Periacetabular bone mineral density changes after resurfacing hip arthroplasty versus conventional total hip arthroplasty. A randomized controlled DEXA study

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Publication year
2013Source
Journal of Arthroplasty, 28, 7, (2013), pp. 1177-84ISSN
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Article / Letter to editor

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Organization
Orthopaedics
Nuclear Medicine
Journal title
Journal of Arthroplasty
Volume
vol. 28
Issue
iss. 7
Page start
p. 1177
Page end
p. 84
Subject
NCEBP 10: Human Movement & FatigueAbstract
A randomized controlled trial was performed to evaluate acetabular bone mineral density (BMD) changes after hip resurfacing (RHA) versus an established conventional total hip arthroplasty (THA). A total of 71 patients were allocated randomly to receive either an RHA press-fit cobalt-chromium cup (n=38) or a THA with a threaded titanium cup and polyethylene-metal-inlay insert (n=33). The BMD in five separate periacetabular regions of interest (ROI) was prospectively quantified preoperative until 24 months. We conclude that, in contrast to our hypothesis, periacetabular BMD was better preserved after RHA than after placement of a conventional THA. Long term follow-up studies are necessary to see whether this benefit in bone preservation sustains over longer time periods and whether it is turned into clinical benefits at future revision surgery.
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- Faculty of Medical Sciences [86236]
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