The Journal of the Korean Hip Society最新文献_第7页

Identification and Validation of Osteoporotic Hip Fracture Using the National Health Insurance Database 使用国家健康保险数据库识别和验证骨质疏松性髋部骨折

The Journal of the Korean Hip Society Pub Date : 2010-12-01 DOI: 10.5371/JKHS.2010.22.4.305

Chan-Mi Park, Sunmee Jang, Suhyun Jang, Y. Ha, Young-Kyun Lee, H. Yoon, C. Shin, D. Kim, Seong-Su Lee, H. Choi, Bomgyeol Kim, Ji-Yeob Choi

{"title":"Identification and Validation of Osteoporotic Hip Fracture Using the National Health Insurance Database","authors":"Chan-Mi Park, Sunmee Jang, Suhyun Jang, Y. Ha, Young-Kyun Lee, H. Yoon, C. Shin, D. Kim, Seong-Su Lee, H. Choi, Bomgyeol Kim, Ji-Yeob Choi","doi":"10.5371/JKHS.2010.22.4.305","DOIUrl":"https://doi.org/10.5371/JKHS.2010.22.4.305","url":null,"abstract":"�� Purpose: The aim of this study was to develop and validate identification criteria for the cases of osteoporotic hip fracture using the National Health Insurance Database, and we calculated the incidence rate of osteoporotic hip fracture in the Korean population using these criteria. Materials and Methods: The criteria to identify osteoporotic hip fracture using a diagnosis code, a procedure code, the type and number of medical service usages and the patients' ages were developed via discussions among experts. These criteria were validated by using a hip fracture cohort in which all the genuine osteoporotic hip fracture patients in the Jeju area were identified by reviewing the registered medical records and radiographs. By applying the identification criteria to the National Health Insurance Database that was accumulated until June 2009, we calculated the incidence rate of osteoporotic hip fracture in patients between 50 and 100 years of age in 2008. Results: The identification criteria had a sensitivity of 93.1% and a positive predictive value of 77.4%. A total of 20,432 osteoporotic hip fracture cases were identified in 2008, and the incidence rate was 15.7 cases per 10,000 persons. The osteoporotic hip fracture incidence rate for females was 20.7 (per 10,000persons), and this was 2.1 times higher than that for the males (9.8case per 10,000persons), and the rates were increased with age. Conclusion: The incidence of osteoporotic hip fracture that occurred on a nationwide scale can be more precisely estimated by using the National Health Insurance Database with its comprehensive information on the overall details of treatment as well as the diagnosis codes, and so the incidence of osteoporotic hip fracture can be reliably calculated for each year. The results from this research could be used as evidence in a hip fracture management plan for establishing Korean Health policy.","PeriodicalId":410202,"journal":{"name":"The Journal of the Korean Hip Society","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130692923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 26

Bipolar Hemiarthroplasty for Hip Fractures in Patients Aged over 90 Years - The Factors Influencing the Postoperative Mortality - 双极半关节置换术治疗90岁以上髋部骨折患者-影响术后死亡率的因素

The Journal of the Korean Hip Society Pub Date : 2010-12-01 DOI: 10.5371/JKHS.2010.22.4.283

J. Chang, Jehyun Yoo, S. S. Lee, Tae-Young Kim, Kyu-Hak Jung, Yong-Kuk Kim

引用次数: 8

Obturator Internus Pyomyositis - A Case Report - 闭孔内肌炎1例报告

The Journal of the Korean Hip Society Pub Date : 2010-12-01 DOI: 10.5371/JKHS.2010.22.4.319

Do-Young Kim, S. Park, J. Chang, J. Nam, S. S. Lee

引用次数: 6

Effectiveness of a Pre-Operative Lateral Decubitus Position Radiologic Examination Using a Goniometer and Rod in THRA 在THRA中使用角计和棒进行术前侧卧位放射检查的有效性

The Journal of the Korean Hip Society Pub Date : 2010-12-01 DOI: 10.5371/JKHS.2010.22.4.260

