Korean Medical Treatment including Phototherapy after Hip Fracture Surgery: Three Case Reports

고관절 골절 수술 이후 광선치료를 포함한 한방치료 3예 보고

  • Received : 2018.09.14
  • Accepted : 2018.10.02
  • Published : 2018.10.31


This study is designed to report three cases of postoperative care after hip surgery using conventional Korean Medicine treatments including phototherapy. Three patients undergone hip fracture surgery were treated with acupuncture, herbal medicine, and phototherapy. We used Visual analogue scale (VAS), EuroQol five dimension scale (EQ-5D), and hip disability and osteoarthritis outcome score (HOOS) to evaluate treatment effectiveness. After the treatment, VAS score was improved in all three cases, while EQ-5D and HOOS showed different results by items. EQ-5D (pain/discomfort) and HOOS (pain, symptoms, activities of daily living) were improved in all three cases. EQ-5D (self-care) and HOOS (quality of life) showed improvements in two cases. EQ-5D (mobility, usual activities, anxiety/depression) and HOOS (sports/recreation) were improved in one case. Conventional Korean Medicine treatments including phototherapy can be effectively used to alleviate pain and symptoms after hip fracture surgery.


Hip fractures;Phototherapy;Korean Traditional Medicine;Case reports


  1. Li XZ, Yu HF, Wang XM, Li JP, Zhang Y, Guo RY, Wang Q, Bi YL. Effects of scalp acupuncture on serum NSE and S-$100{\beta}$ concentrations and postoperative cognitive function of elderly patients undergoing hip replacement. Zhongguo Zhong Xi Yi Jie He Za Zhi. 2016;36(6):654-8.
  2. Crespin DJ, Griffin KH, Johnson JR, Miller C, Finch MD, Rivard RL, Anseth S, Dusek JA. Acupuncture provides short-term pain relief for patients in a total joint replacement program. Pain Med. 2015;16(6):1195-203.
  3. Usichenko TI, Dinse M, Hermsen M, Witstruck T, Pavlovic D, Lehmann Ch. Auricular acupuncture for pain relief after total hip arthroplasty - a randomized controlled study. Pain. 2005;114(3):320-7.
  4. Ha WB, Lee JH, Ko YS, Lee JH. A rehabilitation for total hip replacement in Korean Medicine: a report of three cases. J Korean Med Rehabil. 2016;26(3):153-64.
  5. Nilsdotter A, Bremander A. Measures of hip function and symptoms. Arthritis Care Res. 2011;63(11):200-7.
  6. Park SY, Lee SH, Jeong WK, Kang CH. Surgical or nonsurgical treatment of osteoporotic fractures. J Korean Med Assoc. 2016;59(11):857-65.
  7. Brotzman SB, Manske RC. Clinical Orthopaedic Rehabilitation; An Evidence-Based Approach. 3rd rev. ed. Seoul:Hanmi medical publishing Co. 2012: 374-9.
  8. The Society of Korean Medicine Rehabilitation. Korean Rehabilitation Medicine. 4th ed. Paju:Koonja Publishing. 2015:393-4.
  9. Lee CI, Kim SJ, Choi YJ, Lee BH, Lee HJ, Lim SC, Lee YK, Jung TY, Kim JS. Integrative oriental medical treatments after hip fracture surgery: two case report. The Acupuncture. 2013;30(4):211-8.
  10. National Health Insurance Service. 2016 Major operation statistical yearbook [Internet] 2017 [cited 2017 Dec 1]. Available from: URL:
  11. Ludwig Ombregt. A System of Orthopaedic Medicine. 3rd rev. ed. Seoul:Hanmi Medical Publishing Co. 2015:655-76.
  12. Kishida Y, Nishii T, Inoue T, Nishida S, Arimitsu J, Yoshikawa H, Sugano N. Juzentaihoto (TJ-48), a traditional Japanese herbal medicine, influences hemoglobin recovery during preoperative autologous blood donation and after hip surgery. Int J Clin Pharmacol Ther. 2009;47(12):716-21.
  13. Hamblin MR. Mechanisms and mitochondrial redox signaling in photobiomodulation. Photochem. Photobiol. 2018;94(2):199-212.
  14. Alves AN, Fernandes KPS, Deana AM, Bussadori SK, Mesquita-Ferrari RA. Effects of low-level laser therapy on skeletal muscle repair: a systematic review. Am J Phys Med Rehabil. 2014;93(12):1073-85.
  15. Brochado FT, Jesus LH, Carrard VC, Freddo AL, Chaves KD, Martins MD. Comparative effectiveness of photobiomodulation and manual therapy alone or combined in TMD patients: a randomized clinical trial. Braz Oral Res. 2018;32(Suppl 1):e50.
  16. Cinar E, Saxena S, Uygur F. Low-level laser therapy in the management of plantar fasciitis: a randomized controlled trial. Lasers Med Sci. 2018;33(5):949-58.
  17. da Silva MM, Albertini R, de Tarso Camillo de Carvalho P, Leal-Junior ECP, Bussadori SK, Vieira SS, Bocalini DS, de Oliveira LVF, Grandinetti V, Silva JA Jr, Serra AJ. Randomized, blinded, controlled trial on effectiveness of photobiomodulation therapy and exercise training in the fibromyalgia treatment. Lasers Med Sci. 2018;33(2):343-51.
  18. Hwang MH, Son HG, Lee JW, Yoo CM, Shin JH, Nam HG, Lim HJ, Baek SM, Park JH, Kim JH, Choi H. Phototherapy suppresses inflammation in human nucleus pulposus cells for intervertebral disc degeneration. Lasers Med Sci. 2018;33(5):1055-64.
  19. Mohsenifar Z, Fridoni M, Ghatrehsamani M, Abdollahifar MA, Abbaszadeh H, Mostafavinia A, Fallahnezhad S, Asghari M, Bayat S, Bayat M. Evaluation of the effects of pulsed wave LLLT on tibial diaphysis in two rat models of experimental osteoporosis, as examined by stereological and real-time PCR gene expression analyses. Lasers Med Sci. 2016;31(4):721-32.
  20. Shin SU, Chung SH, Lee JS, Shin HD, Kim SS. Analysis of wavelength of full spectrum visible ray therapy by carbon arc and ingredient of carbon electrode. J Korean Med Rehabil. 2001;11(2):173-88.