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Preoperative Periarticular Knee Bone Mineral Density in Osteoarthritic Patients Undergoing TKA

BACKGROUND: Preoperative periarticular bone quality is affected by joint loading. The purpose of this study was to determine the periarticular bone mineral density of the knee joint of patients undergoing total knee arthroplasty, and whether the location of the load-bearing axis correlates with the...

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Autores principales: Ishii, Yoshinori, Noguchi, Hideo, Sato, Junko, Todoroki, Koji, Ezawa, Nobukazu, Toyabe, Shin-ichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bentham Open 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4995525/
https://www.ncbi.nlm.nih.gov/pubmed/27583058
http://dx.doi.org/10.2174/1874325001610010396
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author Ishii, Yoshinori
Noguchi, Hideo
Sato, Junko
Todoroki, Koji
Ezawa, Nobukazu
Toyabe, Shin-ichi
author_facet Ishii, Yoshinori
Noguchi, Hideo
Sato, Junko
Todoroki, Koji
Ezawa, Nobukazu
Toyabe, Shin-ichi
author_sort Ishii, Yoshinori
collection PubMed
description BACKGROUND: Preoperative periarticular bone quality is affected by joint loading. The purpose of this study was to determine the periarticular bone mineral density of the knee joint of patients undergoing total knee arthroplasty, and whether the location of the load-bearing axis correlates with the measured bone mineral density. MATERIALS AND METHODS: The bone mineral densities of the medial and lateral femoral condyles and the medial and lateral tibial condyles were analyzed in consecutive 116 osteoarthritic patients (130 knees) by dual energy x-ray absorptiometry. RESULTS: The median bone mineral density values in the condyles were 1.138 in femoral medial, 0.767 in femoral lateral, 1.056 in tibial medial, and 0.714 in tibial lateral. The medial condyles showed significantly higher bone mineral densities than the lateral condyles in both the femur and tibia. In addition, the femoral medial showed significantly higher bone mineral density levels than the tibial medial, and the femoral lateral condyle had higher bone mineral density levels than the tibial lateral. The bone mineral density Medial/Lateral ratio was significantly negatively correlated with the location (tibial medial edge 0%, lateral edge 100%) of the load-bearing axis in the femur and tibia. CONCLUSION: Preoperative bone mineral density values may provide against the changes in bone mineral density after total knee arthroplasty by reflecting the correlation with joint loading axis. These results help explain why total knee arthroplasty has such good long-term clinical outcomes with a low frequency of component loosening and periarticular fractures despite a high degree of postoperative bone loss.
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spelling pubmed-49955252016-08-31 Preoperative Periarticular Knee Bone Mineral Density in Osteoarthritic Patients Undergoing TKA Ishii, Yoshinori Noguchi, Hideo Sato, Junko Todoroki, Koji Ezawa, Nobukazu Toyabe, Shin-ichi Open Orthop J Article BACKGROUND: Preoperative periarticular bone quality is affected by joint loading. The purpose of this study was to determine the periarticular bone mineral density of the knee joint of patients undergoing total knee arthroplasty, and whether the location of the load-bearing axis correlates with the measured bone mineral density. MATERIALS AND METHODS: The bone mineral densities of the medial and lateral femoral condyles and the medial and lateral tibial condyles were analyzed in consecutive 116 osteoarthritic patients (130 knees) by dual energy x-ray absorptiometry. RESULTS: The median bone mineral density values in the condyles were 1.138 in femoral medial, 0.767 in femoral lateral, 1.056 in tibial medial, and 0.714 in tibial lateral. The medial condyles showed significantly higher bone mineral densities than the lateral condyles in both the femur and tibia. In addition, the femoral medial showed significantly higher bone mineral density levels than the tibial medial, and the femoral lateral condyle had higher bone mineral density levels than the tibial lateral. The bone mineral density Medial/Lateral ratio was significantly negatively correlated with the location (tibial medial edge 0%, lateral edge 100%) of the load-bearing axis in the femur and tibia. CONCLUSION: Preoperative bone mineral density values may provide against the changes in bone mineral density after total knee arthroplasty by reflecting the correlation with joint loading axis. These results help explain why total knee arthroplasty has such good long-term clinical outcomes with a low frequency of component loosening and periarticular fractures despite a high degree of postoperative bone loss. Bentham Open 2016-08-19 /pmc/articles/PMC4995525/ /pubmed/27583058 http://dx.doi.org/10.2174/1874325001610010396 Text en © Ishii et al.; Licensee Bentham Open https://creativecommons.org/licenses/by-nc/4.0/legalcode This is an open access article licensed under the terms of the Creative Commons Attribution-Non-Commercial 4.0 International Public License (CC BY-NC 4.0) (https://creativecommons.org/licenses/by-nc/4.0/legalcode), which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
spellingShingle Article
Ishii, Yoshinori
Noguchi, Hideo
Sato, Junko
Todoroki, Koji
Ezawa, Nobukazu
Toyabe, Shin-ichi
Preoperative Periarticular Knee Bone Mineral Density in Osteoarthritic Patients Undergoing TKA
title Preoperative Periarticular Knee Bone Mineral Density in Osteoarthritic Patients Undergoing TKA
title_full Preoperative Periarticular Knee Bone Mineral Density in Osteoarthritic Patients Undergoing TKA
title_fullStr Preoperative Periarticular Knee Bone Mineral Density in Osteoarthritic Patients Undergoing TKA
title_full_unstemmed Preoperative Periarticular Knee Bone Mineral Density in Osteoarthritic Patients Undergoing TKA
title_short Preoperative Periarticular Knee Bone Mineral Density in Osteoarthritic Patients Undergoing TKA
title_sort preoperative periarticular knee bone mineral density in osteoarthritic patients undergoing tka
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4995525/
https://www.ncbi.nlm.nih.gov/pubmed/27583058
http://dx.doi.org/10.2174/1874325001610010396
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