Annals of Rehabilitation Medicine

"Hee-Ju Kim"

Original Article

Influence of Hip Fracture on Knee Pain During Postoperative Rehabilitation: Hee-Ju Kim, Seong Jae Lee, Jung Keun Hyun, Seo-Young Kim, Tae Uk Kim; Ann Rehabil Med 2018;42(5):682-689. Published online October 31, 2018; DOI: https://doi.org/10.5535/arm.2018.42.5.682

Abstract
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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.

Citations

Citations to this article as recorded by

High Prevalence of Symptomatic Knee Osteoarthritis Among Patients Who Have Fragility Hip Fractures
Korawish Mekariya, Ekasame Vanitcharoenkul, Pojchong Chotiyarnwong, Nath Adulkasem, Aasis Unnanuntana
The Journal of Arthroplasty.2025; 40(8): 2179. CrossRef
Post-hip fracture knee pain in older adults: a narrative review
Yoichi Kaizu, Kazuhiro Miyata
Aging Advances.2025; 2(2): 62. CrossRef
Post‐hip‐fracture knee pain in older adults prolongs their hospital stays: A retrospective analysis using propensity score matching
Yoichi Kaizu, Kazuhiro Miyata, Hironori Arii
Physiotherapy Research International.2024;[Epub] CrossRef
Predictors of post‐hip fracture knee pain in hospitalized older adults with intertrochanteric femoral fracture
Yoichi Kaizu, Kazuhiro Miyata, Hironori Arii
PM&R.2023; 15(5): 563. CrossRef
Femoral morphology is associated with development of knee pain after hip fracture injury among older adults: A nine-year retrospective study
Yoichi Kaizu, Kazuhiro Miyata, Hironori Arii, Masayuki Tazawa, Takehiko Yamaji
Journal of Orthopaedics.2021; 24: 190. CrossRef
Inpatient knee pain after hip fracture surgery affects gait speed in older adults: A retrospective chart‐referenced study
Yoichi Kaizu, Kazuhiro Miyata, Hironori Arii, Takehiko Yamaji
Geriatrics & Gerontology International.2021; 21(9): 830. CrossRef
Thirty-Day Readmission After Radical Gastrectomy for Gastric Cancer: A Meta-analysis
Zhang Dan, Deng YiNan, Yang ZengXi, Wang XiChen, Pan JieBin, Yin LanNing
Journal of Surgical Research.2019; 243: 180. CrossRef

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Case Report

Botulinum Toxin Injection in the Treatment of Postextubation Dysphagia: A Case Report: Byung Wook Kim, Hee-Ju Kim, Jung Keun Hyun, Seo Young Kim, Tae Uk Kim; Ann Rehabil Med 2018;42(2):358-362. Published online April 30, 2018; DOI: https://doi.org/10.5535/arm.2018.42.2.358

Abstract
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Prolonged intubation is known to bring on postextubation dysphagia (PED) in some patients. We have noted that there were some studies to investigate specific type and pattern of PED, which showed large variety of different swallowing abnormalities as mechanisms of PED that are multifactorial. There are several options of treatment in accordance with the management of these abnormalities. A botulinum toxin (BoT) injection into the upper esophageal sphincter (UES) can improve swallowing functions for patients with this disorder, by working to help the muscle relax. In this case, the conventional treatment was not effective in patients with PED, whereas the BoT injection made a great improvement for these patients. This study suggests that the UES pathology could be the main cause of PED.

Citations

Citations to this article as recorded by

The Effectiveness of Botulinum Toxin Injection for Cricopharyngeal Dysfunction-Related Dysphagia in Nasopharyngeal Carcinoma Patients
Kai-Hsiang Hu, I-Pei Lee, Shu-Wei Tsai, David Shang-Yu Hung, Miyuki Hsing-Chun Hsieh, Yi-Jen Chen, Jenn-Ren Hsiao, Cheng-Chih Huang, Chun-Yen Ou, Chan-Chi Chang, Wei-Ting Lee, Sen-Tien Tsai, Hui-Chen Su
Dysphagia.2026; 41(1): 179. CrossRef
Effect of botulinum toxin injection on cricopharyngeal dysphagia: a systematic review and meta-analysis
Chao Han, Yongxiang Zhang, Xiaona Pan, Yuanyuan Hou, Yuyang Wang, Hui Sun, Pingping Meng
Neurological Sciences.2026;[Epub] CrossRef
Botulinum Toxin Injection for the Treatment of Upper Esophageal Sphincter Dysfunction
Pengxu Wei
Toxins.2022; 14(5): 321. CrossRef
[Retracted] Clinical Observation of Botulinum Toxin Injection in the Treatment of Focal Dystonia and Muscle Spasm
Zhen Zhang, Sandip K Mishra
BioMed Research International.2022;[Epub] CrossRef
Ultrasound, electromyography, and balloon guidance for injecting botulinum toxin for cricopharyngeal achalasia
Jian-Min Chen, Yang-Jia Chen, Jun Ni, Zhi-Yong Wang
Medicine.2021; 100(11): e24909. CrossRef
Exploring the role of botulinum toxin in critical care
Muhammad Ubaid Hafeez, Michael Moore, Komal Hafeez, Joseph Jankovic
Expert Review of Neurotherapeutics.2021; 21(8): 881. CrossRef