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Osteoporosis and Orthopedic Surgery: Effect of Bone Health on Total Joint Arthroplasty Outcome

  • SURGERY AND PERIOPERATIVE CARE (CR MACKENZIE AND SM GOODMAN, SECTION EDITORS)
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Abstract

Osteoporosis is a common condition. As the population ages, more patients with osteoporosis will require orthopedic procedures, including arthroplasty. Adverse outcomes are more likely for patients with osteoporosis requiring orthopedic procedures, for example those with intraoperative fractures, periprosthetic osteolysis with implant migration, and postoperative periprosthetic fractures. Cemented prosthetic hip replacements may be more successful among patients with poor bone quality. Femoral neck fracture is a concern during hip resurfacing among patients with osteoporosis. Vitamin D deficiency is common among patients undergoing joint arthroplasty and the ideal vitamin D level for joint arthroplasty has yet to be determined. Both bisphosphonates and teriparatide may aide successful osteointegration among patients undergoing noncemented joint arthroplasty. Focusing on bone health perioperatively should result in better outcomes for orthopedic procedures.

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Linda A. Russell declares that she has no conflict of interest.

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This article does not contain any studies with human or animal subjects performed by the author.

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  1. Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA

    Linda A. Russell

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  1. Linda A. Russell
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Correspondence to Linda A. Russell.

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This article is part of the Topical Collection on Surgery and Perioperative Care

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Russell, L.A. Osteoporosis and Orthopedic Surgery: Effect of Bone Health on Total Joint Arthroplasty Outcome. Curr Rheumatol Rep 15, 371 (2013). https://doi.org/10.1007/s11926-013-0371-x

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  • DOI: https://doi.org/10.1007/s11926-013-0371-x

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