| Effect of proximal femoral osteoporosis on cementless hip arthroplasty： A short-term clinical analysis |
| |
| 作者姓名： | Lou XF Li YH Lin XJ |
| |
| 作者单位： | [1]Department of Orthopedics, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China [2]Department of Anesthesiology, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China |
| |
| 基金项目： | Project （No. 419200-584602） supported by the Start Foundation for Introducing Talent of Zhejiang University, China |
| |
| 摘 要： | Objective： The aim of this retrospective investigation was to explore the influence of femoral osteoporosis on short-term curative effects ofcementless hip arthroplasty and to evaluate the femoral metaphyseal bone mineral density （BMD） for femoral osteoporosis in order to guide prosthesis choice and rehabilitation. Methods： We performed 127 total arthroplasty operations between June 1999 to February 2003 and investigated 49 cementless hip replacements with the Metalcancellous cementless Lubeck Ⅱ system being used in all hips. There were twenty men and twenty-nine women whose mean age at the time of the operation was 60 years （range, 52-81 years）. The patients were divided into osteoporosis or normal groups according to the femoral metaphyseal BMD measured preoperatively. The average duration of follow-up was 30 months （range, 8-52 months）. We evaluated all of the patients from a clinical standpoint with use of a standard-terminology questionnaire with respect to the short-term curative effects and patients＇ satisfaction. Hip pain status and functional ability were important indicators of treatment efficacy. Results： Harris hip score and patients＇ satisfaction in femoral osteoporosis patients who underwent noncemented hip arthroplasty were lower （P=0.004, P=0.03） while the incidence of thigh pain was higher （P=0.03） than the patients with non-osteoporosis. Conclusion： The higher incidence of pain, as well as the decrease in function experienced by the patients in osteoporosis group, supports the case that cementless arthroplasty is not a better choice for those patients and that we had better select prosthesis based on the femoral metaphyseal BMD.
|
| 关 键 词： | 股骨近端骨质疏松 骨矿物质密度 非骨水泥型髋关节形成术 短期疗效 临床分析 |
| 收稿时间： | 2006-02-13 |
| 修稿时间： | 2006-07-21 |
Effect of proximal femoral osteoporosis on cementless hip arthroplasty: A short-term clinical analysis |
| |
| Lou XF,Li YH,Lin XJ.Effect of proximal femoral osteoporosis on cementless hip arthroplasty: A short-term clinical analysis[J].Journal of Zhejiang University Science,2007,8(1):76-80. |
| |
| Authors: | Lou Xian-feng Li Yu-hong Lin Xiang-jin |
| |
| Institution: | (1) Department of Orthopedics, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, 310003, China;(2) Department of Anesthesiology, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, 310003, China |
| |
| Abstract: | Objective: The aim of this retrospective investigation was to explore the influence of femoral osteoporosis on short-term
curative effects of cementless hip arthroplasty and to evaluate the femoral metaphyseal bone mineral density (BMD) for femoral
osteoporosis in order to guide prosthesis choice and rehabilitation.Methods: We performed 127 total arthroplasty operations
between June 1999 to February 2003 and investigated 49 cementless hip replacements with the Metalcancellous cementless Lubeck
II system being used in all hips. There were twenty men and twenty-nine women whose mean age at the time of the operation
was 60 years (range, 52∼81 years). The patients were divided into osteoporosis or normal groups according to the femoral metaphyseal
BMD measured preoperatively. The average duration of follow-up was 30 months (range, 8∼52 months). We evaluated all of the
patients from a clinical standpoint with use of a standard-terminology questionnaire with respect to the short-term curative
effects and patients’ satisfaction. Hip pain status and functional ability were important indicators of treatment efficacy.Results:
Harris hip score and patients’ satisfaction in femoral osteoporosis patients who underwent noncemented hip arthroplasty were
lower (P=0.004, P=0.03) while the incidence of thigh pain was higher (P=0.03) than the patients with non-osteoporosis.Conclusion: The higher incidence of pain, as well as the decrease in function
experienced by the patients in osteoporosis group, supports the case that cementless arthroplasty is not a better choice for
those patients and that we had better select prosthesis based on the femoral metaphyseal BMD.
Project (No. 419200-584602) supported by the Start Foundation for Introducing Talent of Zhejiang University, China |
| |
| Keywords: | Cementless hip arthroplasty Osteoporosis Bone mineral density (BMD) Curative effect |
| 本文献已被 CNKI 维普 万方数据 PubMed SpringerLink 等数据库收录！ |
|
