Postoperative Mortality Rate of Hip Fracture in Elderly Patients

Kho, Duk Hwan; Kim, Ki Hwan; Shin, Jong-chil; Lee, Jun Hyuck; Kim, Dong Heon

doi:10.12671/jkfs.2006.19.2.117

Cited by 14 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Fracture of the femoral neck in the elderly has the most serious consequences. For example, in Korea, hip fractures cause major morbidity and mortality, with long term loss of mobility in half of such patients, 25% of patients requiring long term care and 11-17% of patients dying within a year [ 3 - 6 ]. The direct costs of medical care of hip fractures were over $65 million in 2004 [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Current Recommendations for Laboratory Testing and Use of Bone Turnover Markers in Management of Osteoporosis

2012

View full text Add to dashboard Cite

Osteoporosis is a major health problem worldwide, and is projected to increase exponentially due to the aging of the population. The absolute fracture risk in individual subjects is calculated by the use of algorithms which include bone mineral density (BMD), age, gender, history of prior fracture and other risk factors. This review describes the laboratory investigations into osteoporosis which include serum calcium, phosphate, creatinine, alkaline phosphatase and 25-hydroxyvitamin D and, additionally in men, testosterone. Parathyroid hormone (PTH) is measured in patients with abnormal serum calcium to determine its cause. Other laboratory investigations such as thyroid function testing, screening for multiple myeloma, and screening for Cushing's syndrome, are performed if indicated. Measurement of bone turnover markers (BTMs) is currently not included in algorithms for fracture risk calculations due to the lack of data. However, BTMs may be useful for monitoring osteoporosis treatment. Further studies of the reference BTMs serum carboxy terminal telopeptide of collagen type I (s-CTX) and serum procollagen type I N-terminal propeptide (s-PINP) in fracture risk prediction and in monitoring various treatments for osteoporosis may help expedite their inclusion in routine clinical practice.

show abstract

Section: Introductionmentioning

confidence: 99%

Current Recommendations for Laboratory Testing and Use of Bone Turnover Markers in Management of Osteoporosis

2012

View full text Add to dashboard Cite

show abstract

“…Fractures related to osteoporosis are a major health issue and produce a significant economic and social burden in Asian countries, as well as in Western countries. Hip fractures result in higher cost, disability, and mortality than do other osteoporotic fractures, showing 11.3-17.1% of one-year mortality rate in Korea ( 1 - 3 ). In addition, approximately 25% of women require long-term care after a hip fracture, and 50% will have some long-term loss of mobility ( 1 , 4 ).…”

Section: Introductionmentioning

confidence: 99%

Determination of an Applicable FRAX Model in Korean Women

et al. 2010

View full text Add to dashboard Cite

We investigated which of the three FRAX fracture risk assessment tool models is most applicable to Korean women. For 306 postmenopausal women (mean age, 77 yr) with a hip fracture, fracture probabilities were calculated using FRAX models from Japan, Turkey and China. Data on bone mineral density (BMD) at the femoral neck were available for 103 patients. Significant differences existed among the models, independent of the inclusion of BMD in the calculation of fracture probabilities. The probabilities of both major osteoporotic fractures and hip fractures were significantly higher in the Japanese model than in the Turkish or Chinese models. In all of the models, the probabilities of a major osteoporotic fracture, but not of a hip fracture, decreased significantly if calculated without BMD values. By applying the Japanese model, the ten-year probabilities for major osteoporotic and hip fractures increased significantly with age. Our results suggest that the Japanese FRAX model might be the most appropriate for Korean women.

show abstract

“…Therefore, this study aims to develop a finite element model of the hip joint for three-dimensional simulations, as a measure to identify the positions and characteristics of falls and fractures, and replace fall impact tests for the actual human body for the development of protective clothing apparel. According to a few studies, the age group of subjects with hip joint fractures is ≥70, and the subjects who show particularly high mortality and morbidity in that age group are elderly women (Kho et al , 2006; Chung and Choi, 2001; Yoo and Choi, 2007). However, all finite element models of human bodies that have been developed until now have limitations in that they reflect the musculoskeletal system and body shapes by applying the average values of the 50 percent of men in their twenties (Schwartz, 2015).…”

Section: Introductionmentioning

confidence: 99%

Finite element modeling and simulation of hip joints in elderly women: for development of protective clothing against fracture

Park

Nam

2020

IJCST

View full text Add to dashboard Cite

PurposeFracture experiments on real human bodies to examine the protected positions and protective devices for the development of protective clothing to manage fractures is exceedingly difficult. Thus, the experimental design will have limitations, more of which are imposed if subjects are elderly people. To circumvent these limitations, this study proposes a finite element model of the hip joint in elderly women with virtual impact simulations that can replace actual fall and impact tests, and examine the positions and characteristics of fractures resulting from taking a fall.Design/methodology/approachThe hip joints were modeled after the average horizontal surface size and cross-sectional shapes of the lower extremities (waist to knee) in 439 elderly Korean women in that age group. The model was composed of bones, cartilages, and soft tissue.FindingsThe fracture was examined by comparing the maximum stress on the hip joint by applying a point force to its adjacent surface. The vulnerable part in the hip joint neck with a high risk of fracture risk on an impact could be determined and used to set the protective device attachment position.Originality/valueIt is significant that this study has developed a partial model of the human body that can be used for a relatively simple simulation by minimizing the highly complex human body as much as possible. Furthermore, the model is easily applicable to the designing of protected positions and protective devices for the development of special clothing, for hip joint fracture prevention.

show abstract

Postoperative Mortality Rate of Hip Fracture in Elderly Patients

Cited by 14 publications

References 0 publications

Current Recommendations for Laboratory Testing and Use of Bone Turnover Markers in Management of Osteoporosis

Current Recommendations for Laboratory Testing and Use of Bone Turnover Markers in Management of Osteoporosis

Determination of an Applicable FRAX Model in Korean Women

Finite element modeling and simulation of hip joints in elderly women: for development of protective clothing against fracture

Contact Info

Product

Resources

About