Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
432
pubmed:dateCreated
2005-3-1
pubmed:abstractText
Our hypothesis was that the bone mineral density of the proximal femur is altered significantly by surgical approach. The change in long-term periprosthetic bone mineral density in relation to the alteration of the musculature after the anterolateral (Group A) and transgluteal approaches (Group B) has been compared. There were 35 hips (30 patients) in Group A and 47 hips (37 patients) in Group B. No significant differences were seen between groups with respect to age, gender, diaphyseal bone mineral density distribution, or average stem size in a Wilcoxon-Mann-Whitney test. Measurement of bone mineral density in femoral Gruen zones revealed a significant bone loss in Group B compared with Group A in the multivariate analysis, which was confirmed by univariate post hoc tests in Zones I, II, VI, and VII (multiple significance according to Bonferroni-Holm's procedure). The functional outcome, however, showed no significant differences between the two groups postoperatively. A potential reason for the bone mineral density shift might have been a redistribution of the musculoskeletal loading across the hip after a transgluteal, compared with an anterolateral, surgical approach. A difference in the muscular damage caused by the two surgical approaches seems to have a significant influence on the long-term bone loss.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
0009-921X
pubmed:author
pubmed:issnType
Print
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
153-9
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
2005
pubmed:articleTitle
Surgical approach influences periprosthetic femoral bone density.
pubmed:affiliation
Department of Orthopaedics, Center for Musculoskeletal Surgery, Charité-University Medicine, Berlin, Germany. carsten.perka@charite.de
pubmed:publicationType
Journal Article, Clinical Trial, Comparative Study, Research Support, Non-U.S. Gov't