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Journal of Zhejiang University SCIENCE B 2007 Vol.8 No.1 P.76-80

http://doi.org/10.1631/jzus.2007.B0076


Effect of proximal femoral osteoporosis on cementless hip arthroplasty: A short-term clinical analysis


Author(s):  LOU Xian-feng, LI Yu-hong, LIN Xiang-jin

Affiliation(s):  Department of Orthopedics, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China; more

Corresponding email(s):   yuh_li2002@hotmail.com

Key Words:  Cementless hip arthroplasty, Osteoporosis, Bone mineral density (BMD), Curative effect


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LOU Xian-feng, LI Yu-hong, LIN Xiang-jin. Effect of proximal femoral osteoporosis on cementless hip arthroplasty: A short-term clinical analysis[J]. Journal of Zhejiang University Science B, 2007, 8(1): 76-80.

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author="LOU Xian-feng, LI Yu-hong, LIN Xiang-jin",
journal="Journal of Zhejiang University Science B",
volume="8",
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pages="76-80",
year="2007",
publisher="Zhejiang University Press & Springer",
doi="10.1631/jzus.2007.B0076"
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%T Effect of proximal femoral osteoporosis on cementless hip arthroplasty: A short-term clinical analysis
%A LOU Xian-feng
%A LI Yu-hong
%A LIN Xiang-jin
%J Journal of Zhejiang University SCIENCE B
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%N 1
%P 76-80
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%D 2007
%I Zhejiang University Press & Springer
%DOI 10.1631/jzus.2007.B0076

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T1 - Effect of proximal femoral osteoporosis on cementless hip arthroplasty: A short-term clinical analysis
A1 - LOU Xian-feng
A1 - LI Yu-hong
A1 - LIN Xiang-jin
J0 - Journal of Zhejiang University Science B
VL - 8
IS - 1
SP - 76
EP - 80
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PB - Zhejiang University Press & Springer
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DOI - 10.1631/jzus.2007.B0076


Abstract: 
Objective: The aim of this retrospective investigation was to explore the influence of femoral osteoporosis on short-term curative effects of cementless hip arthroplasty and to evaluate the femoral metaphyseal bone mineral density (BMD) for femoral osteoporosis in order to guide prosthesis choice and rehabilitation. Methods: We performed 127 total arthroplasty operations between June 1999 to February 2003 and investigated 49 cementless hip replacements with the Metalcancellous cementless Lubeck II system being used in all hips. There were twenty men and twenty-nine women whose mean age at the time of the operation was 60 years (range, 52~81 years). The patients were divided into osteoporosis or normal groups according to the femoral metaphyseal BMD measured preoperatively. The average duration of follow-up was 30 months (range, 8~52 months). We evaluated all of the patients from a clinical standpoint with use of a standard-terminology questionnaire with respect to the short-term curative effects and patients’ satisfaction. Hip pain status and functional ability were important indicators of treatment efficacy. Results: Harris hip score and patients’ satisfaction in femoral osteoporosis patients who underwent noncemented hip arthroplasty were lower (P=0.004, P=0.03) while the incidence of thigh pain was higher (P=0.03) than the patients with non-osteoporosis. Conclusion: The higher incidence of pain, as well as the decrease in function experienced by the patients in osteoporosis group, supports the case that cementless arthroplasty is not a better choice for those patients and that we had better select prosthesis based on the femoral metaphyseal BMD.

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