Stress shielding of the proximal femur
Last revised by Henry Knipe on 28 Jan 2022
Citation, DOI, disclosures and article data
Citation:
Knipe H, Deng F, Weerakkody Y, et al. Stress shielding of the proximal femur. Reference article, Radiopaedia.org (Accessed on 19 Apr 2024) https://doi.org/10.53347/rID-39651
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rID:
39651
Article created:
Disclosures:
At the time the article was created Henry Knipe had no recorded disclosures.
View Henry Knipe's current disclosures
Last revised:
Disclosures:
At the time the article was last revised Henry Knipe had no recorded disclosures.
View Henry Knipe's current disclosures
Revisions:
7 times, by
5 contributors -
see full revision history and disclosures
Systems:
Synonyms:
- Stress shielding of femur
- Stress shielding - proximal femur
Stress shielding of the proximal femur refers to local bone demineralization due to the alleviation of normal weightbearing stresses after hip arthroplasty. Some degree of radiographically evident stress shielding is common and clinically acceptable 1, but advanced cases can increase the risk of periprosthetic fracture 2.
See also
References
- 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. doi:10.2106/00004623-199707000-00006 - Pubmed
- 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. doi:10.1016/j.arth.2015.08.037 - Pubmed
- 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. doi:10.1186/s13018-014-0071-x - Free text at pubmed - Pubmed citation
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