K. Han, S. Cha

引用次数: 1

Pain Control after Total Hip Replacement Arthroplasty Using Periarticular Multimodal Drug Injection 关节周围多模态药物注射控制全髋关节置换术后疼痛

The Journal of the Korean Hip Society Pub Date : 2010-12-01 DOI: 10.5371/JKHS.2010.22.4.273

J. Choi, Jung-Han Kim, Heui-Chul Gwak, Jung-won Kim, Young-Kyoung Min

{"title":"Pain Control after Total Hip Replacement Arthroplasty Using Periarticular Multimodal Drug Injection","authors":"J. Choi, Jung-Han Kim, Heui-Chul Gwak, Jung-won Kim, Young-Kyoung Min","doi":"10.5371/JKHS.2010.22.4.273","DOIUrl":"https://doi.org/10.5371/JKHS.2010.22.4.273","url":null,"abstract":"Purpose: This study attempted to evaluate the pattern of change of the pain after total hip arthroplasty (THA) and to confirm the effect of periarticular multimodal drug injection (PMDI) on controlling the early postoperative pain. Materials and Methods: Of the total patients who underwent primary THA at our hospital because of osteonecrosis of the femoral head from March to October 2008, 60 patients were enrolled in this study. The subjects were divided into three groups. Groups 1 & 2 received periarticular injection. Group 1 included the patients who were injected with a combination of opioid, long-acting local anesthetics, a non-steroidal anti-inflammatory drug and epinephrine. Group 2 received a combination of morphine and ropivacaine and group 3 was not injected with any analgesics. The visual analogue scale (VAS) at 4 hours, 8 hours, 12 hours, 24 hours, 2 days, 3 days, 5 days, 14 days and 1 month after surgery, the frequency that patients pushed the self-controlled pain medication machine for 2 days after surgery and the amount of clonac that was injected according to the needs of the patients were used as objective measures. Results: The VAS score at postoperative 4 hours to 3 days among the groups showed a significant difference (P 0.05). The frequency of pushing the self-controlled pain medication machine among the groups and the amount of clonac according to the needs of the patients among the groups showed that there were significant decreases at the operation day, the postoperative 1, 2 day and the 3 days (P<0.05). Conclusion: PMDI has a significant effect on controlling the early postoperative pain after THA.","PeriodicalId":410202,"journal":{"name":"The Journal of the Korean Hip Society","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121111237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

The Efficacy of a Periarticular Soft Tissue Injection of Bupivacaine and Morphine in Total Hip Arthroplasty: a Prospective Study 全髋关节置换术中关节周围软组织注射布比卡因和吗啡的疗效:一项前瞻性研究

The Journal of the Korean Hip Society Pub Date : 2010-12-01 DOI: 10.5371/JKHS.2010.22.4.266

K. Hwang, Chang-Min Cho, Yeesuk Kim, J. Shim, Young-Ho Kim

{"title":"The Efficacy of a Periarticular Soft Tissue Injection of Bupivacaine and Morphine in Total Hip Arthroplasty: a Prospective Study","authors":"K. Hwang, Chang-Min Cho, Yeesuk Kim, J. Shim, Young-Ho Kim","doi":"10.5371/JKHS.2010.22.4.266","DOIUrl":"https://doi.org/10.5371/JKHS.2010.22.4.266","url":null,"abstract":"Purpose: We wanted to assess the benefits and safety of periarticular soft tissue injection of bupivacaine and morphine in total hip arthroplasty by conducting a prospective randomized trial. Materials and Methods: Between February 2008 and January 2010, a prospective, randomized study was performed on fifty patients with an American Society of Anesthesiology stage of I or II. All the patients were administered COX-2 inhibitor and we used PCEA (Patient Controlled Epidural Analgesia) for 24 hours postoperatively. All the patients underwent their operation under general anesthesia. Fifty randomly selected patients were divided into two groups. After reduction of the hip joint, 50 ml of normal saline was intraoperatively injected into 25 patients (Group A) and 50 ml of locally injected analgesia that included 0.5 ml 5 mg of morphine HCL, 40 ml of 0.5% 50 mg chirocaine (Levo-bupivacaine) and 9.5 ml of normal saline was injected into the capsule and the soft tissue and muscle around the hip joint in 25 patients (Group B). The analgesic efficacy was evaluated by the visual analogue scale (VAS) at 6 and 12 hours postoperatively with the patients in a resting state and at 24, 48 and 72 hours postoperatively with the patients in a resting state and during a passive exercise (30 ) state. The consumption of PCEA and additional analgesic drugs was also evaluated postoperatively. Results: Significant differences were found between the 2 groups (P 0.05). Conclusion: Intraoperative periarticular soft tissue injection of bupivacaine and morphine can significantly reduce pain and it can reduce the requirement for patient-controlled analgesia, with no apparent risks, following total hip arthroplasty.","PeriodicalId":410202,"journal":{"name":"The Journal of the Korean Hip Society","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125203993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Treatment of Traumatic Posterior Dislocation of the Hip Joint Associated with Femoral Head Fracture 外伤性髋关节后脱位合并股骨头骨折的治疗

