Autor: |
Conrad Anderl, Georg Mattiassich, Reinhold Ortmaier, Martin Steinmair, Josef Hochreiter |
Jazyk: |
angličtina |
Rok vydání: |
2020 |
Předmět: |
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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 |
Databáze: |
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