Journal List > J Korean Hip Soc > v.19(4) > 1048543

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Kim, Ha, Kim, Lee, Kim, Kim, Kim, and Koo: Treatment of Osteoporosis after Hip Fractures in Patients Older than 50 Years
Original Article

The Journal of the Korean Hip Society 2007; 19(4): 499-503.

Published online: 4 May 2016

DOI: https://doi.org/10.5371/jkhs.2007.19.4.499

Treatment of Osteoporosis after Hip Fractures in Patients Older than 50 Years

Tae Young Kim, Yong Chan Ha, Yeun Ho Kim, Sung Rak Lee, Sang Rim Kim, Jang Rak Kim, Shin Yoon Kim, Kyung Hoi Koo

Department of Orthopaedic Surgery , Hallym University Sacred Heart Hospital, Anyang, South Korea.

Department of Orthopaedic Surgery , Seoul National University Bundang Hospital, Seongnam, South Korea.

Department of Orthopaedic Surgery, Halla General Hospital, Jeju, South Korea.

Department of Orthopaedic Surgery, College of Medicine, Cheju National University, Jeju, South Korea.

Department of Preventive Medicine, College of Medicine, Gyeongsang National University, Chinju, South Korea.

Department of Orthopaedic Surgery, College of Medicine, Kyungpook National University, Daegu, South Korea.

khkoo@snu.ac.kr

Copyright © by Korean Hip Society

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.

Keywords: Hip fracture, Osteoporosis, Jeju island

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