J Korean Hip Soc.
2007 Dec;19(4):499-503. 10.5371/jkhs.2007.19.4.499.
Treatment of Osteoporosis after Hip Fractures in Patients Older than 50 Years
- Affiliations
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- 1Department of Orthopaedic Surgery , Hallym University Sacred Heart Hospital, Anyang, South Korea.
- 2Department of Orthopaedic Surgery , Seoul National University Bundang Hospital, Seongnam, South Korea. khkoo@snu.ac.kr
- 3Department of Orthopaedic Surgery, Halla General Hospital, Jeju, South Korea.
- 4Department of Orthopaedic Surgery, College of Medicine, Cheju National University, Jeju, South Korea.
- 5Department of Preventive Medicine, College of Medicine, Gyeongsang National University, Chinju, South Korea.
- 6Department of Orthopaedic Surgery, College of Medicine, Kyungpook National University, Daegu, South Korea.
- KMID: 2162663
- DOI: http://doi.org/10.5371/jkhs.2007.19.4.499
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.
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