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Analysis of Bone Loss around Cemented and Biologic Prostheses after Hemiarthroplasty

Objective. To perform hemiarthroplasty (HA) on elderly patients with femoral neck fractures using cemented and biologic prostheses and then compare the bone loss around the two types of prostheses after surgery. Methods. A total of 60 patients aged over 75 years (with a mean age of 83.5 years) and s...

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Bibliographic Details
Published in:Disease markers 2022, Vol.2022, p.1-5
Main Authors: Zhang, Fan, Liu, Chao, Xu, Haibo, Zhang, Xiafen, He, Hanliang
Format: Article
Language:English
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Summary:Objective. To perform hemiarthroplasty (HA) on elderly patients with femoral neck fractures using cemented and biologic prostheses and then compare the bone loss around the two types of prostheses after surgery. Methods. A total of 60 patients aged over 75 years (with a mean age of 83.5 years) and suffering from femoral neck fracture (Garden types III and IV) from January 2018 to December 2020 were selected; they were randomly divided into group A (n=30, cemented prostheses) and group B (n=30, biologic prostheses) and received HA. At 1 month, 6 months, and 12 months after surgery, Harris Hip Scale (HHS) was adopted for patient evaluation, and patients’ bone mineral density (BMD) of the 7 Gruen zones around the prostheses was measured by dual-energy X-ray absorptiometry (DEXA scan). Results. Both groups achieved satisfactory results postoperatively, and the Harris scores of the hips increased gradually over time, which were better in group A than in group B. Gruen zones in group A showed a slower trend of decreasing BMD than group B, and the differences were significant at zones 2, 3, and 4 (P
ISSN:0278-0240
1875-8630
DOI:10.1155/2022/7366576