Peri-prosthetic bone remodeling of hydroxyapatite-coated compaction short stem was not affected by stem alignment View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2022-03-03

AUTHORS

Shinya Hayashi, Yuichi Kuroda, Naoki Nakano, Tomoyuki Matsumoto, Tomoyuki Kamenaga, Toshihisa Maeda, Takahiro Niikura, Ryosuke Kuroda

ABSTRACT

BackgroundTo improve implant survival through accelerated early bone remodeling during total hip arthroplasty (THA), hydroxyapatite (HA) is widely used as a bioactive coating, which is believed to enhance initial fixation by osseointegration. We aimed to investigate the relationship between stem insertion alignment and postoperative bone mineral density (BMD) changes in patients with full hydroxyapatite-coated (HA) compaction short stem and short tapered-wedge stem.MethodsThis retrospective cohort study enrolled 115 consecutive patients (115 joints) undergoing THA using the full HA compaction short (n = 59) and short tapered-wedge (n = 56) stems. Stem alignment, including anteversion, valgus, and anterior tilt were measured by a three-dimensional template using computed tomography data. Post-operative peri-prosthetic BMD was measured by dual-energy X-ray absorptiometry. The relationship between stem alignment and BMD changes in the stems was analyzed.ResultsPatterns of peri-prosthetic BMD changes were similar in both groups. Stem insertion alignments of anteversion, valgus, and anterior tilt were different between the two stem types. Stem alignment of valgus and anterior tilt did not affect peri-prosthetic BMD in either of the stem type. An absolute anteversion difference between stem anteversion and original canal anteversion caused significant peri-prosthetic BMD loss in Gruen zones one and seven in the tapered-wedge stem. However, stem alignment of absolute anteversion difference did not affect BMD changes in the HA compaction stem.ConclusionsPeri-prosthetic bone remodeling remained unaffected by stem alignment after THA with the new short full HA compaction stem. More... »

PAGES

131

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s13018-022-03022-7

DOI

http://dx.doi.org/10.1186/s13018-022-03022-7

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1146017670

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/35241103


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