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- 저자 : Kwangkyoun Kim (검색결과 2 건)
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The Effect of Teriparatide on the Hip: A Literature Review
( Kwangkyoun Kim ),( Ye-yeon Won ),( Seok-won Lee ),( Kyung-deok Seo ) 대한고관절학회 2021 Hip and Pelvis Vol.33 No.2
Teriparatide (TPTD) is a bone-forming agent used to treat postmenopausal osteoporosis. Since hip fractures are related to higher morbidity and mortality rates than other fractures, efficacious osteoporosis drugs for the hip are critical. We reviewed research articles reporting the efficacy of TPTD in terms of bone mineral density (BMD), fractures prevention, changes in the outer diameter, cortical thickness and porosity, post-operative periprosthetic BMD loss, and healing of typical and atypical fractures of the hip. Data meta-analyses indicated that TPTD not only increased the BMD of the proximal femur but also decreased the risk of hip fractures. Even though TPTD increases the cortical bone porosity of the proximal femur, the bone strength does not decrease as the majority of the porosity is located at the endocortex; further, it increases the outer diameter and thickens the cortical bone. TPTD stimulates bone remodeling and facilitates callus maturity and fracture healing. There have been many reports on improving the effect of TPTD on the healing of atypical fractures; therefore it is advisable to use TPTD considering the increase benefit compared to the risk.
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A review of robotic‑assisted total hip arthroplasty
Kwangkyoun Kim,Seungcheol Kwon,Junhyuk Kwon,Jihyo Hwang 대한의용생체공학회 2023 Biomedical Engineering Letters (BMEL) Vol.13 No.4
Total hip arthroplasty (THA) is a successful surgical method for hip replacement but still poses challenges and risks. RoboticassistedTHA (rTHA) using new generation robotic systems has emerged to improve surgical precision and outcomes. Thepurpose of this paper is to review the literature on rTHA, with a focus on its advantages, such as individualized preoperativeplanning, intraoperative assistance, and improved accuracy in implantation, especially in complex cases. Additionally, itaims to explore the disadvantages associated with the use of rTHA, including high costs, the learning curve, and prolongedoperation time compared to manual THA (mTHA), which are critical drawbacks that require careful consideration andefforts for minimization. Some financial analyses suggest that rTHA may offer cost-effectiveness and reduced postoperativecosts compared to mTHA. While technological advancements are expected to reduce technical complications, there are stilldebates surrounding long-term outcomes. Practical limitations, such as limited availability and accessibility, also warrantattention. Although the development of rTHA shows promise, it is still in its early stages, necessitating critical evaluationand further research to ensure optimal patient benefits.
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