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Bone mineral density is not related to heterotopic ossification after total hip arthroplasty

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Abstract

Purpose

Heterotopic ossification (HO) after total hip arthroplasty (THA) is a frequent complication that compromises the success of this procedure; however, its precise pathogenesis is unknown. Patient-related risk factors have previously been investigated to predict patients likely to have HO. In this study, we compared bone mineral density (BMD) between patients with and without HO after THA.

Methods

We measured BMD of the lumbar spine, radius, and calcaneus using dual-energy X-ray absorptiometry in 98 females who were scheduled to undergo THA. Radiographs were graded for the presence of HO according to the criteria of Brooker at a minimum follow-up of two years following THA. BMD were compared between those with HO and those without.

Results

In total, HO was observed in 20 of 98 hips. There were no significant differences in age, height, weight, body mass index, and pre-operative total hip score between the HO and non-HO groups. No significant difference was observed in BMD of the lumbar spine, distal radius, mid-radius, and calcaneus between the two groups.

Conclusions

Our findings suggest that generalized BMD is not related to the occurrence of HO after THA in women.

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Acknowledgement

We would like to thank our research assistants Ms Mieko Motoki, Ms Mari Tahara, Mrs Tomoko Maeda and Ms Rumi Inomata for their invaluable efforts in making this study possible. We also appreciate Dr Kenichi Mihara for advice on writing English articles.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Nagasaki Medical Center, 2-1001-1 Kubara, Omura, 852-8562, Japan

    Kunihiko Okano & Satoru Motokawa

  2. Department of Orthopedic Surgery, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan

    Kunihiko Okano, Makoto Osaki & Tomoko Matsumoto

  3. Department of Public Health, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan

    Kiyoshi Aoyagi

  4. Ajisai Clinic, Nagasaki, Japan

    Tomoko Matsumoto

Authors
  1. Kunihiko Okano
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  2. Kiyoshi Aoyagi
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  3. Makoto Osaki
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  4. Satoru Motokawa
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  5. Tomoko Matsumoto
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Corresponding author

Correspondence to Kunihiko Okano.

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No benefits in any form have been received or will be received from a commercial party related directly to the subject of this article.

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Okano, K., Aoyagi, K., Osaki, M. et al. Bone mineral density is not related to heterotopic ossification after total hip arthroplasty. International Orthopaedics (SICOT) 36, 1163–1166 (2012). https://doi.org/10.1007/s00264-011-1446-9

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  • DOI: https://doi.org/10.1007/s00264-011-1446-9

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