Porous Tantalum Tibial Component Prevents Periprosthetic Loss of Bone Mineral Density After Total Knee Arthroplasty for Five Years-A Matched Cohort Study

被引:37
作者
Minoda, Yukihide [1 ]
Kobayashi, Akio [1 ,2 ]
Ikebuchi, Mitsuhiko [1 ]
Iwaki, Hiroyoshi [1 ]
Inori, Fumiaki [1 ]
Nakamura, Hiroaki [1 ]
机构
[1] Osaka City Univ, Grad Sch Med, Dept Orthopaed Surg, Osaka 5458585, Japan
[2] Shiraniwa Hosp, Dept Orthopaed Surg, Nara, Japan
关键词
porous tantalum tibial component; bone mineral density; total knee prosthesis; X-RAY ABSORPTIOMETRY; PROXIMAL TIBIA; FOLLOW-UP; TOTAL HIP; FRACTURES; REPLACEMENT; ALENDRONATE; FIXATION; QUALITY; FEMUR;
D O I
10.1016/j.arth.2013.03.031
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
In 21 knees receiving porous tantalum tibial component and 21 knees receiving a cemented cobalt-chromium tibial component, dual x-ray absorptiometry scans were performed for five years post-operatively. The postoperative decrease in the bone mineral density in the lateral aspect of the tibia was significantly less in knees with porous tantalum tibial components (11.6%) than in knees with cemented cobalt-chromium tibial components (29.6%) at five years (p < 0.05). No prosthetic migration or periprosthetic fracture was detected in either group. The present study is one of the studies with the longest follow-up period on bone mineral density after total knee arthroplasty. Porous tantalum tibial component has a favorable effect on the bone mineral density of the proximal tibia after total knee arthroplasty up to five years. (C) 2013 Elsevier Inc. All rights reserved.
引用
收藏
页码:1760 / 1764
页数:5
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