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Mechanical Loading of Bones and Joints pp 269–277Cite as

Immobilization Osteopenia—Bone Loss After Arthroplastic Surgery

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Summary

Immobilization, physical inactivity, and/or reduced muscle strength, is the cause of osteopenia. We examined 44 patients during the immobilized and remobilized periods after arthroplastic surgery. Bone mineral density (BMD) of the lumbar vertebrae showed no remarkable change, but femoral neck BMD of the contralateral limb decreased temporarily at about 5 months, then gradually returned to the preoperative value about 12 months after surgery. Metabolic bone markers of bone resorption and bone formation increased markedly, on average 3 months after surgery. In conclusion, immobilization alters the mechanical usage of bone in terms of activating bone resorption and depressing bone formation for a short period in the initial phase. Remobilization acts to restore bone mineral in both cortical and trabecular bones.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Kagawa Medical University, 1750-1 Ikenobe, Mikichou, Kidagun, Kagawa, 761-0793, Japan

    Hiromichi Norimatsu, Satoshi Mori & Jun Kawanishi

Authors
  1. Hiromichi Norimatsu
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  2. Satoshi Mori
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  3. Jun Kawanishi
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Editors and Affiliations

  1. Department of Orthopedic Surgery, Niigata University School of Medicine, 1-757 Asahimachi-dori, 951-8510, Niigata, Japan

    Hideaki E. Takahashi M.D., Ph.D. (Professor and Chair) (Professor and Chair)

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© 1999 Springer-Verlag Tokyo

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Norimatsu, H., Mori, S., Kawanishi, J. (1999). Immobilization Osteopenia—Bone Loss After Arthroplastic Surgery. In: Takahashi, H.E. (eds) Mechanical Loading of Bones and Joints. Springer, Tokyo. https://doi.org/10.1007/978-4-431-65892-4_26

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  • DOI: https://doi.org/10.1007/978-4-431-65892-4_26

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-65894-8

  • Online ISBN: 978-4-431-65892-4

  • eBook Packages: Springer Book Archive

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