Comparison of Bone Mineral Density Changes Around Short, Metaphyseal-Fitting, and Conventional Cementless Anatomical Femoral Components

被引:56
作者
Kim, Young-Hoo [1 ]
Choi, Yoowang [1 ]
Kim, Jun-Shik [1 ]
机构
[1] Ewha Womans Univ, Sch Med, Joint Replacement Ctr Korea, Seoul 158710, South Korea
关键词
total hip arthroplasty; short stem; metaphyseal stem; stress-shielding; bone mineral density;
D O I
10.1016/j.arth.2010.10.001
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
We investigated the incidence and degree of stress shielding and clinical and radiographic results in 2 groups of patients. Fifty patients (60 hips) in each group were enrolled for a randomized study. One group received a short, metaphyseal-fitting femoral component and another group received a conventional metaphyseal- and diaphyseal-filling femoral component. The mean follow-up was 3.35 years in both groups. Bone mineral density was significantly increased in femoral zone 1 but slightly decreased in zone 7 in the short, metaphyseal-fitting stem group. In the conventional metaphyseal- and diaphyseal-fitting stem group, bone mineral density was markedly decreased in both zones 1 and 7. Clinical and radiographic results were similar between the 2 groups. No hip in either group required revision of the component.
引用
收藏
页码:931 / 940
页数:10
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