ArticleInternational orthopaedics2019
Bone mineral density as a marker of hip implant longevity: a prospective assessment of a cementless stem with dual-energy X-ray absorptiometry at twenty years.
Article in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Factors influencing periprosthetic bone mineral density in total knee arthroplasty: a systematic review.Archives of orthopaedic and trauma surgery · 2024Pooled it
- Trial
- Radiograph-Based Radiomics Successfully Classify MRI-Based Identification of Femoral Loosening in Patients With Total Hip Arthroplasty-A Preliminary Study.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026Article
- Is bone mineral density a risk factor for femoral stem subsidence in primary cementless total hip arthroplasty: a prospective study.BMC musculoskeletal disorders · 2025Article
- The influence of stem alignment on the bone mineral density around the Polarstem following total hip arthroplasty.Archives of orthopaedic and trauma surgery · 2023Article
- Medium Activity Prevents Periprosthetic Bone Mass Loss in the Medial Metaphyseal Region of the Tibia after Posterior-Stabilized TKA: A 5-Year Follow-up Study of 110 Knees.Orthopaedic surgery · 2022Article
- Retrospective analysis of outcomes and complications after Korus hemiarthroplasty in elderly patients with neck femur fractures.Acta bio-medica : Atenei Parmensis · 2022Article
- The history of Italian Orthopaedics.International orthopaedics · 2019Article
- Short to Midterm Follow-Up of Periprosthetic Bone Mineral Density after Total Hip Arthroplasty with the Ribbed Anatomic Stem.BioMed research international · 2019Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeBone remodeling around the femoral component after total hip arthroplasty (THA) is considered to be an important factor in long-term stability and seems to be strictly related to the stem design, coating, and fixation. Stress shielding, micro-movement, and high intra-articular fluid pressure might activate macrophages and osteoclasts, causing progressive bone density decreases. Here we analyze the bone mineral density (BMD) around a cementless femoral stem during a 20-year period to better understand the adaptive bone changes around such implants during long-term follow-up.
methodsIn this retrospective study, 14 patients treated by THA were reviewed from a cohort of 84. Clinical evaluation with Harris Hip Score and radiographic assessment were performed throughout a 20-year follow-up. To evaluate the bone remodeling around the stem, we monitored the femoral BMD in four regions of interest with a dual-energy X-ray absorptiometry (DEXA) post-operatively and at one, two, three, five and 20 years of follow-up.
resultsThe main BMD changes between the post-operative examination and the 20-year follow-up varied between + 11.19% and + 24.30%. Patients with signs of loosening, low Harris Hip Scores, and pain showed decreasing BMD values.
conclusionsThe correlation between the clinical result and BMD values could suggest DEXA results as a predictor of implant loosening or longevity.
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