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International Orthopaedics

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26.03.2020 | Original Paper

Bone remodelling and integration of two different types of short stem: a dual-energy X-ray – absorptiometry study

verfasst von: F Falez, M Papalia, G Granata, D Longo, A Ciompi, F Casella, G Mazzotta, F Favetti

Erschienen in: International Orthopaedics | Ausgabe 5/2020

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Abstract

Purpose

Different kinds of bone preserving hip stems have been created to assure a more physiological distribution of the strengths on the femur. The aim of this research is to evaluate the density reaction of the periprosthetic bone while changing the conformation of the prosthetic implant on dual-energy X-ray – absorptiometry (DXA).

Methods

This is a prospective, single-centre study assessing bone remodelling changes after implantation of two short hip stems, dividing the patients in two groups according to the implant used: 20 in group A, Metha (B-Braun), and 16 in group B, SMF (Smith and Nephew). All participants had a pre-operative and a post-operative (24 months) DXA evaluating the changes in bone mass density (BMD) occurred in the five Gruen’s zones.

Results

Compared to the pre-operative value, differences in BMD percentage were statistically significant only in ROI 4 (p < 0.05), with an increase in both groups (9 and 18%, respectively). The average increase in BMD was of 7.3% and 7.2% in the 2 groups.

Conclusion

According to our study, both stems have proved able to provide good load distribution across the metaphyseal region favouring proper system integration. Nonetheless, is certainly needed to perform other studies with longer follow-up and bigger populations to give strength to these conclusions.

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Titel: Bone remodelling and integration of two different types of short stem: a dual-energy X-ray – absorptiometry study
verfasst von: F Falez
M Papalia
G Granata
D Longo
A Ciompi
F Casella
G Mazzotta
F Favetti
Publikationsdatum: 26.03.2020
Verlag: Springer Berlin Heidelberg
Erschienen in: International Orthopaedics / Ausgabe 5/2020
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-020-04545-6

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Bone remodelling and integration of two different types of short stem: a dual-energy X-ray – absorptiometry study