Bone Mineral Density Changes in the Hip and Spine of Men and Women 1-Year After Primary Cemented Total Knee Arthroplasty: Prospective Cohort Study

被引：11

作者：

Beaupre, Lauren A. ^{[1
]}

Rezansoff, Alexander ^{[2
]}

Clark, Marcia ^{[2
]}

Jen, Ho ^{[3
]}

Lambert, Robert G. ^{[3
]}

Majumdar, Sumit ^{[4
]}

机构：

[1] Univ Alberta, Dept Phys Therapy, Edmonton, AB, Canada

[2] Univ Alberta, Dept Surg, Div Orthopaed Surg, Edmonton, AB, Canada

[3] Univ Alberta, Dept Radiol & Diagnost Imaging, Edmonton, AB, Canada

[4] Univ Alberta, Div Internal Med, Dept Med, Edmonton, AB, Canada

来源：

JOURNAL OF ARTHROPLASTY | 2015年 / 30卷 / 12期

关键词：

total knee arthroplasty; bone mineral density; fracture risk; osteoporosis; risk adjustment; X-RAY ABSORPTIOMETRY; 2-YEAR FOLLOW-UP; DISTAL FEMUR; PROXIMAL TIBIA; ELDERLY-MEN; FRACTURE; COMPLICATIONS; OSTEOPOROSIS; DIAGNOSIS; RISK;

D O I：

10.1016/j.arth.2015.06.026

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

100224 [整形外科学];

摘要：

This study evaluated age-and sex-adjusted changes in total hip and spine bone mineral density (BMD) within 1 year of total knee arthroplasty (TKA) using a prospective, longitudinal cohort with a one-year follow-up. Preoperatively, subjects underwent routine bone mineral densitometry of their hip and spine, which was repeated 12 months postoperatively. Of 108 subjects, 97 (90%) completed BMD testing. Total hip BMD decreased significantly over time (1.80% change, P < 0.001) with females losing more than males (P < 0.001). The pattern was similar, but attenuated in the spine. Subjects undergoing primary cemented TKA had significant bone loss in the hip within 12 months, beyond that expected with age. (C) 2015 Elsevier Inc. All rights reserved.

引用

页码：2185 / 2189

页数：5

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