title: Supra acetabular bone mineral density measurements after hip resurfacing arthroplasty at short term follow up.
abstract: Implantation of a cementless press-fit acetabular cup during hip arthroplasty alters stress transfer to the periacetabular bone, resulting in stress shielding of cancellous bone and enhanced load transfer to cortical bone. Theoretically, the thicker, stiffer and larger acetabular cup of a hip resurfacing may increase periacetabular bone stress shielding. We attempted to assess the matter (at a minimum of 2 years after surgery) by measuring any difference in supra acetabular bone mineral density (BMD) between the side implanted with a thick monoblock cobalt-chromium (Co-Cr) acetabular component during hip resurfacing (HR) and the opposite non-operated side. We retrospectively recruited 44 patients who had undergone metal-on-metal hybrid hip resurfacing for unilateral osteoarthritis of the hip joint . BMD of the supra acetabular bone of both hips was measured using a dual energy X-ray absorptiometry (DEXA) scan. The BMD measured in Zone 2 was not different on the operated side (1.69 g/cm2 ± 0.48) compared with the non-operated side (1.70 g/cm2 ±0.49) (p=0.904). Contrary to our expectations, implantation of a monoblock Co-Cr acetabular component during HR did not cause significant stress-shielding of supra acetabular cancellous bone.
authors.affiliation: Research Centre of Maisonneuve, Maissonnueve Rosemont Hospital, 5415 Assomption Boulevard, Montreal, Quebec, Canada.
authors.forename: Chabane Ait
authors.initials: CA
authors.lastname: Yahia
authors.forename: Sanket
authors.initials: S
authors.lastname: Diwanji
authors.forename: Muthu
authors.initials: M
authors.lastname: Ganapati
authors.forename: Pascal-André
authors.initials: PA
authors.lastname: Vendittoli
authors.forename: Martin
authors.initials: M
authors.lastname: Lavigne
mesh_terms: D000077:Acetabulum / Q000000981:diagnostic imaging / Q000378:metabolism / Q000473:pathology*; D000328:Adult; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D015519:Bone Density; D005260:Female; D006621:Hip Joint; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011474:Prosthesis Design; D011859:Radiography; D012189:Retrospective Studies; D013314:Stress, Mechanical; D055815:Young Adult