Journal
CURRENT RHEUMATOLOGY REPORTS
Volume 15, Issue 11, Pages -Publisher
SPRINGER
DOI: 10.1007/s11926-013-0371-x
Keywords
Osteoporosis; Orthopedic surgery; Joint arthroplasty; Bone health; Resurfacing total hip arthroplasty; Osteolysis; Vitamin D; Teriparatide; Denosumab; Heterotopic ossification
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Osteoporosis is a common condition. As the population ages, more patients with osteoporosis will require orthopedic procedures, including arthroplasty. Adverse outcomes are more likely for patients with osteoporosis requiring orthopedic procedures, for example those with intraoperative fractures, periprosthetic osteolysis with implant migration, and postoperative periprosthetic fractures. Cemented prosthetic hip replacements may be more successful among patients with poor bone quality. Femoral neck fracture is a concern during hip resurfacing among patients with osteoporosis. Vitamin D deficiency is common among patients undergoing joint arthroplasty and the ideal vitamin D level for joint arthroplasty has yet to be determined. Both bisphosphonates and teriparatide may aide successful osteointegration among patients undergoing noncemented joint arthroplasty. Focusing on bone health perioperatively should result in better outcomes for orthopedic procedures.
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