지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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Purpose: The purpose of this study was to investigate the radiological and epidemiological characteristics, as well as the clinical course of pelvic insufficiency fractures in the elderly population. Materials and Methods: At a Haeundae Paik Hospital, we retrospectively reviewed patients with pelvic insufficiency fractures between March 2010 and May 2017. The demographic data of patients were analyzed, and bone mineral density and bone turnover markers were evaluated to estimate the metabolic status of the bone. The radiological characteristics were evaluated by comparing the simple x-ray images with the computed tomography images, and the types of fractures were classified via computed tomography images. For clinical course evaluation, we investigated comorbid complications, and compared the walking ability scale before and 6 months after the fracture. Results: A total of 42 patients were included, with an average age of 76.5 years. All were female except one case. In 5 cases where the initial medical examination was from another institution, the fracture was not found in 3 cases. All cases received conservative treatment. After the diagnosis of pelvic bone fracture using a simple x-ray imaging, additional fractures were found in 81.0% of the study population using a computed tomography. Initiation of gait occurred at an average of 2.8 weeks, and every case except 1 (97.6%) fully recovered their gait ability. Conclusion: We concluded that there was a limitation with diagnosing pelvic insufficiency fracture using only a simple x-ray imaging technique. In general, cases in this study showed conservative treatment yielded favorable clinical outcome with relatively less critical complications.
목차
등록된 정보가 없습니다.
참고문헌 (26)
참고문헌 신청
World Health Organization / 1998 / Guidelines for preclinical evaluation and clinical trials in osteoporosis / World Health Organization
Dell R / 2008 / Osteoporosis disease management: the role of the orthopaedic surgeon / J Bone Joint Surg Am 90(Suppl 4):188~194
Lin JT / 2004 / Osteoporosis: a review / Clin Orthop Relat Res (425):126~134
Rowe SM / 1993 / An epidemiological study of hip fracture in Honam, Korea / Int Orthop 17:139~143
Carretta E / 2011 / Hip fracture: effectiveness of early surgery to prevent 30-day mortality / Int Orthop 35:419~424
Dell R / 2008 / Osteoporosis disease management: the role of the orthopaedic surgeon / J Bone Joint Surg Am 90(Suppl 4):188~194
Lin JT / 2004 / Osteoporosis: a review / Clin Orthop Relat Res (425):126~134
Rowe SM / 1993 / An epidemiological study of hip fracture in Honam, Korea / Int Orthop 17:139~143
Carretta E / 2011 / Hip fracture: effectiveness of early surgery to prevent 30-day mortality / Int Orthop 35:419~424
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