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Total hip arthroplasty in patients with osteoporosis. HIP International, 30(4), 370–379.
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Total hip arthroplasty in patients with osteoporosis
Karachalios, T. S., Koutalos, A. A., & Komnos, G. A.Hip
There is a high prevalence of osteoporosis in patients undergoing total hip arthroplasty. There are several clinically relevant questions related to the management of such cases: the effect of ageing; the initial osseointegration of implants, especially when cementless THA is used; the effect of medical osteoporosis treatment on bone-implant interface; the incidence of intraoperative and late periprosthetic fractures, and the long-term survival of both cemented and cementless total hip arthroplasty performed for proximal femoral fractures and hip osteoarthritis. A critical review of the literature is presented in an attempt to draw practical conclusions.
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