Korean epidemiology and trends in hip joint replacements고관절 치환술과 관련된 한국의 역학적 특성과 추세
- Other Titles
- 고관절 치환술과 관련된 한국의 역학적 특성과 추세
- Authors
- 윤재연; 문준기; 김철호; 이선형; 윤필환
- Issue Date
- Aug-2020
- Publisher
- 대한의사협회
- Keywords
- 역학; 고관절; 인공관절술; 관절삽입물; Epidemiology; Hip joint; Replacement arthroplasty; Joint prosthesis
- Citation
- 대한의사협회지, v.63, no.8, pp.462 - 470
- Journal Title
- 대한의사협회지
- Volume
- 63
- Number
- 8
- Start Page
- 462
- End Page
- 470
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/78465
- ISSN
- 1975-8456
- Abstract
- This study aimed to analyze the epidemiologic characteristics of patients who underwent hip arthroplasty using the Korean nationwide database and investigate the recent trends in implant fixation methods and bearing surface selection. We aimed to compare clinical characteristics and differences with the results from the registry of other western countries. We analyzed the data collected by the Health Insurance Review and Assessment Service database of Korea from 2007 to 2011 and the Main Surgery Statistical Yearbook from 2014 to 2018, published by the National Health Insurance Service. The number and rate of patients who underwent hip joint arthroplasty per 10,000 persons have been steadily increasing since 2007. There was a big difference in mean age and preoperative diagnosis of patients between the bipolar hemiarthroplasty and total hip arthroplasty groups. Most patients underwent surgery using a cementless biological fixation method, and the cemented fixation method was selectively used for a small portion of old aged osteoporotic patients. In relation to the use of bearing surfaces, the registry data showed that ceramic-ceramic bearings were used at an overwhelmingly high rate (81%) in Korea compared to other countries. The reason was attributable to various factors, such as patient’s age or economic status, differences in the health insurance system between countries, and recently reported complications, such as ceramic fracture or noise.
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