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Verfasst von:Merle, Christian [VerfasserIn]   i
 Sommer, Julia [VerfasserIn]   i
 Streit, Marcus R. [VerfasserIn]   i
 Waldstein, Wenzel [VerfasserIn]   i
 Bruckner, Thomas [VerfasserIn]   i
 Gotterbarm, Tobias [VerfasserIn]   i
Titel:Influence of surgical approach on postoperative femoral bone remodelling after cementless total hip arthroplasty
Verf.angabe:Christian Merle, Julia Sommer, Marcus R. Streit, Wenzel Waldstein, Thomas Bruckner, Dominik Parsch, Peter R. Aldinger, Tobias Gotterbarm
E-Jahr:2012
Jahr:October 19, 2012
Umfang:10 S.
Fussnoten:Gesehen am 12.12.2018
Titel Quelle:Enthalten in: HIP international
Ort Quelle:Thousand Oaks, CA : Sage Publishing, 1991
Jahr Quelle:2012
Band/Heft Quelle:22(2012), 5, Seite 545-554
ISSN Quelle:1724-6067
Abstract:We retrospectively evaluated the femoral periprosthetic bone mineral density (BMD) in a consecutive series of patients who had undergone total hip arthroplasty (THA) with a straight, double tapered cementless stem using a muscle-sparing anterolateral (group A) and the transgluteal (group B) surgical approach. Dual-energy x-ray absorptiometry (DXA) measurements were performed in the first postoperative week (t1), and after 3 (t2), 6 (t3) and 12 months (t4) using an identical protocol. Patients were clinically and radiographically evaluated at final follow-up (t4)., A complete set of four consecutive DXA measurements was obtained for 16 hips in group A and 26 hips in group B. In patients in whom the transgluteal approach was used (Group B), we observed a significantly greater decline in overall periprosthetic BMD (netavg) and in BMD in the periprosthetic regions of interest (ROI) 1, 4, 5 and 6 between t1 and t4. At clinical and radiographic evaluation at t4, no differences between the groups were detected., Femoral periprosthetic BMD is affected by the selected surgical approach in the first postoperative year. This might be attributed to altered femoral loading as a result of differences in intraoperative damage to the abductor muscles.
DOI:doi:10.5301/HIP.2012.9742
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: http://dx.doi.org/10.5301/HIP.2012.9742
 Volltext: https://doi.org/10.5301/HIP.2012.9742
 DOI: https://doi.org/10.5301/HIP.2012.9742
Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:1585107360
Verknüpfungen:→ Zeitschrift

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