ABSTRACT
PURPOSE: The Purpose of the study is to know patients' compliance of drug treatment of osteoporosis after operation of fracture and to compare of accompanying fractures between patients who diagnosed with osteoporosis itself and had the drug treatment of osteoporosis after surgery of periarticular fracture of hip. MATERIALS AND METHODS: In experimental group, consecutive 60 patients who had fracture of femoral neck and trochanter. And in control group, 61 patients diagnosed osteoporosis with drug treatment within the same period in orthopedic department from July 2006 to July 2007. The average age is 73.8 (+/-6.7) year in experimental group, and 66.6 (+/-7.46) year in control group. Both groups had at least a year follow-up with drug treatment and had BMD again at least a year later. RESULTS: BMD test in experimental group showed -3.05 (+/-1.35) preoperatively and -2.74 (+/-1.50) in last follow-up. BMD test in control group showed -3.55 (+/-0.52) in initial administration and -3.10 (+/-0.87) in last follow-up. The results showed a significant improvement in statistical analysis (p=0.0002, p<0.0001). CONCLUSION: The compliance of drug treatment of osteoporosis after operation of periarticular fracture of hip is the same as in patients' diagnosed osteoporosis.
Subject(s)
Humans , Compliance , Femur , Femur Neck , Follow-Up Studies , Hip , Orthopedics , OsteoporosisABSTRACT
STUDY DESIGN: Retrospective study OBJECTIVES: This study examined the post-operative results of interlaminar percutaneous endoscopic lumbar discectomy (PELD) with or without endoscopic laminotomy in lumbar disc herniation. SUMMARY OF LITERATURE REVIEW: In addition to the technical feasibility, the indications of PELD surgery are usually the same as those for open discectomy. MATERIALS AND METHODS: From January 2005 to August 2006, 62 cases treated with PELD using an interlaminar approach due to lumbar disc herniation were examined. The mean age of the subjects was 40.1 years (18-70) and the mean follow up period was 32.6 months (24-44). Thirty-four and 28 herniated discs were extracted from L4-L5 and L5-S1, respectively. The clinical results were evaluated using MacNab's criteria. RESULTS: The herniated discs were accessible in all cases. Excellent and good results were obtained in 85% (53 cases) of patients but 15% of patients (9 cases) showed unsatisfactory results or needed revision. There were 4 cases of incomplete removal, 2 cases of recurrence and 4 cases of persistent low back pain due to associated degenerative pathologies. Additional surgery was required in 7 cases which were open discectomy in 5 cases (3 cases of 4 incomplete removal and 2 of recurrence). There was one case of PLIF and 1 additional decompression. Cauda equina syndrome occurred in one case who underwent subsequent wide decompression and open discectomy. CONCLUSIONS: interlaminar PELD using endoscopic laminotomy is an effective method for treating lumbar disc herniation with moderate up and down migration. The clinical success rate can be improved by selecting patients with accessible discs and excluding those with an associated pathology.