Document Detail


Changes in bone mineral density in the proximal femur after cementless total hip arthroplasty. A five-year longitudinal study.
MedLine Citation:
PMID:  14765859     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We investigated prospectively the bone mineral density (BMD) of the proximal femur after implantation of a tapered rectangular cementless stem in 100 patients with a mean age of 60 years (16 to 87). It was determined using dual energy x-ray absorptiometry, performed one week after surgery and then every six months until the end-point of five years. The BMD increased significantly in Gruen zones 2, 4 and 5 by 11%, 3% and 11% respectively, and decreased significantly in Gruen zones 1, 6 and 7 by 3%, 6% and 14% respectively, over the five-year period. The net mean BMD did not change over this time period. The changes in the BMD were not confined to the first 12 months after surgery. This investigation revealed no change in the overall periprosthetic BMD, but demonstrated a regional redistribution of bone mass from the proximal to distal zones.
Authors:
W Brodner; P Bitzan; F Lomoschitz; P Krepler; R Jankovsky; S Lehr; F Kainberger; F Gottsauner-Wolf
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  86     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  2004 Jan 
Date Detail:
Created Date:  2004-02-09     Completed Date:  2004-02-24     Revised Date:  2010-11-10    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  20-6     Citation Subset:  AIM; IM    
Affiliation:
Department of Orthopaedics, Vienna General Hospital, University of Vienna, Währinger Gurtel 18-20, A-1090 Vienna, Austria.
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MeSH Terms
Descriptor/Qualifier:
Absorptiometry, Photon
Adolescent
Adult
Aged
Aged, 80 and over
Analysis of Variance
Arthroplasty, Replacement, Hip / methods*
Bone Density / physiology*
Female
Femoral Fractures / physiopathology*,  surgery
Femur / physiology
Hip Prosthesis
Humans
Longitudinal Studies
Male
Middle Aged
Prospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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