The Journal of the Korean Hip Society Pub Date : 2010-12-01 DOI: 10.5371/JKHS.2010.22.4.291

M. Park, Jong-hyuk Park, Do-Yeoun Kim, Hong-Man Cho

{"title":"Treatment of Traumatic Posterior Dislocation of the Hip Joint Associated with Femoral Head Fracture","authors":"M. Park, Jong-hyuk Park, Do-Yeoun Kim, Hong-Man Cho","doi":"10.5371/JKHS.2010.22.4.291","DOIUrl":"https://doi.org/10.5371/JKHS.2010.22.4.291","url":null,"abstract":"Purpose: This study examined the treatment of patients with posterior hip dislocation and femoral head fracture, according to the Pipkin classification, and we analyzed their clinical and radiological results. Materials and Methods: The subjects consisted of 45 patients who were treated for posterior hip dislocation and femoral head fracture. The subjects had an average age of 39, and 38 were men and 7 were women. The average follow-up period was 33 months. The cause of injury was traffic accident in 41 cases and falling for the other four cases. According to the classification, there were 26 Type I cases, 5 Type II cases, 1 Type III case and 13 Type IV cases. The treatment methods were selected according to the patients’ condition and the form of fracture. The Ebstein criteria and the Merle d’Aubigne and Postel score were used to determine whether there was a combined injury and to examine the clinical and radiological results. Results: All the cases classified as Type I, II and III showed good or excellent clinical results. A primary osteosynthesis was performed on the Type III cases according to the patient’s age and condition, with particularly good results. An anatomical reduction in the early stages affected the clinical results of the Type IV cases. The observed complications were posttraumatic osteoarthritis (38.4%) and avascular necrosis (15.3%). Conclusion: The prognosis was determined by the injury’s initial severity, the time for reduction and the anatomical reduction and firm fixation of the femur and the fracture fragment of the acetabulum.","PeriodicalId":410202,"journal":{"name":"The Journal of the Korean Hip Society","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125878912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Metal on Polyethylene in Total Hip Arthroplasty 金属与聚乙烯在全髋关节置换术中的应用

The Journal of the Korean Hip Society Pub Date : 2010-12-01 DOI: 10.5371/JKHS.2010.22.4.241

J. Kang, R. Kim

引用次数: 2

Hip Joint Surgery without Transfusion in Patients Who Were Jehovah's Witnesses -A Report of Two Cases- 耶和华见证人患者髋关节手术不输血两例报告

The Journal of the Korean Hip Society Pub Date : 2010-12-01 DOI: 10.5371/JKHS.2010.22.4.323

T. Yoon, Kyung-Soon Park, Chan-Hee Park, Hyeong-won Park

引用次数: 0

Preoperative Planning for Revision Hip Arthroplasty 髋关节置换术翻修的术前计划

The Journal of the Korean Hip Society Pub Date : 2010-12-01 DOI: 10.5371/JKHS.2010.22.4.247

Y. Sung

引用次数: 4