Comparison of periprosthetic bone remodelling after implantation of anatomic and straight stem prostheses in total hip arthroplasty

Grochola, Lukasz-Filip; Habermann, B.; Mastrodomenico, Nicole; Kurth, Andreas

doi:10.1007/s00402-007-0507-4

Cited by 30 publications

(17 citation statements)

References 28 publications

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“…Also, several human studies have indicated the efficacy of other bisphosphonates in prevention of periprosthetic bone loss (Wilkinson et al 2001, Bhandari et al 2005). Extending previous observations (Rahmy et al 2004, van der Wal et al 2008, Grochola et al 2008), the current study demonstrated higher periprosthetic bone loss in Gruen zone 7 in patients with low systemic BMD. These patients may represent an ideal target group of THA patients for definitive clinical trials of prophylactic anti-resorptive therapy.…”

Section: Discussionsupporting

confidence: 89%

“…However, various patient-related factors may also be involved (Venesmaa et al 2001, Aldinger et al 2003). Some studies have suggested that the rate of bone turnover determined by metabolic bone markers (Yamaguchi et al 2003) and systemic bone mineral density (BMD) measured from the lumbar spine, contralateral hip and forearm (Rahmy et al 2004, Grochola et al 2008, van der Wal et al 2008) can predict periprosthetic bone loss. The process is believed to carry a risk of implant failure and difficulty with the performance of a revision surgery (Haddad et al 1999).…”

Section: Introductionmentioning

confidence: 99%

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Female patients with low systemic BMD are prone to bone loss in Gruen zone 7 after cementless total hip arthroplasty

et al. 2009

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Background and purpose Factors that lead to periprosthetic bone loss following total hip arthroplasty (THA) may not only depend on biomechanical implant-related factors, but also on various patient-related factors. We investigated the association between early changes in periprosthetic bone mineral density (BMD) and patient-related factors.Patients and methods 39 female patients underwent cementless THA (ABG II) with ceramic-ceramic bearing surfaces. Periprosthetic BMD in the proximal femur was determined with DXA after surgery and at 3, 6, 12, and 24 months. 27 patient-related factors were analyzed for their value in prediction of periprosthetic bone loss.Results Total periprosthetic BMD was temporarily reduced by 3.7% at 3 months (p < 0.001), by 3.8% at 6 months (p < 0.01), and by 2.6% at 12 months (p < 0.01), but recovered thereafter up to 24 months. Preoperative systemic osteopenia and osteoporosis, but not the local BMD of the operated hip, was predictive of bone loss in Gruen zone 7 (p = 0.04), which was the only region with a statistically significant decrease in BMD (23%, p < 0.001) at 24 months. Preoperative serum markers of bone turnover predicted the early temporary changes of periprosthetic BMD. The other patient-related factors failed to show any association with the periprosthetic BMD changes.Interpretation Female patients with low systemic BMD show greater bone loss in Gruen zone 7 after cementless THA than patients with normal BMD. Systemic DXA screening for osteoporosis in postmenopausal patients before THA could be used to identify patients in need of prophylactic anti-resorptive therapy.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Female patients with low systemic BMD are prone to bone loss in Gruen zone 7 after cementless total hip arthroplasty

et al. 2009

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“…Bone remodeling and osteolysis after joint replacement surgery have been extensively studied in total hip arthroplasty. 1,10,22,27,36 Numerous proinflammatory cytokines have been identified as contributors to a chronic inflammatory response influenced by implant-derived wear particles. 11,13 Osteolysis after TSA is thought to occur by much the same mechanism as in the hip.…”

Section: Discussionmentioning

confidence: 99%

Proximal humeral osteolysis and glenoid radiolucent lines in an anatomic shoulder arthroplasty: a comparison of a ceramic and a metal humeral head component

Bell

Christmas

Coghlan

2020

Journal of Shoulder and Elbow Surgery

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Background: In vitro wear studies demonstrate decreased polyethylene wear with a ceramic compared with a metal humeral head. In this in vivo study, we analyzed prospectively collected 5-year data, comparing the outcomes of 2 types of humeral implants. Methods: Sixty-two anatomic total shoulder arthroplasties (TSAs) (59 patients) were performed using the same glenoid component and 2 types of modular humeral implants (metal-head long-stem prosthesis in group A vs. ceramic-head stemless prosthesis in group B). Radiographic analysis for proximal humeral osteolysis and glenoid component radiolucent lines was performed at an average of 5.5 years. Functional outcomes were prospectively evaluated according to the visual analog scale score for pain; satisfaction level; American Shoulder and Elbow Surgeons score; active elevation; Shoulder Pain and Disability Index score; and Disabilities of the Arm, Shoulder and Hand score. Results: There were 39 TSAs in group A (mean age, 68.1 years) and 23 TSAs in group B (mean age, 67 years). Clinical improvement was similar for both groups. Some proximal humeral osteolysis occurred in 56% of all TSAs. Group A showed increased osteolysis compared with group B (72% vs. 30%, P ¼ .005). Glenoid radiolucent lines were far more frequent in group A, and group A showed a direct relationship between the extent of humeral osteolysis and the severity of glenoid radiolucent lines (P < .001). Conclusion: The stemless ceramic-head replacements showed fewer glenoid radiolucent lines and less humeral osteolysis than the long-stem metal-head replacements. In the group with metal-head replacements, correlation was shown between glenoid radiolucent lines and humeral osteolysis.

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“…However, the validity of these results for an in vivo situation is challenged [64] . The doubts are substantiated by radiological studies, which describe the periprosthetic bone density as locally variable and depending on the extent of porous coating and implant geometry [14,25,63] rather than homogeneously like glue or cement. Fully coated stems tend to cause a greater bone density reduction with more distal load transfer [14,16,22,40,63] , which can even result in a failure of the stem [22] .…”

Section: Discussionmentioning

confidence: 99%

Influence of cementless hip stems on femoral cortical strain pattern depending on their extent of porous coating

Ellenrieder

Steinhauser

Bader

et al. 2012

Biomedizinische Technik/Biomedical Engineering

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Comparison of periprosthetic bone remodelling after implantation of anatomic and straight stem prostheses in total hip arthroplasty

Cited by 30 publications

References 28 publications

Female patients with low systemic BMD are prone to bone loss in Gruen zone 7 after cementless total hip arthroplasty

Female patients with low systemic BMD are prone to bone loss in Gruen zone 7 after cementless total hip arthroplasty

Proximal humeral osteolysis and glenoid radiolucent lines in an anatomic shoulder arthroplasty: a comparison of a ceramic and a metal humeral head component

Influence of cementless hip stems on femoral cortical strain pattern depending on their extent of porous coating

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