url":null,"abstract":"<p><p>This study analyzed the current status of basic medicine faculty and graduate students in 40 Korean medical schools, highlighting critical challenges. Medical doctor (MD) professors in basic medicine are increasingly valued for their ability to bridge basic and clinical knowledge. However, while 132 MD professors are projected to retire, only 104 MD graduate students are currently in training, raising concerns about future faculty recruitment and educational quality. The balance between MDs and non-MDs is becoming increasingly uneven, particularly in non-metropolitan areas, heightening concerns about both educational quality and regional disparities. The persistent shortage of faculty, especially in traditional fields, is expected to worsen with planned increases in medical school admissions. Policy interventions, financial incentives, and targeted strategies are urgently required to attract more MDs to basic medicine and maintain high educational standards. Future research should focus on practical solutions, regional disparities, and students' perceptions of basic medicine careers to guide effective policy development.</p>","PeriodicalId":16249,"journal":{"name":"Journal of Korean Medical Science","volume":"40 36","pages":"e263"},"PeriodicalIF":2.3,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12437243/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145068993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of Self-Sufficiency and Factors Affecting Migration Between Medical Service Regions in Korea Among CKD Patients.","authors":"Eun Mi You, So Young Jang, Julee You, Eun-Jeong Kwon, Seokwoo Park, Ho Jun Chin, Ki Young Na, Kwang-Pil Ko, Hyejin Lee, Yu Jin Choe, Taehwan Noh, Sejoong Kim","doi":"10.3346/jkms.2025.40.e242","DOIUrl":"10.3346/jkms.2025.40.e242","url":null,"abstract":"<p><strong>Background: </strong>Chronic kidney disease (CKD) represents a significant public health issue, characterized by high morbidity, mortality, and healthcare costs. The increasing global prevalence of CKD, attributed to aging populations and rising incidences of diabetes and hypertension, poses challenges affecting 8.2% of adults in Korea. Despite the presence of adequate local healthcare facilities, many patients seek medical care outside their region, leading to escalated costs and regional disparities. This study aims to understand why CKD patients, across various disease stages, opt to receive care outside their home regions and provides insights into improved healthcare resource management.</p><p><strong>Methods: </strong>This study examined the inter-regional mobility patterns of 37,748 CKD patients in South Korea, utilizing National Health Insurance Service data from 2018 to 2022. Patients were categorized into three groups based on disease stage and treatment. The study assessed factors influencing healthcare service utilization, including individual factors, medical institution factors, and community factors. χ² tests and <i>t</i>-tests were applied, and multilevel logistic regression was employed for further analysis.</p><p><strong>Results: </strong>The self-sufficiency rate, which is the percentage of cases where the treatment hospital is located in the patient's residential region, was notably high in metropolitan areas such as Seoul, Gyeonggi, and Incheon. Patients undergoing kidney transplantation exhibited the lowest self-sufficiency rates. Older patients and those with lower income tended to use local medical services regardless of the stage of CKD. Patients who visited tertiary hospitals at least once presented lower self-sufficiency rates, while facilities with fewer than 500 beds and community factors such as a lower proportion of elderly individuals and higher population densities were associated with higher self-sufficiency rates.</p><p><strong>Conclusion: </strong>The movement of CKD patients across various healthcare regions is influenced by CKD characteristics, medical institution factors, and community factors. To enhance CKD patients' self-sufficiency, clear criteria for hospital selection, particularly for kidney transplants, are necessary, and healthcare policies should also take into account the diverse factors impacting self-sufficiency.</p>","PeriodicalId":16249,"journal":{"name":"Journal of Korean Medical Science","volume":"40 36","pages":"e242"},"PeriodicalIF":2.3,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12437244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute Total Hip Arthroplasty in Acetabular Fractures in Korea: National Claim Database Study.","authors":"Jung-Wee Park, Ki-Tae Park, Jonghwa Won, Sung Hwa Kim, Joon Hwan An, Young-Kyun Lee","doi":"10.3346/jkms.2025.40.e232","DOIUrl":"10.3346/jkms.2025.40.e232","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this study was 1) to analyze the proportion of acute total hip arthroplasty (THA) for acetabular fractures and 2) to evaluate the clinical outcomes of acute THA in South Korea using a medical claims database.</p><p><strong>Methods: </strong>This retrospective registry study utilized the Korean Health Insurance Review and Assessment database. Patients diagnosed with acetabular fractures from January 2007 to December 2018 were identified using the International Classification of Diseases-10 code. Acute THA was defined as those who had a procedural code of THA during the hospitalization. Kaplan-Meier survival analyses with total revisions, cup revisions, and stem revisions as endpoints were used to evaluate the clinical outcomes.</p><p><strong>Results: </strong>Among 14,088 patients with acetabular fractures, 153 patients (1.1%) were treated with acute THA. The mean follow-up period was 5.8 ± 3.9 years (range, 0.2 to 12 years). There were 22 reoperations (14.4%) including 12 cup revisions, 8 total revisions, and 2 stem revisions. Cumulative incidence at 10 years was 7.8% for acetabular cup revisions, 1.4% for femoral stem revisions, 5.1% for total revisions. Survivorship with a cup revision as the end point was 92.1% (95% confidence interval, 87.0% to 97.8%) at 10 years.</p><p><strong>Conclusion: </strong>The proportion of acute THA was 1.1% in treatment for acetabular fracture, and decreased in South Korea. These might be associated with the suboptimal clinical results of acute THA for acetabular fracture.</p>","PeriodicalId":16249,"journal":{"name":"Journal of Korean Medical Science","volume":"40 36","pages":"e232"},"PeriodicalIF":2.3,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12437242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}