作者: Håkan Ledin , Lars Good , Torsten Johansson , Per Aspenberg
DOI: 10.1080/17453674.2017.1300745
关键词: Surgery 、 Osteoarthritis 、 Cancellous bone 、 Radiostereometric Analysis 、 Medicine 、 Total knee replacement 、 Randomized controlled trial 、 Arthroplasty 、 Orthopedic surgery 、 Teriparatide
摘要: Background and purpose — Aseptic loosening is a main cause of late revision in total knee replacement (TKR). Teriparatide, recombinant parathyroid hormone (PTH), stimulates osteoblasts has been suggested to improve cancellous bone healing humans. This might also be relevant for prosthesis fixation. We used radiostereometric analysis (RSA) investigate whether teriparatide influences Early migration as measured by RSA can predict future loosening.Patients methods In randomized controlled trial with blind evaluation, 50 patients osteoarthritis the were allocated treatment group (Forsteo, 20 μg daily 2 months postoperatively) or an untreated control group. was performed postoperatively at 6 months, 12 24 months. The primary effect variable maximal point motion (MTPM) from months.Results Median similar groups (teriparatide: 0.14 mm,...