Femur and Tibia BMD Measurement in Elective Total Knee Arthroplasty Candidates

Borchardt, Gretta; Nickel, Brian T.; Andersen, Lucas; Scott, Hetzel; Illgen, Richard L.; Hennessy, David; Anderson, Paul A.; Binkley, Neil; Krueger, Diane

doi:10.1016/j.jocd.2022.01.004

Cited by 3 publications

(2 citation statements)

References 15 publications

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“…A longitudinal comparison of the baseline and follow-up data (Figs. 3,4,5,6) showed that the FTA (p < 0.001), JLCA (p < 0.001), and FCA (p < 0.05) increased and the TPA (p < 0.05) decreased in the OA group (early and advanced OA groups). Regarding the CBT, decreased CBT (p < 0.001) and increased ML ratio (p < 0.001) were observed in all groups, and the more advanced the knee OA, the greater the change.…”

Section: Resultsmentioning

confidence: 97%

“…The structure of the proximal tibial metaphysis is mechanically weak because of its low bone mineral density, and it has laterality between the medial and lateral knee compartments in patients with knee OA [1, 14]. Borchardt et al [3] reported that low bone mineral density values were observed at the proximal tibia, whereas high values were observed at the femoral condyle in patients with knee OA. Tibial deformity affecting the FTA [17] may be a key factor in the onset of knee OA.…”

Section: Discussionmentioning

confidence: 99%

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The Matsudai Knee Osteoarthritis Survey showed the longitudinal changes of knee phenotypes in alignment and structure during 23–28 years

Tomiyama,

Mochizuki,

Koga

et al. 2023

Knee surg. sports traumatol. arthrosc.

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Purpose The longitudinal changes in alignment and structure, including the joint line and cortical bone thickness (CBT) of the femur and tibia, and knee phenotype in patients with knee osteoarthritis (OA) remain unknown. The aim of this retrospective study was to clarify the longitudinal changes in matched healthy subjects. Methods The follow-up Matsudai Knee Osteoarthritis Survey was administered between 23 and 28 years. This study included 285 healthy knees from 235 females with an average age of 53 ± 6 years at baseline. The non-OA individuals, with an average age of 79 ± 4 years, were divided into three groups at baseline according to their follow-up radiographic results [the non-OA (n = 52), early OA (n = 131), and advanced OA groups (n = 102)]. Changes in alignment, joint line, CBT, and knee phenotype were assessed at baseline and at follow-up using standing anteroposterior radiographs. Results This study showed signiicant varus changes in the alignment (p < 0.001) and tibial and femoral joint line parameters (p < 0.05) in the OA group. Decreased CBT and increased mediolateral CBT ratios were observed in all groups (p < 0.001). The knee phenotypes in the OA groups were changed to varus angles, especially in the alignment and tibial joint line. Conclusions The longitudinal changes of knee phenotypes in alignment and structure (CBT and joint line) from baseline to follow-up were shown in the OA groups. In addition, alignment and tibial structural factors at baseline are useful in predicting the incidence of knee OA in daily practice. Levels of evidence III.

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Section: Resultsmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

The Matsudai Knee Osteoarthritis Survey showed the longitudinal changes of knee phenotypes in alignment and structure during 23–28 years

Tomiyama,

Mochizuki,

Koga

et al. 2023

Knee surg. sports traumatol. arthrosc.

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Intraoperative physician assessment of bone: correlation to bone mineral density

et al. 2023

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Advances in Osteoporosis Therapy: Focus on Osteoanabolic Agents, Secondary Fracture Prevention, and Perioperative Bone Health

Kostenuik

Binkley

Anderson

2023

Curr Osteoporos Rep

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Purpose of Review This review summarizes recently published data and other developments around osteoanabolic osteoporosis therapies in patients with very high fracture risk, including those undergoing bone-related surgery. Recent Findings Two osteoanabolic agents, abaloparatide and romosozumab, were recently approved for treatment of patients with osteoporosis at high fracture risk. These agents, along with teriparatide, are valuable for primary and secondary fracture prevention. Orthopedic surgeons are well positioned to facilitate secondary fracture prevention via referrals to fracture liaison services or other bone health specialist colleagues. This review aims to help surgeons understand how to identify patients with sufficiently high fracture risk to warrant consideration of osteoanabolic therapy. Recent evidence around the perioperative use and potential benefits of osteoanabolic agents in fracture healing and other orthopedic settings (e.g., spinal fusion and arthroplasty) in individuals with osteoporosis is also discussed. Summary Osteoanabolic agents should be considered for patients with osteoporosis at very high fracture risk, including those with prior osteoporotic fractures and those with poor bone health who are undergoing bone-related surgery.

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Femur and Tibia BMD Measurement in Elective Total Knee Arthroplasty Candidates

Cited by 3 publications

References 15 publications

The Matsudai Knee Osteoarthritis Survey showed the longitudinal changes of knee phenotypes in alignment and structure during 23–28 years

The Matsudai Knee Osteoarthritis Survey showed the longitudinal changes of knee phenotypes in alignment and structure during 23–28 years

Intraoperative physician assessment of bone: correlation to bone mineral density

Advances in Osteoporosis Therapy: Focus on Osteoanabolic Agents, Secondary Fracture Prevention, and Perioperative Bone Health

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