ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2021
High prevalence and undertreatment of osteoporosis in elderly patients undergoing total hip arthroplasty.
Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.
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Who cites it
44 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.
- Prevalence and treatment rate of osteoporosis in patients undergoing total knee and hip arthroplasty: a systematic review and meta-analysis.Archives of osteoporosis · 2022Pooled it
- [Primary total knee arthroplasty in geriatric patients with tibial plateau fractures].Unfallchirurgie (Heidelberg, Germany) · 2026Review
- Hip anteroposterior radiographic indices for effective osteoporosis screening in female patients undergoing total hip arthroplasty.Archives of osteoporosis · 2026Article
- Impact of Femoral Morphology and Stem Design on Intraoperative Periprosthetic Femoral Fractures in Cementless Total Hip Arthroplasty.Journal of clinical medicine · 2026Article
- Osteoporosis and osteoporosis therapies as determinants of implant fixation failure in arthroplasty and spinal fusion constructs: a position statement from the Fracture Working Group of the Council of Scientific Advisors of the International Osteoporosis Foundation.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026Article
- Knee medial tightness after total knee arthroplasty is associated with superior clinical outcomes in Chinese patients: a retrospective cohort study.Journal of orthopaedic surgery and research · 2026Article
- Continuous monitoring of serum markers for early detection of periprosthetic joint infection in osteoporotic patients undergoing hip arthroplasty: A prospective cohort study.Journal of medical biochemistry · 2026Article
- 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
- Multi-Spectral MRI-Based Radiomic Features Can Classify Femoral Loosening in Patients With Total Hip Arthroplasty.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
- High Prevalence of Osteopenia and Osteoporosis in Total Hip and Total Knee Arthroplasty Patients and Effects of Anti-Resorptive Agents on Bone Health Optimization: A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2025Review
- Adiposity-lipid-glycemic clusters as potential warning signals of bone mass reduction in Asia's largest urban communities - based bone health assessment via ultrasound.Lipids in health and disease · 2025Article
- Vitamin D deficiency and periprosthetic fractures.Journal of clinical orthopaedics and trauma · 2025Article
- Femoral Stem Subsidence Rate with Cementless Stems in Patients with Sub-capital Femoral Neck Fractures: Relationship to Proximal Femoral Geometry.Journal of orthopaedic case reports · 2025Article
- Relationship Between Lumbar Spine Hounsfield Unit Values and Bone Mineral Density in Patients With Osteoarthritis Undergoing Total Hip Arthroplasty.Arthroplasty today · 2025Article
- Etiological factors and clinical outcomes in extracapsular and intracapsular hip fractures among older adults: A gender-specific analysis.PM & R : the journal of injury, function, and rehabilitation · 2025Article
- Changes in Periprosthetic Bone Mineral Density Following Arthroplasty: An In-Depth Review and Current Perspectives.Current osteoporosis reports · 2025Review
- Patients with periprosthetic femoral fractures are older adults who are commonly diagnosed with osteoporosis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025Observational
- Trabecular titanium acetabular cup in patients with medial femoral neck fracture: Survivorship analysis and clinical and radiological outcomes.World journal of orthopedics · 2025Article
- Osteoporosis screening using X-ray assessment and osteoporosis self-assessment tool for Asians in hip surgery patients.Journal of bone and mineral metabolism · 2025Article
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We detected a high prevalence of low bone mineral density assessed by DXA in 268 elderly patients with end-stage osteoarthritis scheduled for total hip arthroplasty (18% osteoporosis, 41% osteopenia). Therefore, and due to the identified concomitant undertreatment, routine DXA measurements should be considered in elderly patients prior to surgery.
introductionBone quality represents a decisive factor for osseointegration, durability, and complications of an implanted prosthesis. Although the risk of osteoporosis increases with age and the assessment of bone mineral density (BMD) prior to total hip arthroplasty (THA) is recommended in elderly patients, a systematic, unbiased analysis of such patients is not available in the literature.
methodsIn this retrospective study, we examined 268 elderly patients (age ≥70 years) who underwent dual-energy X-ray absorptiometry (DXA) within 3 months prior to primary THA. Demographics, medical history, radiographic OA grade, and stem fixation method (i.e., cemented or cementless) were obtained.
resultsIn total, 153 (57%) cemented and 115 (43%) cementless stem fixations during THA were performed. Forty-nine patients (18%) were diagnosed with osteoporosis (T-score ≤-2.5), 110 patients (41%) with osteopenia (T-score ≤-1.0), and 109 patients (41%) with normal BMD (T-score >-1.0). Importantly, 36/49 patients (73%) with osteoporosis were not diagnosed before, resulting in a relevant undertreatment. Female sex and low body mass index (BMI) were the main factors negatively influencing the bone mineral density (BMD).
conclusionsDue to a high incidence of undiagnosed and untreated osteoporosis in elderly patients with potential effects on the success of osseointegration as well as other clinical outcomes, DXA measurements should be included in the clinical routine for these patients prior to THA.
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