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노성만 ( Sung Man Rowe ),윤택림 ( Taek Rim Yoon ),하태윤 ( Tae Yoon Ha ) 대한고관절학회 1994 Hip and Pelvis Vol.6 No.2
Accurate measurement of BMD(Bone mineral density) is very important for evaluation of osteoporosis. Recently DEXA(Dual Energy X-ray Absorptiometry) has been known to be an accurate, objective, easily reproducible method for measuring BMD. To investigate the level of BMD, we measured BMD in 33 patients with hip fractures. They were 14 femoral neck and 10 intertrochanteric fractures. 12 patients were male and 21 patients were female. The average BMD was 0.627 in the neck, 0.470 in Ward's triangle and 0.597 in the trochanter. In comparison with the normal control group investigated by Ahn et al, the BMD in fracture group was about 76% of normal control group. The Singh Index had close correlation with the degree of BMD. BMD decreased with the increase of age by about 10% decennially after 50 years. The BMD showed close correlation with the height and weight of the patients. The BMD was higher in neck fracture group compared with intertrochanteric fracture group even though it was not statistically significant.
노성만 ( Sung Man Rowe ),임창석 ( Chang Seok Rhim ) 대한고관절학회 1991 Hip and Pelvis Vol.3 No.1
Forty-nine total hip arthroplasties in patients under 40 years of age, were assessed clinically and radiologically two to eight years after operation. Clinical results were evaluated according to the Harris hip score system. At the final follow up, 45 hips(92 per cent) were excellent or good, 2 hips were fair, and 2 hips were poor. Two patients with poor results were revised. Radiological examination showed migration of acetabular component in 5 hips and subsidence of the femoral stem in 2 hips. In conclusion it is clear that hip arthroplasty provides patients with freedom from pain and excellent function. Recent advances, including the change to cementless fixation and improvement in operation technique, may well lead to still better results in the future.