Influence of Hip Fracture on Knee Pain During Postoperative Rehabilitation
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Objective To investigate whether fracture type, surgical procedure, or fracture grade affect knee pain during postoperative rehabilitation after a hip fracture.Methods We conducted a retrospective case-controlled study of 139 patients during postoperative rehabilitation after surgery for hip fractures. Patients were divided into two groups: patients experiencing knee pain during the first week of postoperative rehabilitation, and patients without knee pain. We compared the types of fracture, surgical procedure, and fracture grade between the two groups.Results We enrolled 52 patients (37.4%) with knee pain during the first weeks of postoperative rehabilitation. For type of fracture, knee pain was more common with intertrochanteric fracture than with femur neck fracture (48.8% vs. 21.1%, respectively; p=0.001). For the surgical procedure, there was no significant difference between the groups. For the fracture grade, the grades classified as unstable fractures were more common in the group of intertrochanteric fracture patients with knee pain than in those without knee pain (74.1% vs. 36.4%, respectively; p=0.002). Conclusion Intertrochanteric fracture affected knee pain after hip fracture surgery more than did femur neck fracture, particularly in unstable fractures. Furthermore, there was no difference in each fracture type according to the surgical procedure. Careful examination and management for knee pain is needed in patients with hip fracture surgery.
Abstract
Objective To investigate whether fracture type, surgical procedure, or fracture grade affect knee pain during postoperative rehabilitation after a hip fracture.Methods We conducted a retrospective case-controlled study of 139 patients during postoperative rehabilitation after surgery for hip fractures. Patients were divided into two groups: patients experiencing knee pain during the first week of postoperative rehabilitation, and patients without knee pain. We compared the types of fracture, surgical procedure, and fracture grade between the two groups.Results We enrolled 52 patients (37.4%) with knee pain during the first weeks of postoperative rehabilitation. For type of fracture, knee pain was more common with intertrochanteric fracture than with femur neck fracture (48.8% vs. 21.1%, respectively; p=0.001). For the surgical procedure, there was no significant difference between the groups. For the fracture grade, the grades classified as unstable fractures were more common in the group of intertrochanteric fracture patients with knee pain than in those without knee pain (74.1% vs. 36.4%, respectively; p=0.002). Conclusion Intertrochanteric fracture affected knee pain after hip fracture surgery more than did femur neck fracture, particularly in unstable fractures. Furthermore, there was no difference in each fracture type according to the surgical procedure. Careful examination and management for knee pain is needed in patients with hip fracture surgery.
참고문헌 (30)
- 이성락, "Morbidity and Mortality in Jeju Residents over 50-Years of Age with Hip Fracture with Mean 6-Year Follow-Up: A Prospective Cohort Study", Journal of Korean Medical Science, 28(7), pp.1089~1094 (2013), 대한의학회
- 윤현구, "Incidence and Mortality Following Hip Fracture in Korea", Journal of Korean Medical Science, 26(8), pp.1087~1092 (2011), 대한의학회
- Choi HJ, "Burden of osteoporosis in adults in Korea: a national health insurance database study", J Bone Miner Metab, 30, pp.54~58 (2012)[DOI]
- Ha YC, "Current trends and future projections of hip fracture in South Korea using nationwide claims data", Osteoporos Int, 27, pp.2603~2609 (2016)[DOI]
- Muraki S, "Prevalence of falls and the association with knee osteoarthritis and lumbar spondylosis as well as knee and lower back pain in Japanese men and women", Arthritis Care Res (Hoboken), 63, pp.1425~1431 (2011)[DOI]
- Muraki S, "Physical performance, bone and joint diseases, and incidence of falls in Japanese men and women: a longitudinal cohort study", Osteoporos Int, 24, pp.459~466 (2013)[DOI]
- Harris I, "Outcome after intramedullary nailing of femoral shaft fractures", ANZ J Surg, 73, pp.387~389 (2003)[DOI]
- Wolinsky PR, "Reamed intramedullary nailing of the femur: 551 cases", J Trauma, 46, pp.392~399 (1999)[DOI]
- Braten M, "Femoral shaft fractures treated by intramedullary nailing: a follow-up study focusing on problems related to the method", Injury, 26, pp.379~383 (1995)[DOI]
- Ostrum RF, "Prospective comparison of retrograde and antegrade femoral intramedullary nailing", J Orthop Trauma, 14, pp.496~501 (2000)[DOI]
- Ricci WM, "Retrograde versus antegrade nailing of femoral shaft fractures", J Orthop Trauma, 15, pp.161~169 (2001)[DOI]
- Toms AD, "Intramedullary femoral nailing: removing the nail improves subjective outcome", Injury, 33, pp.247~249 (2002)[DOI]
- Tornetta P 3rd, "Antegrade or retrograde reamed femoral nailing: a prospective, randomised trial", J Bone Joint Surg Br, 82, pp.652~654 (2000)
- Christodoulou AG, "Knee joint effusion following ipsilateral hip surgery", J Orthop Surg (Hong Kong), 18, pp.309~311 (2010)[DOI]
- Harato K, "Pseudogout at the knee joint will frequently occur after hip fracture and lead to the knee pain in the early postoperative period", J Orthop Surg Res, 10, pp.4~ (2015)[DOI]
- Pun WK, "Effusions in the knee in elderly patients who were operated on for fracture of the hip", J Bone Joint Surg Am, 70, pp.117~118 (1988)[DOI]
- Shahid MS, "A prospective study for evaluation of knee effusion after hip surgery", Ir Med J, 95, pp.140~141 (2002)
- Jensen JS, "Classification of trochanteric fractures", Acta Orthop Scand, 51, pp.803~810 (1980)[DOI]
- Andersen E, "Evans' classification of trochanteric fractures: an assessment of the interobserver and intraobserver reliability", Injury, 21, pp.377~378 (1990)[DOI]
- Gehrchen PM, "Poor reproducibility of Evans' classification of the trochanteric fracture: assessment of 4 observers in 52 cases", Acta Orthop Scand, 64, pp.71~72 (1993)
- Ahn H, "The use of hospital registries in orthopaedic surgery", J Bone Joint Surg Am, 91(Suppl 3), pp.68~72 (2009)
- Meling T, "How reliable and accurate is the AO", OTA comprehensive classification for adult long-bone fractures?, 2012, pp.73, 224~231
- Sonawane DV, "Classifications of intertrochanteric fractures and their clinical importance", Trauma Int, 1, pp.7~11 (2015)
- Frandsen PA, "Garden's classification of femoral neck fractures: an assessment of inter-observer variation", J Bone Joint Surg Br, 70, pp.588~590 (1988)
- Mears SC, "Classification and surgical approaches to hip fractures for nonsurgeons", Clin Geriatr Med, 30, pp.229~241 (2014)[DOI]
- Guss DA, "Hip fracture presenting as isolated knee pain", Ann Emerg Med, 29, pp.418~420 (1997)[DOI]
- Mitani S, "Risk factors for second hip fractures among elderly patients", J Orthop Sci, 15, pp.192~197 (2010)[DOI]
- Omsland TK, "Ten-year risk of second hip fracture: a NOREPOS study", Bone, 52, pp.493~497 (2013)[DOI]
- Yamanashi A, "Assessment of risk factors for second hip fractures in Japanese elderly", Osteoporos Int, 16, pp.1239~1246 (2005)[DOI]
- Muraki S, "Risk factors for falls in a longitudinal population-based cohort study of Japanese men and women: the ROAD Study", Bone, 52, pp.516~523 (2013)[DOI]