The Journal of Arthroplasty
Volume 23, Issue 4 , Pages 593-599 , June 2008

Periacetabular Bone Density After Total Hip Arthroplasty: A Postmortem Analysis

  • Adam S. Stepniewski, MD

      Affiliations

    • Anderson Orthopaedic Research Institute, Alexandria, Virginia
    • Klinik fuer Orthopaedie, Universitaetsklinikum Goettingen, Germany
    • ,
  • Hiroshi Egawa, MD

      Affiliations

    • Anderson Orthopaedic Research Institute, Alexandria, Virginia
    • ,
  • Christi Sychterz-Terefenko, MS

      Affiliations

    • Independent Orthopaedic Consultant, Wyomissing, Pennsylvania
    • ,
  • Serena Leung, MS

      Affiliations

    • Anderson Orthopaedic Research Institute, Alexandria, Virginia
    • Corresponding Author InformationReprint requests: Serena Leung, MS, Anderson Orthopaedic Research Institute, P.O. Box 7088, Alexandria, VA 22307.
    • ,
  • Charles A. Engh Sr, MD

      Affiliations

    • Anderson Orthopaedic Research Institute, Alexandria, Virginia

Received 12 September 2006 ,Accepted 8 May 2007.

References 

  1. Engh CA, Bobyn JD, Glassman AH. Porous-coated hip replacement. The factors governing bone ingrowth, stress shielding, and clinical results. J Bone Joint Surg Br. 1987;69:45
  2. Engh CA, Massin P, Suthers KE. Roentgenographic assessment of the biologic fixation of porous-surfaced femoral components. Clin Orthop Relat Res. 1990;107
  3. Gruen TA, McNeice GM, Amstutz HC. “Modes of failure” of cemented stem–type femoral components: a radiographic analysis of loosening. Clin Orthop Relat Res. 1979;17
  4. Herberts P, Malchau H. Long-term registration has improved the quality of hip replacement: a review of the Swedish THR register comparing 160,000 cases. Acta Orthop Scand. 2000;71:111
  5. Levenston ME, Beaupre GS, Schurman DJ, et al. Computer simulations of stress-related bone remodeling around noncemented acetabular components. J Arthroplasty. 1993;8:595
  6. Huiskes R. Finite element analysis of acetabular reconstruction. Noncemented threaded cups. Acta Orthop Scand. 1987;58:620
  7. Carter DR, Vasu R, Harris WH. Periacetabular stress distributions after joint replacement with subchondral bone retention. Acta Orthop Scand. 1983;54:29
  8. Sychterz CJ, Engh CA. The influence of clinical factors on periprosthetic bone remodeling. Clin Orthop Relat Res. 1996;285
  9. Claus AM, Engh CA, Sychterz CJ, et al. Radiographic definition of pelvic osteolysis following total hip arthroplasty. J Bone Joint Surg Am. 2003;85-A:1519
  10. Bloebaum RD, Liau DW, Lester DK, et al. Dual-energy x-ray absorptiometry measurement and accuracy of bone mineral after unilateral total hip arthroplasty. J Arthroplasty. 2006;21:612
  11. Schmidt R, Muller L, Kress A, et al. A computed tomography assessment of femoral and acetabular bone changes after total hip arthroplasty. Int Orthop. 2002;26:299
  12. Wright JM, Pellicci PM, Salvati EA, et al. Bone density adjacent to press-fit acetabular components. A prospective analysis with quantitative computed tomography. J Bone Joint Surg Am. 2001;83-A:529
  13. Mueller LA, Kress A, Nowak T, et al. Periacetabular bone changes after uncemented total hip arthroplasty evaluated by quantitative computed tomography. Acta Orthop. 2006;77:380

 Benefits or funds were received in partial or total support of the research material described in this article. These benefits or support were received from Innova Health Care Services, Fairfax, VA.

 Investigation was performed at Anderson Orthopaedic Research Institute, Alexandria, VA.

 Level of evidence: prognostic study, level II-1 (retrospective study).

PII: S0883-5403(07)00291-4

doi: 10.1016/j.arth.2007.05.030

The Journal of Arthroplasty
Volume 23, Issue 4 , Pages 593-599 , June 2008

Article Tools

* Image Usage & Resolution