Sequential changes in periprosthetic bone mineral density following total hip arthroplasty: a 3-year follow-up

被引:23
作者
Ohta, H [1 ]
Kobayashi, S [1 ]
Saito, N [1 ]
Nawata, M [1 ]
Horiuchi, H [1 ]
Takaoka, K [1 ]
机构
[1] Shinshu Univ, Sch Med, Dept Orthopaed Surg, Matsumoto, Nagano 3908621, Japan
关键词
total hip arthroplasty; bone mineral density; dual-energy X-ray absorptiometry; initial postoperative bone mineral density; body weight;
D O I
10.1007/s00774-002-0414-2
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We sequentially measured the periprosthetic bone mineral density (BMD) of the femur after cementless total hip arthroplasty, using dual-energy X-ray absorptiometry, over a 3-year period. The periprosthetic bone was divided into three regions (proximo-medial, middle, and distal to the prosthetic stem). After the insertion of a fully porous coated stem in 21 patients, the BMD was measured within 3 weeks, and 6, 12, 24, and 36 months after surgery. At 6 months, all zones showed a decrease in BMD relative to the BMD within 3 weeks, but subsequently the BMD was unchanged. The lower the BMD within 3 weeks of surgery, or the lower the body weight, the higher the percent loss of BMD at 6 months.
引用
收藏
页码:229 / 233
页数:5
相关论文
共 21 条
[1]  
BOBYN JD, 1992, CLIN ORTHOP RELAT R, P79
[2]  
BURSTEIN AH, 1994, FUNDAMENTALS ORTHOPA, P189
[3]   POROUS-COATED HIP-REPLACEMENT - THE FACTORS GOVERNING BONE INGROWTH, STRESS SHIELDING, AND CLINICAL-RESULTS [J].
ENGH, CA ;
BOBYN, JD ;
GLASSMAN, AH .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1987, 69 (01) :45-55
[4]   Risk factors for longitudinal bone loss in elderly men and women: The Framingham Osteoporosis Study [J].
Hannan, MT ;
Felson, DT ;
Dawson-Hughes, B ;
Tucker, KL ;
Cupples, LA ;
Wilson, PWF ;
Kiel, DP .
JOURNAL OF BONE AND MINERAL RESEARCH, 2000, 15 (04) :710-720
[5]   DUAL-ENERGY X-RAY ABSORPTIOMETRY MEASUREMENT OF BONE-MINERAL DENSITY AROUND POROUS-COATED CEMENTLESS FEMORAL IMPLANTS - METHODS AND PRELIMINARY-RESULTS [J].
KILGUS, DJ ;
SHIMAOKA, EE ;
TIPTON, JS ;
EBERLE, RW .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1993, 75 (02) :279-287
[6]  
Kiratli BJ, 1996, J ARTHROPLASTY, V11, P184
[7]  
Kobayashi S, 1996, CLIN ORTHOP RELAT R, P162
[8]  
Kroger H, 1996, J BONE MINER RES, V11, P1526
[9]  
MALONEY WJ, 1996, CLIN ORTHOP RELAT R, V333, P15
[10]   Precision of the measurements of periprosthetic bone mineral density in hips with a custom-made femoral stem [J].
Martini, F ;
Lebherz, C ;
Mayer, F ;
Leichtle, U ;
Kremling, E ;
Sell, S .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2000, 82B (07) :1065-1071