Periprosthetic bone loss is a well documented phenomenon after cementless total hip arthroplasty. We compared the bone mineral density (BMD) in 33 patients using the three dimension taper shape stem and 13 patients with a straight component with a distal taper.
Postoperative follow-up was evaluated by dual-energy X-ray absorptiometry. BMD was recorded in seven Gruen zones. BMD was correlated with clinical examination, Harris Hip Score (HHS), Body Mass Index (BMI) and age. Clinical assessment took place at 12 months post operation.
Periprosthetic BMD loss using the three dimensional straight tapered stem was consistently much less in comparison with the straight type component with a distal tapered design stem. BMD in Gruen zone 1 was maintained. There was no correlation between periprosthetic bone mineral density and clinical factors.
SpittlehouseA.J., SmithT.W., EastellR.. Bone loss around 2 different types of hip prostheses.J Arthroplasty1998; 13: 422–7.
2.
KilgusD.J., ShimaokaE.E., TiptonJ.S., EberleR.W.. Dual-energy X-ray absorptiometry measurement of bone mineral density around porous-coated cementless femoral implants. Methods and preliminary results.J Bone Joint Surg Br1993; 75: 279–87.
3.
KrogerH., MiettinenH., ArnalaI., KoskiE., RushtonN., SuomalainenO.. Evaluation of periprosthetic bone using dual-energy x-ray absorptiometry: precision of the method and effect of operation on bone mineral density.J Bone Miner Res1996; 11: 1526–30.
4.
HavelinL.I., EngesaeterL.B., EspehaugB., FurnesO., LieS.A., VollsetS.E.. The Norwegian Arthroplasty Register: 11 years and 73,000 arthroplasties.Acta Orthop Scand2000; 71: 337–53.
5.
MalloryT.H., HeadW.C., LombardiA.V.Jr., EmersonR.H.Jr., EberleR.W., MitchellM.B.. Clinical and radiographic outcome of a cementless, titanium, plasma spray-coated total hip arthroplasty femoral component. Justification for continuance of use.J Arthroplasty1996; 11: 653–60.
6.
McLaughlinJ.R., LeeK.R.. Total hip arthroplasty with an uncemented femoral component. Excellent results at ten-year follow-up.J Bone Joint Surg Br1997; 79: 900–7.
7.
MedingJ.B., KeatingE.M., RitterM.A., FarisP.M., BerendM.E.. Minimum ten-year follow-up of a straight-stemmed, plasma-sprayed, titanium-alloy, uncemented femoral component in primary total hip arthroplasty.J Bone Joint Surg Am2004; 86: 92–7.
8.
GraeterJ.H., NevinsR.. Early osteolysis with Hylamer acetabular liners.J Arthroplasty1998; 13: 464–6.
9.
ManleyM.T., D'AntonioJ.A., CapelloW.N., EdidinA.A.. Osteolysis: a disease of access to fixation interfaces.Clin Orthop Relat Res2002; 405: 129–37.
10.
SochartD.H.. Relationship of acetabular wear to osteolysis and loosening in total hip arthroplasty.Clin Orthop Relat Res1999; 363: 135–50.
11.
EnghC.A., McGovernT.F., BobynJ.D., HarrisW.H.. A quantitative evaluation of periprosthetic bone-remodeling after cementless total hip arthroplasty.J Bone Joint Surg Am1992; 74: 1009–20.
12.
KiratliB.J., HeinerJ.P., McBeathA.A., WilsonM.A.. Determination of bone mineral density by dual x-ray absorptiometry in patients with uncemented total hip arthroplasty.J Orthop Res1992; 10: 836–44.
13.
WixsonR.L., StulbergS.D., MehlhoffM.. Total hip replacement with cemented, uncemented, and hybrid prostheses. A comparison of clinical and radiographic results at two to four years.J Bone Joint Surg Am1991; 73: 257–70.
14.
HughesS.S., FuriaJ.P., SmithP., PellegriniV.D.Jr.. Atrophy of the proximal part of the femur after total hip arthroplasty without cement. A quantitative comparison of cobalt-chromium and titanium femoral stems with use of dual x-ray absorptiometry.J Bone Joint Surg Am1995; 77: 231–9.
15.
VenesmaaP.K., KrogerH.P., JurvelinJ.S., MiettinenH.J., SuomalainenO.T., AlhavaE.M.. Periprosthetic bone loss after cemented total hip arthroplasty: a prospective 5-year dual energy radiographic absorptiometry study of 15 patients.Acta Orthop Scand2003; 74: 31–6.
16.
GibbonsC.E., DaviesA.J., AmisA.A., OlearnikH., ParkerB.C., ScottJ.E.. Periprosthetic bone mineral density changes with femoral components of differing design philosophy.Int Orthop2001; 25: 89–92.
17.
OhtaH., KobayashiS., SaitoN., NawataM., HoriuchiH., TakaokaK.. Sequential changes in periprosthetic bone mineral density following total hip arthroplasty: a 3-year follow-up.J Bone Miner Metab2003; 21: 229–33.
18.
DigasG., KarrholmJ.. Five-year DEXA study of 88 hips with cemented femoral stem.Int Orthop2009; 33: 1495–500.
19.
Groessner-SchreiberB., KrukowskiM., LyonsC., OsdobyP.. Osteoclast recruitment in response to human bone matrix is age related.Mech Ageing Dev1992; 62: 143–54.
