Hip & pelvis

  • 제35권3호
  • /
  • Pages.157-163
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  • 2023
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  • 2287-3260(pISSN)
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  • 2287-3279(eISSN)
대한고관절학회 (The Korean Hip Society)
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Treatment of Femoral Neck Fractures in the Elderly: A Survey of the Korean Hip Society Surgeons

  • Hong Seok Kim (Department of Orthopaedic Surgery, Seoul National University Hospital) ;
  • Je-Hyun Yoo (Department of Orthropaedic Surgery, Hallym University Sacred Heart Hospital) ;
  • Young-Kyun Lee (Department of Orthopaedic Surgery, Seoul National University Bundang Hospital) ;
  • Jong-Seok Park (Department of Orthopedic Surgery, Soonchunhyang University Hospital Cheonan) ;
  • Ye-Yeon Won (Department of Orthopaedic Surgery, Ajou University Medical Center, Ajou University College of Medicine)
  • 투고 : 2022.12.26
  • 심사 : 2023.02.01
  • 발행 : 2023.09.30
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초록

Purpose: This study examined the methods for treatment of femoral neck fracture (FNF) preferred by members of the Korean Hip Society (KHS) and identified factors that influence decisions regarding the surgical intervention of choice. Materials and Methods: A total of 97 members of the KHS responded to the 16-question survey which included questions about the mean number of surgeries performed each month for treatment of femoral neck fractures, the cut-off age for deciding between internal fixation and arthroplasty, the implant used most often, usage of cement, and factors influencing each decision. Results: The mean cut-off age used when deciding between internal fixation and arthroplasty was 64 years old. Hemiarthroplasty (HA) (70%) was the most preferred option for treatment of displaced FNFs in cases where arthroplasty was indicated (total hip arthroplasty [THA] 19% and dual mobility THA 11%). The main reasons for selection of arthroplasty over reduction with internal fixation were age and pre-fracture ambulatory status. Pre-trauma ambulatory status and/or sports activity were the main factors in selection of HA over THA. Cement was used by 33% of responders. Poor bone quality and a broad femoral canal were factors that influenced the usage of cement. Conclusion: Management of FNFs in the elderly is a major health problem worldwide; thus, remaining alert to current trends in treatment is essential for surgeons. The mean cut-off age used in deciding between internal fixation and arthroplasty was 64 years old. HA is the preferred method for treatment of displaced FNFs for members of the KHS.

키워드

과제정보

This study was presented at the Fracture Symposium of the Korean Hip Society in November 2022.

참고문헌

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