A Study on the Serial Changes of the Bone Mineral Density Around the Femoral Stem After Cementless Hip Replacement Arthroplasty: Changes during the first 6 months after operation

1993 ◽  
Vol 28 (1) ◽  
pp. 32
Author(s):  
Young Min Kim ◽  
Heung Sik Kang ◽  
Hee Joong Kim ◽  
Kun Young Park ◽  
Sung Churl Lee ◽  
...  
1996 ◽  
Vol 11 (2) ◽  
pp. 184-193 ◽  
Author(s):  
B. Jenny Kiratli ◽  
Mary M. Checovich ◽  
Andrew A. McBeath ◽  
Michael A. Wilson ◽  
John P. Heiner

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Yvonne Haba ◽  
Ralf Skripitz ◽  
Tobias Lindner ◽  
Martin Köckerling ◽  
Andreas Fritsche ◽  
...  

The bone mineral density (BMD) of retrieved cancellous bone samples is compared to the BMD measuredin vivoin the respective osteoarthritic patients. Furthermore, mechanical properties, in terms of structural modulus (Es) and ultimate compression strength (σmax) of the bone samples, are correlated to BMD data. Human femoral heads were retrieved from 13 osteoarthritic patients undergoing total hip replacement. Subsequently, the BMD of each bone sample was analysed using dual energy X-ray absorptiometry (DXA) as well as ashing. Furthermore, BMDs of the proximal femur were analysed preoperatively in the respective patients by DXA. BMDs of the femoral neck and head showed a wide variation, from1016±166 mg/cm2to1376±404 mg/cm2. BMDs of the bone samples measured by DXA and ashing yielded values of315±199 mg/cm2and347±113 mg/cm3, respectively.Esandσmaxamounted to232±151 N/mm2and6.4±3.7 N/mm2. Significant correlation was found between the DXA and ashing data on the bone samples and the DXA data from the patients at the femoral head (r=0.85and 0.79, resp.).Escorrelated significantly with BMD in the patients and bone samples as well as the ashing data (r=0.79,r=0.82, andr=0.8, resp.).


1993 ◽  
Vol 28 (3) ◽  
pp. 901
Author(s):  
Joong Hee Kim ◽  
Young Min Kim ◽  
Heung Sik Kang ◽  
Kun Young Park ◽  
Sung Churl Lee ◽  
...  

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Þröstur Pétursson ◽  
Kyle Joseph Edmunds ◽  
Magnús Kjartan Gíslason ◽  
Benedikt Magnússon ◽  
Gígja Magnúsdóttir ◽  
...  

The variability in patient outcome and propensity for surgical complications in total hip replacement (THR) necessitates the development of a comprehensive, quantitative methodology for prescribing the optimal type of prosthetic stem: cemented or cementless. The objective of the research presented herein was to describe a novel approach to this problem as a first step towards creating a patient-specific, presurgical application for determining the optimal prosthesis procedure. Finite element analysis (FEA) and bone mineral density (BMD) calculations were performed with ten voluntary primary THR patients to estimate the status of their operative femurs before surgery. A compilation model of the press-fitting procedure was generated to define a fracture risk index (FRI) from incurred forces on the periprosthetic femoral head. Comparing these values to patient age, sex, and gender elicited a high degree of variability between patients grouped by implant procedure, reinforcing the notion that age and gender alone are poor indicators for prescribing prosthesis type. Additionally, correlating FRI and BMD measurements indicated that at least two of the ten patients may have received nonideal implants. This investigation highlights the utility of our model as a foundation for presurgical software applications to assist orthopedic surgeons with selecting THR prostheses.


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