Porous Tantalum Tibial Component Prevents Periprosthetic Loss of Bone Mineral Density After Total Knee Arthroplasty for Five Years—A Matched Cohort Study

Abstract In 21 knees receiving porous tantalum tibial component and 21 knees receiving a cemented cobalt-chromium tibial component, dual x-ray absorptiometry scans were performed for five years post-operatively. The postoperative decrease in the bone mineral density in the lateral aspect of the tibi...

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Veröffentlicht in:The Journal of arthroplasty 2013-12, Vol.28 (10), p.1760-1764
Hauptverfasser: Minoda, Yukihide, MD, PhD, Kobayashi, Akio, MD, PhD, Ikebuchi, Mitsuhiko, MD, Iwaki, Hiroyoshi, MD, PhD, Inori, Fumiaki, MD, PhD, Nakamura, Hiroaki, MD, PhD
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container_end_page 1764
container_issue 10
container_start_page 1760
container_title The Journal of arthroplasty
container_volume 28
creator Minoda, Yukihide, MD, PhD
Kobayashi, Akio, MD, PhD
Ikebuchi, Mitsuhiko, MD
Iwaki, Hiroyoshi, MD, PhD
Inori, Fumiaki, MD, PhD
Nakamura, Hiroaki, MD, PhD
description Abstract In 21 knees receiving porous tantalum tibial component and 21 knees receiving a cemented cobalt-chromium tibial component, dual x-ray absorptiometry scans were performed for five years post-operatively. The postoperative decrease in the bone mineral density in the lateral aspect of the tibia was significantly less in knees with porous tantalum tibial components (11.6%) than in knees with cemented cobalt-chromium tibial components (29.6%) at five years ( p < 0.05). No prosthetic migration or periprosthetic fracture was detected in either group. The present study is one of the studies with the longest follow-up period on bone mineral density after total knee arthroplasty. Porous tantalum tibial component has a favorable effect on the bone mineral density of the proximal tibia after total knee arthroplasty up to five years.
doi_str_mv 10.1016/j.arth.2013.03.031
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The postoperative decrease in the bone mineral density in the lateral aspect of the tibia was significantly less in knees with porous tantalum tibial components (11.6%) than in knees with cemented cobalt-chromium tibial components (29.6%) at five years ( p &lt; 0.05). No prosthetic migration or periprosthetic fracture was detected in either group. The present study is one of the studies with the longest follow-up period on bone mineral density after total knee arthroplasty. 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The postoperative decrease in the bone mineral density in the lateral aspect of the tibia was significantly less in knees with porous tantalum tibial components (11.6%) than in knees with cemented cobalt-chromium tibial components (29.6%) at five years ( p &lt; 0.05). No prosthetic migration or periprosthetic fracture was detected in either group. The present study is one of the studies with the longest follow-up period on bone mineral density after total knee arthroplasty. 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The postoperative decrease in the bone mineral density in the lateral aspect of the tibia was significantly less in knees with porous tantalum tibial components (11.6%) than in knees with cemented cobalt-chromium tibial components (29.6%) at five years ( p &lt; 0.05). No prosthetic migration or periprosthetic fracture was detected in either group. The present study is one of the studies with the longest follow-up period on bone mineral density after total knee arthroplasty. Porous tantalum tibial component has a favorable effect on the bone mineral density of the proximal tibia after total knee arthroplasty up to five years.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>23642446</pmid><doi>10.1016/j.arth.2013.03.031</doi><tpages>5</tpages></addata></record>
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subjects Absorptiometry, Photon
Aged
Arthroplasty, Replacement, Knee - adverse effects
Biocompatible Materials
Bone Density
bone mineral density
Bone Resorption - diagnostic imaging
Bone Resorption - etiology
Chromium Alloys
Cohort Studies
Female
Humans
Knee Joint - diagnostic imaging
Knee Joint - physiopathology
Knee Joint - surgery
Knee Prosthesis - adverse effects
Male
Orthopedics
Osteoarthritis, Knee - surgery
porous tantalum tibial component
Stress, Mechanical
Tantalum
Tibia - diagnostic imaging
Tibia - physiopathology
total knee prosthesis
title Porous Tantalum Tibial Component Prevents Periprosthetic Loss of Bone Mineral Density After Total Knee Arthroplasty for Five Years—A Matched Cohort Study
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