Stress shielding of the proximal femur
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Stress shielding of the proximal femur refers to local bone lossdemineralization due to the alleviation of the non-weighting femurnormal weightbearing stresses after hip arthroplasty. ItSome degree of radiographically evident stress shielding is common and clinically acceptable 1, but advanced cases can increase the risk of periprosthetic fracture them with cortical thinning and bone loss leading to prosthesis failure2.
See also
-<p><strong>Stress shielding of the proximal femur </strong>refers to bone loss of the non-weighting femur after <a href="/articles/total-hip-arthroplasty">hip arthroplasty</a>. It can <a href="/articles/complications-of-total-hip-arthroplasty">complicate</a> them with cortical thinning and bone loss leading to prosthesis failure.</p><h4>See also</h4><ul><li><a title="Complications of total hip arthroplasty" href="/articles/complications-of-total-hip-arthroplasty">complications of total hip arthroplasty</a></li></ul><p> </p>- +<p><strong>Stress shielding of the proximal femur </strong>refers to local bone demineralization due to the alleviation of normal weightbearing stresses after <a href="/articles/total-hip-arthroplasty">hip arthroplasty</a>. Some degree of radiographically evident stress shielding is common and clinically acceptable <sup>1</sup>, but advanced cases can increase the risk of <a title="Periprosthetic fracture" href="/articles/periprosthetic-fracture">periprosthetic fracture</a> <sup>2</sup>.</p><h4>See also</h4><ul>
- +<li><a href="/articles/complications-of-total-hip-arthroplasty">complications of total hip arthroplasty</a></li>
- +<li><a title="Disuse osteopenia" href="/articles/disuse-osteopenia">disuse osteopenia</a></li>
- +</ul><p> </p>
References changed:
- 1. Bugbee WD, Culpepper WJ, Engh CA, Engh CA. Long-term clinical consequences of stress-shielding after total hip arthroplasty without cement. (1997) The Journal of bone and joint surgery. American volume. 79 (7): 1007-12. <a href="https://doi.org/10.2106/00004623-199707000-00006">doi:10.2106/00004623-199707000-00006</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/9234876">Pubmed</a> <span class="ref_v4"></span>
- 2. Sanli I, Arts JJ, Geurts J. Clinical and Radiologic Outcomes of a Fully Hydroxyapatite-Coated Femoral Revision Stem: Excessive Stress Shielding Incidence and its Consequences. (2016) The Journal of arthroplasty. 31 (1): 209-14. <a href="https://doi.org/10.1016/j.arth.2015.08.037">doi:10.1016/j.arth.2015.08.037</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/26404848">Pubmed</a> <span class="ref_v4"></span>
- 3. Piao C, Wu D, Luo M et-al. Stress shielding effects of two prosthetic groups after total hip joint simulation replacement. J Orthop Surg Res.9 (1): 71. <a href="http://dx.doi.org/10.1186/s13018-014-0071-x">doi:10.1186/s13018-014-0071-x</a> - <a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4237889">Free text at pubmed</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/25174846">Pubmed citation</a><span class="auto"></span>
- 1. Piao C, Wu D, Luo M et-al. Stress shielding effects of two prosthetic groups after total hip joint simulation replacement. J Orthop Surg Res.9 (1): 71. <a href="http://dx.doi.org/10.1186/s13018-014-0071-x">doi:10.1186/s13018-014-0071-x</a> - <a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4237889">Free text at pubmed</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/25174846">Pubmed citation</a><span class="auto"></span>
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