The University of Southampton
University of Southampton Institutional Repository

The difference between stretching and splitting muscle trauma during THA seems not to play a dominant role in influencing periprosthetic BMD changes

The difference between stretching and splitting muscle trauma during THA seems not to play a dominant role in influencing periprosthetic BMD changes
The difference between stretching and splitting muscle trauma during THA seems not to play a dominant role in influencing periprosthetic BMD changes
Background: periprosthetic bone adaptation in the proximal femur after total hip arthroplasty can result in reduced bone mineral density that may contribute to increased risk of aseptic loosening or fracture. Functional loading of the proximal femur postoperatively may depend upon the type of surgical muscle trauma – splitting or stretching – and is likely to influence the preservation of periprosthetic bone mineral. Since the maintenance of bone is known to be highly age and gender dependent, the aim of this study was to investigate the interplay between muscle trauma and age and gender influences on periprosthetic bone adaptation.

Methods: ninety-three patients were consecutively recruited into either a transgluteal (splitting) or anterolateral (stretching) surgical approach and examined 7days and 12months after an elective primary hip arthroplasty (Zweymüller Alloclassic stem), using dual-energy X-ray absorptiometry measurements to quantify proximal femoral bone mineral density.

Findings: the results indicate that neither gender, age nor surgical trauma type, but only the combination of age and gender, were significant predictors of postoperative remodelling rate, with younger men (<=65) and older women exhibiting the largest bone atrophy.

Interpretation: this study has demonstrated that the difference between stretching and splitting surgical trauma to the muscles during total hip replacement does not play a dominant role in influencing periprosthetic bone mineral changes. However, this data does suggest that certain patient populations may particularly benefit from muscle and bone preserving procedures
surgical trauma, dexa, one adaptation, age and gender effects, hip, tha
0268-0033
813-818
Taylor, William R.
1ed48ef6-e396-40f5-8434-6c0628c9d3ca
Szwedowski, Tomasz D.
ea02e40c-17d0-4973-8bfa-64ac9a8c2735
Heller, Markus O.
3da19d2a-f34d-4ff1-8a34-9b5a7e695829
Perka, Carsten
50eac0cf-e710-45df-a04b-b8af775eace1
Matziolis, Georg
f72a6d41-09bf-40a0-8513-9089a870ed19
Müller, Michael
731566e0-9b1f-46b7-a645-cc7b1ae78161
Janshen, Lars
6312bac4-c2cd-4307-828b-4a8fbaeeeb37
Duda, Georg N.
ac4e207b-3e2e-4c84-a6c4-cb67531f890b
Taylor, William R.
1ed48ef6-e396-40f5-8434-6c0628c9d3ca
Szwedowski, Tomasz D.
ea02e40c-17d0-4973-8bfa-64ac9a8c2735
Heller, Markus O.
3da19d2a-f34d-4ff1-8a34-9b5a7e695829
Perka, Carsten
50eac0cf-e710-45df-a04b-b8af775eace1
Matziolis, Georg
f72a6d41-09bf-40a0-8513-9089a870ed19
Müller, Michael
731566e0-9b1f-46b7-a645-cc7b1ae78161
Janshen, Lars
6312bac4-c2cd-4307-828b-4a8fbaeeeb37
Duda, Georg N.
ac4e207b-3e2e-4c84-a6c4-cb67531f890b

Taylor, William R., Szwedowski, Tomasz D., Heller, Markus O., Perka, Carsten, Matziolis, Georg, Müller, Michael, Janshen, Lars and Duda, Georg N. (2012) The difference between stretching and splitting muscle trauma during THA seems not to play a dominant role in influencing periprosthetic BMD changes. Clinical Biomechanics, 27 (8), 813-818. (doi:10.1016/j.clinbiomech.2012.05.004). (PMID:22710281)

Record type: Article

Abstract

Background: periprosthetic bone adaptation in the proximal femur after total hip arthroplasty can result in reduced bone mineral density that may contribute to increased risk of aseptic loosening or fracture. Functional loading of the proximal femur postoperatively may depend upon the type of surgical muscle trauma – splitting or stretching – and is likely to influence the preservation of periprosthetic bone mineral. Since the maintenance of bone is known to be highly age and gender dependent, the aim of this study was to investigate the interplay between muscle trauma and age and gender influences on periprosthetic bone adaptation.

Methods: ninety-three patients were consecutively recruited into either a transgluteal (splitting) or anterolateral (stretching) surgical approach and examined 7days and 12months after an elective primary hip arthroplasty (Zweymüller Alloclassic stem), using dual-energy X-ray absorptiometry measurements to quantify proximal femoral bone mineral density.

Findings: the results indicate that neither gender, age nor surgical trauma type, but only the combination of age and gender, were significant predictors of postoperative remodelling rate, with younger men (<=65) and older women exhibiting the largest bone atrophy.

Interpretation: this study has demonstrated that the difference between stretching and splitting surgical trauma to the muscles during total hip replacement does not play a dominant role in influencing periprosthetic bone mineral changes. However, this data does suggest that certain patient populations may particularly benefit from muscle and bone preserving procedures

Full text not available from this repository.

More information

Published date: October 2012
Keywords: surgical trauma, dexa, one adaptation, age and gender effects, hip, tha
Organisations: Bioengineering Group

Identifiers

Local EPrints ID: 348540
URI: https://eprints.soton.ac.uk/id/eprint/348540
ISSN: 0268-0033
PURE UUID: 3ee44000-178b-4a94-975d-e85dd153187b
ORCID for Markus O. Heller: ORCID iD orcid.org/0000-0002-7879-1135

Catalogue record

Date deposited: 14 Feb 2013 15:13
Last modified: 20 Jul 2019 00:41

Export record

Altmetrics

Contributors

Author: William R. Taylor
Author: Tomasz D. Szwedowski
Author: Carsten Perka
Author: Georg Matziolis
Author: Michael Müller
Author: Lars Janshen
Author: Georg N. Duda

University divisions

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of https://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×