Decreased bone density of the distal femur after uncemented knee arthroplasty: A1 -year follow-up of 29 knees

作者: Michael M Petersen , Jes B Lauritzen , John G Pedersen , Bjarne Lund

DOI: 10.3109/17453679609002327

关键词: Fixation (histology)Bone remodelingBone densityMedicineProsthesisOsteolysisArthroplastySurgeryBone mineralFemur

摘要: We measured the early adaptive bone remodeling of distal femur prospectively for 1 year after uncemented total knee arthroplasty (TKA) in 29 knees with primary arthrosis. 18 patients were randomized to receive a PCA Modular® femoral component (n 9) or modified version same prosthesis an altered location porous coating. other 11 11) formed consecutive series Duracon® component. trabecular above component, mineral density (BMD) was 2 regions interest (ROI) anteriorly fixation pegs (RO11) and (ROI 2), using dual photon absorptiometry (DPA). There no differences between Modular regarding postoperative decrease BMD. BMD both ROI all 3 different components, ROIs highest loss rate observed during first months surgery. on average 29), signif...

参考文章(27)
JN Insall, CS Ranawat, P Aglietti, J Shine, A comparison of four models of total knee-replacement prostheses Journal of Bone and Joint Surgery, American Volume. ,vol. 58, pp. 754- 765 ,(1976) , 10.2106/00004623-197658060-00003
B Cohen, N Rushton, Bone remodelling in the proximal femur after Charnley total hip arthroplasty Journal of Bone and Joint Surgery-british Volume. ,vol. 77, pp. 815- 819 ,(1995) , 10.1302/0301-620X.77B5.7559717
I Hvid, N C Jensen, C Bünger, K Sølund, J C Djurhuus, Bone Mineral Assay: Its Relation to the Mechanical Strength of Cancellous Bone Engineering in Medicine. ,vol. 14, pp. 79- 83 ,(1985) , 10.1243/EMED_JOUR_1985_014_016_02
P S Walker, J Granholm, R Lowrey, The Fixation of Femoral Components of Condylar Knee Prostheses Engineering in Medicine. ,vol. 11, pp. 135- 140 ,(1982) , 10.1243/EMED_JOUR_1982_011_038_02
LEO A. WHITESIDE, JOHN PAWORD, Load transfer characteristics of a noncemented total knee arthroplasty. Clinical Orthopaedics and Related Research. pp. 168- 177 ,(1989) , 10.1097/00003086-198902000-00018
Kaj Knutson, Stefan Lewold, Otto Robertsson, Lars Lidgren, The Swedish knee arthroplasty register. A nation-wide study of 30,003 knees 1976-1992. Acta Orthopaedica Scandinavica. ,vol. 65, pp. 375- 386 ,(1994) , 10.3109/17453679408995475
Mark P. Figgie, Victor M. Goldberg, Harry E. Figgie, Mark Sobel, The results of treatment of supracondylar fracture above total knee arthroplasty. Journal of Arthroplasty. ,vol. 5, pp. 267- 276 ,(1990) , 10.1016/S0883-5403(08)80082-4
Terje Terjesen, Pal Benum, The stress-protecting effect of metal plates on the intact rabbit tibia. Acta Orthopaedica Scandinavica. ,vol. 54, pp. 810- 818 ,(1983) , 10.3109/17453678308992914
T.-K. Liu, R.-S. Yang, P.-U. Chieng, B.-W. Shee, Periprosthetic bone mineral density of the distal femur after total knee arthroplasty. International Orthopaedics. ,vol. 19, pp. 346- 351 ,(1995) , 10.1007/BF00178346
PAUL C. McAFEE, IAN D. FAREY, CHET E. SUTTERLIN, KEVIN R. GURR, KAREN E. WARDEN, M BIOMED, BRYAN W. CUNNINGHAM, 1989 Volvo Award in Basic Science: Device-Related Osteoporosis with Spinal Instrumentation Spine. ,vol. 14, pp. 919- 926 ,(1989) , 10.1097/00007632-198909000-00003