ArticleArchives of orthopaedic and trauma surgery2023
The effect of reduced bone mineral density on elective total hip arthroplasty outcomes.
Article in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 16 citations in OpenAlex.
- Opportunistic CT assessment of psoas muscle attenuation and its association with lumbar osteoporosis in total hip arthroplasty candidates.Skeletal radiology · 2026Article
- Pre-operative glenoid bone density varies by indication for reverse shoulder arthroplasty: a comparison of glenoid bone density in proximal humerus fractures, glenohumeral osteoarthritis, and rotator cuff arthropathy.JSES international · 2026Article
- Postoperative bisphosphonate therapy is associated with lower prosthesis-related complications after total or reverse shoulder arthroplasty in osteoporotic patients: a TriNetX-based cohort study.BMC musculoskeletal disorders · 2026Article
- Radiographic and systemic predictors of persistent low back pain following total hip arthroplasty: roles of relative pelvic version and osteosarcopenia.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Shoulder arthroplasty in the osteoporotic patient: do bisphosphonates make a difference?JSES international · 2026Article
- High prevalence and underdiagnosis of osteoporosis in total hip arthroplasty candidates: a comprehensive assessment using bone mineral density, trabecular bone score, and bone turnover markers.Journal of orthopaedic surgery and research · 2025Article
- Review
- Is bone remodelling around fully hydroxyapatite-coated and tapered-wedge stems related to the stem fixation pattern?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Areal bone mineral density is not associated with femoral stem subsidence in patients younger than 70 years undergoing total hip arthroplasty.Archives of orthopaedic and trauma surgery · 2024Article
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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
introductionReduced bone mineral density (BMD) and disruption of normal bony architecture are the characteristics of osteopenia and osteoporosis and in patients undergoing total hip arthroplasty (THA) may cause failure of trabecular ingrowth. The purpose of this study is to evaluate the impact of reduced BMD on outcomes following primary elective THA.
methodsA retrospective chart review of 650 elective THAs with a DEXA scan in their electronic health record (EHR) from 2011 to 2020 was conducted at an urban, academic center and a regional, health center. Patients were separated into three cohorts based on their t-score and the World Health Organizations definitions: normal (t-score ≥ - 1), osteopenia (t-score < - 1.0 and > - 2.5), and osteoporosis (t-score ≤ - 2.5). Demographic and outcome data were assessed. Subsidence was assessed for patients with non-cemented THAs. Regression models were used to account for demographic differences.
results650 elective THAs, of which only 11 were cemented, were included in the study. Patients with osteopenia and osteoporosis were significantly older than those without (p = 0.002 and p < 0.0001, respectively) and had a lower BMI (p < 0.0001 and p < 0.0001, respectively). PFx was significantly greater in patients with osteoporosis when compared to those with normal BMD (6.5% vs. 1.0%; p = 0.04). No such difference was found between osteoporotic and osteopenic patients. The revision rate was significantly higher for osteoporotic patients than osteopenic patients (7.5% vs. 1.5%; p = 0.04). No such difference was found between the other comparison groups.
conclusionPatients with osteoporosis were older with reduced BMI and had increased PFx after non-cemented elective THA. Understanding this can help surgeons formulate an appropriate preoperative plan for the treatment of patients with osteoporotic bone undergoing elective THA.
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