Osteoporosis in brazilian patients awaiting knee arthroplasty

Sadigursky, David; La, Barretto; Dmv, Lobão; Rjf, Carneiro; Po, Colavolpe

doi:10.1590/1413-785220172503167325

Cited by 8 publications

(6 citation statements)

References 17 publications

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“…L ow bone mineral density (BMD) appears to be common in patients undergoing total joint replacement (TJR), with up to two thirds and one third meeting criteria for osteopenia and osteoporosis, respectively. [1][2][3][4][5][6][7][8][9] Emerging data raise concerns that low BMD may increase the risk of intraoperative and postoperative complications in patients undergoing TJR. In a study of total ankle arthroplasty, low tibial BMD, as measured by Hounsfield units, from preoperative ankle computed tomography scan was associated with a higher risk for periprosthetic fracture (P=.018), with all intraoperative fractures occurring in patients with tibial Hounsfield units less than 200.…”

mentioning

confidence: 99%

Importance of Routine Bone Mineral Density Screening Prior to Elective Total Joint Replacement

Miller¹,

Beyer²,

Starring³

et al. 2019

Orthopedics

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mentioning

confidence: 99%

Importance of Routine Bone Mineral Density Screening Prior to Elective Total Joint Replacement

Miller¹,

Beyer²,

Starring³

et al. 2019

Orthopedics

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“…Several studies have reported the incidence of OP before TKA. In the non-Asian population, 9.6-33% of TKA candidates have been found to suffer from OP, regardless of the patient's sex, 16,[27][28][29][30] and 35% of women awaiting TKA or total hip arthroplasty have been found to have OP. 15 In contrast, two Korean studies have reported OP incidence rates of 40.1 and 53.4% among women indicated for TKA.…”

Section: Discussionmentioning

confidence: 99%

“…Some studies have shown a positive correlation between the severity of OA and the level of bone mineral density (BMD) and that OA is a protective factor against OP, [12][13][14] while several researchers have instead suggested that OP exists in a considerable number of patients with advanced OA. 15,16 Dual-energy X-ray absorptiometry (DXA) scans of at least two bone sites are recommended by the International Society for Clinical Densitometry (ISCD) to diagnose osteoporosis based on the T-score. However, some studies have shown that the BMD region of interest (ROI) may be affected by orthopaedic diseases, thus resulting in the BMD not being correlated with OP and inconsistent diagnoses between different sites.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Risk Factors of Osteoporosis in Chinese Postmenopausal Women Awaiting Total Knee Arthroplasty

Tao¹,

Tang²,

Wang³

et al. 2021

CIA

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Background Total knee arthroplasty (TKA) complications associated with low bone quality are challenging for orthopaedic surgeons to treat, but little is known about bone quality in Chinese postmenopausal women awaiting TKA. This study investigated the incidence of osteoporosis (OP) and explored the preoperative risk factors for OP in this population. Methods We retrospectively reviewed the data of Chinese postmenopausal women who were indicated for TKA between May 2017 and June 2020. The bone mineral density (BMD) of the hip and lumbar spine and multiple preoperative parameters were collected and analyzed. Binary logistic regression analysis was performed to identify independent risk factors for OP in this population. Results A total of 204 postmenopausal women with advanced knee OA were included in the study (age: 69.7±8.5 years; body mass index [BMI]: 25.5±4.0 kg/m2). The OP prevalence among all participants was 59.8%, and the patients aged 60–80 years had a significantly lower BMD than did the age/ethnicity-adjusted population. An age ≥60 years, a BMI<25, and the presence of a varus knee deformity were independent risk factors for preoperative OP in the postmenopausal women awaiting TKA. Conclusion The prevalence of OP in Chinese postmenopausal women awaiting TKA is higher than that in the age/ethnicity-adjusted normal population. An age ≥60 years, a BMI<25, and the presence of a varus knee deformity are independent risk factors that can be used to predict preoperative OP in this population.

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“…However, newer studies on the association between osteoarthritis and osteoporosis with subsequent fracture risk show conflicting results [21,22]. While some studies show a low prevalence of osteoporosis and increased bone mass in patients with osteoarthritis undergoing TKR/THR [13,22,23], others show a prevalence roughly equal to that in the general population [12,24], while yet others show an increased risk of fractures in these patients [25][26][27][28].…”

Section: Introductionmentioning

confidence: 99%

“…Despite several international studies reporting the prevalence of osteoporosis in patients undergoing arthroplasty and spinal procedures [13,[22][23][24][44][45][46][47][48], adequate research on osteoporosis prevalence in Indian patients undergoing these procedures is lacking. While several papers have examined implant design in arthroplasty [13,[22][23][24]47,48], relatively fewer have assessed the quality of the underlying bone into which the implants are inserted [13,22].…”

Section: Introductionmentioning

confidence: 99%

Osteoporosis in Indian Patients Undergoing Elective Arthroplasty and Spinal Procedures: An Observational Study

Dave¹,

Bhattacharjee²,

Shah³

et al. 2022

Cureus

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Background This is an observational study conducted to determine the prevalence of osteoporosis and osteopenia in patients undergoing elective arthroplasty and spinal procedures in India. Methods This observational, multicentre study included both male and female patients. Their bone mineral density and fracture risk were measured using dual-energy x-ray absorptiometry (DEXA) and Fracture Risk Assessment Tool (FRAX ® : Centre for Metabolic Bone Diseases, University of Sheffield, UK), respectively, in compliance with the guidelines for Good Epidemiological Practice (ISRCTN: 14543098). Results The study revealed that majority (76.4%; 97/127) of the patients had low BMD; over one-third had osteoporosis (39.4%; 50/127) or osteopenia (37%; 47/127). Among those undergoing total knee replacement (TKR)/total hip replacement (THR), majority (75.6%; 59/78) had low BMD (osteoporosis: 38.5% {30/78}; osteopenia: 37.2% {29/78}). Among the patients undergoing spinal procedures, all except two (93.10%; 27/29) had low BMD, two-thirds had osteoporosis (65.5%; 19/29), and around one-fourth had osteopenia (27.6%; 8/29). Radial BMD measurements showed higher prevalence of osteoporosis and osteopenia. Based on FRAX score, nearly 30% of patients were at a high risk of hip fracture in the next 10 years. As per National Osteoporosis Foundation (NOF) guidelines, most (59.79%; 58/97) patients with osteoporosis/osteopenia met criteria for pharmacological treatment. Conclusions Regular preoperative bone health evaluation should be adopted and osteoporosis/osteopenia patients should be adequately managed pharmacologically in India.

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Osteoporosis in brazilian patients awaiting knee arthroplasty

Cited by 8 publications

References 17 publications

Importance of Routine Bone Mineral Density Screening Prior to Elective Total Joint Replacement

Importance of Routine Bone Mineral Density Screening Prior to Elective Total Joint Replacement

Prevalence and Risk Factors of Osteoporosis in Chinese Postmenopausal Women Awaiting Total Knee Arthroplasty

Osteoporosis in Indian Patients Undergoing Elective Arthroplasty and Spinal Procedures: An Observational Study

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