Lower Total Knee Arthroplasty Revision Risk Associated With Bisphosphonate Use, Even in Patients With Normal Bone Density

作者: Robert S. Namba , Maria C.S. Inacio , T. Craig Cheetham , Richard M. Dell , Elizabeth W. Paxton

DOI: 10.1016/J.ARTH.2015.09.005

关键词: SurgeryMedicineBone Density Conservation AgentsOsteopeniaPeriprostheticLower riskBone densityBisphosphonateDentistryOsteoporosisBone mineral

摘要: Abstract Background Bisphosphonates (BPs) are associated with lower total knee arthroplasty (TKA) revision risk, but the effect of bone mineral density has not been evaluated. Methods A cohort 34,116 primary TKA patients was evaluated surgery and periprosthetic fractures as end points. BP usage exposure interest. Bone quality (normal, osteopenia, osteoporosis) patient age ( Results Of patients, 19.6% were users. In users, 0.5% underwent an aseptic revision; 0.6%, a fracture. non-BP 1.6% 0.1%, Conclusion Bisphosphonate use risk in all categories those older than 65 years. The higher for on BP.

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