Abstract:
:The aim of this prospective study was to measure bone density changes and to assess adaptive bone remodelling after uncemented total hip arthroplasty with a taper-design femoral component using quantitative computer-tomography-assisted osteodensitometry. This method is able to differentiate cortical and cancellous bone structures. Twenty-seven consecutive patients (29 hips) with degenerative joint disease were enrolled in the study. Serial clinical, radiological and CT-osteodensitometry assessments were performed after the index operation. At the 2-year follow-up, the clinical outcome was rated satisfactory in all hips. The radiological assessment showed signs of osteointegration and stable fixation of all cups and stems. We observed a -17% decrease of cortical bone density and -22% decrease of cancellous bone density in the greater trochanter and femoral neck region. Cortical and cancellous bone density decrease at the level of the lesser trochanter was -9% and respectively -4%. We observed small changes of cortical bone density in the diaphyseal regions; in contrast, cancellous bone density increased (range 6% to 27%) in the diaphyseal regions. Overall, a trend of bone density recovery was observed throughout the follow-up period. Periprosthetic bone density changes at the 2-year follow-up are suggestive of stable osteointegration with proximal femoral diaphysis load transfer and moderate metaphyseal stress-shielding.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Pitto RP,Bhargava A,Pandit S,Walker C,Munro JTdoi
10.1007/s00264-007-0389-7subject
Has Abstractpub_date
2008-10-01 00:00:00pages
589-95issue
5eissn
0341-2695issn
1432-5195journal_volume
32pub_type
杂志文章abstract:PURPOSE:Ankle sprains are the most common athletic injury. One of five chronic lateral ankle instability patients will require surgery, making operative outcomes crucial. The purpose of this study is to determine if operative method influences failure and complication rates in chronic lateral ankle ligament repair surg...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3617-9
更新日期:2017-11-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-006-0226-4
更新日期:2007-08-01 00:00:00
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journal_title:International orthopaedics
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journal_title:International orthopaedics
pub_type: 杂志文章,评审
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journal_title:International orthopaedics
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:1997-01-01 00:00:00
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journal_title:International orthopaedics
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journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
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更新日期:2013-07-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00182646
更新日期:1990-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2014-08-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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journal_title:International orthopaedics
pub_type: 杂志文章
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journal_title:International orthopaedics
pub_type: 杂志文章
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2008-10-01 00:00:00
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pub_type: 杂志文章
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更新日期:2011-04-01 00:00:00
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journal_title:International orthopaedics
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journal_title:International orthopaedics
pub_type: 杂志文章
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journal_title:International orthopaedics
pub_type: 杂志文章
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2013-10-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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