Peri-acetabular bone remodelling after uncemented total hip arthroplasty with monoblock press-fit cups: an observational study

Autor: Conrad Anderl, Georg Mattiassich, Reinhold Ortmaier, Martin Steinmair, Josef Hochreiter
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: BMC Musculoskeletal Disorders, Vol 21, Iss 1, Pp 1-7 (2020)
Druh dokumentu: article
ISSN: 1471-2474
DOI: 10.1186/s12891-020-03675-7
Popis: Abstract Background Bone stock preservation in total hip replacement is essential to allow for later revisions in an increasingly younger and fitter index patient population. While contemporary modular press-fit acetabular cups lead to rigid fixation with equatorial stress and central osteolysis, more elastic fixation may cause different peri-acetabular bone remodelling. The purpose of this study was to investigate changes in peri-acetabular bone mineral density (BMD) in uncemented elastic fixation with monoblock press-fit cups. Methods This prospective observational study included 45 patients with monoblock cups. We evaluated peri-acetabular BMD using dual-energy X-ray absorptiometry and reported functional outcomes and complications. Results At a mean follow-up of 24.2 ± 2.2 months, we found that BMD stabilised in DeLee and Charnley zones I and III and recovered to baseline value in zone II. The mean Harris Hip Scores improved significantly from 56.9 ± 20.0 to 97.2 ± 4.0 (p
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