Bone mineral density of the proximal femur recovers after metal-on-metal hip resurfacing

Cadossi, Matteo and Moroni, Antonio and Romagnoli, Matteo and Chiarello, Eugenio and Faldini, Cesare and Giannini, Sandro (2010) Bone mineral density of the proximal femur recovers after metal-on-metal hip resurfacing. Clinical cases in mineral and bone metabolism, 7 (2). pp. 135-139. ISSN 1971-3266

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Bone resorption of the proximal femur is a frequent complication of total hip replacement. As hip resurfacing (HR) may load the bone more physiologically, we measured proximal femur bone mineral density (BMD) in 21 patients with HR. DEXA analysis was performed in the 7 Gruen zones and in the femoral neck pre-operatively and at 3, 9, and 24-months post-operatively. In Gruen zone-2 the BMD ratio decreased to 90±18.8% (p=0.0009) at 3-months and completely restored at 24-months to 100±17.7% (p=0.01). In Gruen zone-7 the BMD ratio decreased to 93±15.3% (p=0.05) by 3 months and surpassed the baseline to 105±14.8% (p=0.01) at 24-months. A positive correlation was observed between valgus positioning of the femoral component and BMD in Gruen zone-2 and 7 respectively. HR preserves the bone-stock of the proximal femur. When the femoral component is implanted in a valgus position BMD is further enhanced, thus potentially reducing the risk of femoral neck fractures

Item Type: Article
Uncontrolled Keywords: Hip resurfacing, bone mineral density, dual-energy x-ray absorptiometry, valgus, metal-on-metal
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 611 Anatomia; Citologia; Istologia umana > 611.7 Sistema muscoloscheletrico, tegumento
Depositing User: Danilo Dezzi
Date Deposited: 10 Jan 2014 16:12
Last Modified: 10 Jan 2014 16:12

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