Bone Mineral Density Measurements Around Osseointegrated Implants: A Precision Study and Validation of Scan Protocol for Transfemoral Amputees

Autor: Bente L. Langdahl, Maiken Stilling, Kjeld Søballe, Klaus Kjær Petersen, Peter Holmberg Jørgensen, Rehne Lessmann Hansen
Rok vydání: 2016
Předmět:
Zdroj: Hansen, R L, Langdahl, B L, Jørgensen, P H, Petersen, K K, Søballe, K & Stilling, M 2018, ' Bone Mineral Density Measurements Around Osseointegrated Implants : A Precision Study and Validation of Scan Protocol for Transfemoral Amputees ', Journal of Clinical Densitometry, vol. 21, no. 2, pp. 244-251 . https://doi.org/10.1016/j.jocd.2017.03.002
ISSN: 1094-6950
Popis: Visual evaluation of bone changes around an osseointegration (OI) implant in femoral amputees examined on plain radiographs shows that periprosthetic bone resorption takes place during the first years after OI surgery, but the bone mineral density (BMD) change has not been previously quantified by dual-energy X-ray absorptiometry (DXA). Precision is vital when monitoring BMD changes around implants, and thus the aim of this study was to evaluate the precision and feasibility of a scan protocol for BMD measurements in proximity of OI implants. The proximal part of 2 human cadaveric femoral bones (specimens A and B) with OI implants were mounted in a positioning jig and DXA scans were repeated 5 times in increments of 5° from neutral (0°) to 20° flexion and rotation. BMD changes as a result of change in leg position were evaluated. Repeated patient examinations (n = 20) were conducted in a clinical setting and the precision error was calculated for each of 7 periprosthetic custom-made regions of interest (ROIs). The precision of cadaveric BMD measurements in neutral position was
Databáze: OpenAIRE