Does bone quality predict loosening of cemented total hip replacements?
| Autor: | W. M. Harper, M. Nixon, S. J. Iqbal, P. Sheldon, G. J. S. Taylor |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Adult
Male musculoskeletal diseases medicine.medical_specialty Time Factors Bone density Pathologic fracture Arthroplasty Replacement Hip medicine.medical_treatment Osteoporosis Dentistry Sex Factors Bone Density Risk Factors Hip replacement medicine Humans Orthopedics and Sports Medicine Femur Aged Aged 80 and over Bone mineral business.industry Age Factors Bone Cements Middle Aged medicine.disease Arthroplasty Prosthesis Failure Surgery Orthopedic surgery Female Hip Prosthesis business Follow-Up Studies |
| Zdroj: | The Journal of Bone and Joint Surgery. British volume. :1303-1308 |
| ISSN: | 2044-5377 0301-620X |
| DOI: | 10.1302/0301-620x.89b10.19038 |
| Popis: | We matched 78 patients with a loose cemented Charnley Elite Plus total hip replacement (THR) by age, gender, race, prosthesis and time from surgery with 49 patients with a well-fixed stable hip replacement, to determine if poor bone quality predisposes to loosening. Clinical, radiological, biomechanical and bone mineral density indicators of bone quality were assessed. Patients with loose replacements had more pain, were more likely to have presented with atrophic arthritis and to have a history of fragility fracture, narrower femoral cortices and lower peri-prosthetic or lumbar spine bone mineral density (all t-test, p < 0.01). They also tended to be smokers (chi-squared test, p = 0.08). Vitamin-D deficiency was common, but not significantly different between the two groups (t-test, p = 0.31) In this series of cemented hip replacements performed between 1994 and 1998, aseptic loosening was associated with poor bone quality. Patients with a THR should be screened for osteoporosis and have regular radiological surveillance. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|