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Jun Mo Chung 1 Article
The Prefracture Factors on The Hip Fracture in Elderly
Jong Oh Kim, Yeo Hon Yoen, Young Do Ko, Jae Doo Yoo, Jun Mo Chung, Han Cheon Bang, Kyu Bok Kang
J Korean Soc Fract 2002;15(4):531-537.   Published online October 31, 2002
DOI: https://doi.org/10.12671/jksf.2002.15.4.531
AbstractAbstract PDF
PURPOSE
We studied the co-relation on the causes of the hip fracture through the analysis of a relevance on the etiological factors as increased incidence according increasing old ages.
MATERIALS AND METHODS
Total 158 cases that treated on the hip fracture from 2001 Jan. to 2002 May were studied. The parameters were age, gender, smoking, obesity, type of fracture, place of fracture, other comorbidity, activity of daily living, bone marrow densitometry, hardness of floor, orientation, injury energy. And then, we analysis of difference between femur neck fracture and femur intretrochanter fracture and between stable femur intertrochanter fracture and unstable femur intertrochanter fracture.
RESULTS
The incidence of the femoral intertrochanteric fracture was larger significantly than that of the femoral neck fracture in the older than 80(p < 0.001). On the comparison of the pre-fractural activity of daily living, the group revealed lower activity had larger incidence of femoral intertrochateric fracture(p < 0.001). Also, the femoral intertrochanteric fracture was more larger in osteoporosis patient group(p < 0.005), and lower energy trauma(P<0.05). In a unstable femoral intertrochanteric fracture, 21 cases(77.7%) of total 27 cases were belong to the group of the activity of daily living scale below C(p < 0.05), 24 cases of 27 cases were belong to the osteoporosis patient who was estimated below -3.0 on T-score(p < 0.001).
CONCLUSION
In the hip fracture of the elderly patients, the femoral intertrochanteric fracture is more prevalance rather than the femoral neck fracture on the cases of older patient more than 80 year-old, lower activity of daily living scale, lower T-score less than -3.0 on BMD, lower energy trauma. Also, in femur intertrochanter fracture, unstable fracture is more common in low daily activity and osteoporosis

Citations

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  • The Daily Life Functions of Elderly Peritrochanteric Fracture Patients after Surgical Treatment
    Dae Moo Shim, Tae Kyun Kim, Jong Yun Kim, Duk Hwa Choi, Joung Suk Lee, Seong In Lee
    Journal of the Korean Fracture Society.2012; 25(1): 8.     CrossRef
  • The Usefulness of Hip to Thigh Ratio as an Anthropometric Indicator for the Incidence of Hip Fracture
    Jin Park, Kyu Hyun Yang, Seong Hwan Moon
    Journal of the Korean Fracture Society.2009; 22(1): 1.     CrossRef
  • Minimally Invasive Two-Incision Total Hip Arthroplasty for Treating Acute Displaced Femoral Neck Fractures in Active Elderly Patients
    Chang-Ich Hur, Taek-Rim Yoon, Kyung-Soon Park, Sang-Gwon Cho, Ji-Hyeon Yim
    The Journal of the Korean Orthopaedic Association.2008; 43(5): 643.     CrossRef
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