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Peculiarities of total hip arthroplasty in patients with low bone mass

Published in N°013 - September / October 2021
Article viewed 28 times

Peculiarities of total hip arthroplasty in patients with low bone mass

By Stanislav Bondarenko in category UPDATE
Institut des pathologies du rachis et des articulations, Kharkov, Ukraine

Osteoporosis and osteoarthritis are common in old patients. Both diseases cause pain and limit mobility, and the prevalence of both is increasing every year due to global aging. Osteoarthritis ranks 11th in the world among approximately 300 diseases that lead to disability and is more common in women aged 55-59 years old.

Incidence of osteoporosis and osteopenia among patients undergoing total hip arthroplasty

Total hip arthroplasty (THA) is one of the most common and clinically successful surgeries in the world [7]. In the United Kingdom, the average age of patients undergoing this procedure is 69.8 years for women and 67.6 for men. In 90% of patients, the indication for surgery is osteoarthritis, and 60% of patients are women [8]. The situation is very similar in the United States, where most patients are aged 55-74 (accounting for 57% of the total number of total hip arthroplasty procedures) [9].

This means that the majority of THA patients are women over 55 years of age. Therefore, we need to consider the incidence of osteoporosis and osteopenia among this patient population. In a clinical study conducted in the United States, 25% of women who underwent THA had latent osteoporosis [10]. Researchers in Finland obtained similar results: of the 53 postmenopausal women who underwent cementless THA, 28% had osteoporosis and 45% had osteopenia [11]. It is estimated that 21–32% of patients in the world with severe osteoarthritis have osteoporosis [12], but figures are probably underestimated due to insufficient evaluation of bone tissue in patients before THA. A survey of 433 orthopaedic surgeons...

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