Abstract：Objective: To analyze the incidence of osteoporosis around hip prosthesis in the elderly and the effect of zoledronic acid. Methods: From September 2017 to September 2018, 60 elderly patients with hip replacement who were hospitalized in our hospital were divided into three groups according to their ages, i.e. group A, group B and group C, to evaluate whether there is any difference in the clinical efficacy of patients at different ages, including 10 patients in group A, aged 60~69; 28 patients in group B, aged 70~79; 22 patients in group C, aged 60~69 The age is 80~89 years old. All the elderly patients with osteoporosis were treated with zoledronic acid once a week after the operation, once a year after the operation, and twice a day with 600 mg of calcic D. One year follow-up was conducted to compare the BMD of lumbar spine and contralateral hip joint before and after operation. Results: After taking zoledronic acid sodium for 1 year, the BMD of the three groups was significantly better than that of the group before operation (P<0.05). The bone mineral density of the contralateral femoral neck of the three groups was significantly higher than that of the group before operation (P<0.05). The bone mineral density of the contralateral total hip joint of the three groups was significantly higher than that of the group before operation (P<0.05). Conclusion: The use of sodium zolaiphosphate in elderly patients after hip arthroplasty can effectively prevent the occurrence of osteoporosis around the prosthesis, which is worth popularizing in clinic.
孙重霄, 王英振. 老年髋关节假体周围骨质疏松发生情况及唑来磷酸的防治效果观察[J]. 河北医学, 2019, 25(12): 2065-2067.
SUN Chongxiao, WANG Yingzhen. Observation on the Occurrence of Osteoporosis around Hip Joint Prosthesis in the Elderly and the Preventive and Therapeutic Effect of Zoleiphosphate. HeBei Med, 2019, 25(12): 2065-2067.
[1] 王彦川,杨静,谢志进,等.阿仑膦酸钠治疗老年髋关节假体周围骨质疏松的早期观察[J].四川医学,2017,38(5):503~505. [2] Mullerpatan RP, Agarwal BM, Shetty T, et al. Kinematics of suryanamaskar using three-dimensional motion capture[J]. Int Yoga, 2019,12(2):124~131. [3] Nisar MU, Sikander S, Noorain Z, et al. Primary iliopsoas abscess in a neonate[J].Coll Physicians Surg Pak, 2019,29(6):S45~45S47. [4] Xu H, Xie J, Lei Y, et al. Closed suction drainage following routine primary total joint arthroplasty is associated with a higher transfusion rate and longer postoperative length of stay: a retrospective cohort study[J].Orthop Surg Res, 2019,14(1):163. [5] Kim SC, Lim YW, Jo WL, et al. Fourth-generation ceramic-on-ceramic THA results in improvements in midterm outcomes compared to third-generation THA but does not resolve noise problems: a cohort study of a single-hip system[J]. BMC Musculoskelet Disord, 2019,20(1):263. [6] Etkin CD, Lau EC, Watson HN, et al. What Are the migration patterns for U.S. primary total joint arthroplasty patients[J]. Clin Orthop Relat Res, 2019,477(6):1424~1431. [7] 殷振华,董辉辉,陈轲,等.人工全髋关节置换术和股骨头置换术治疗老年股骨颈骨折临床疗效分析[J].河北医学,2016,22(7):1095~1098. [8] Harris IA, Hatton A, Pratt N, et al. How does mortality risk change over time after hip and knee arthroplasty[J]. Clin Orthop Relat Res, 2019,477(6):1414~1421. [9] Maldonado DR. CORR Insights:Do trabecular metal acetabular components reduce the risk of rerevision after revision THA performed for periprosthetic joint Infection a study using the NJR data set[J]. Clin Orthop Relat Res, 2019,477(6):1390~1391. [10] Matharu GS, Judge A, Murray DW, et al. Do Trabecular metal acetabular components reduce the risk of rerevision after revision THA performed for periprosthetic joint Infection a study using the NJR data set[J]. Clin Orthop Relat Res, 2019,477(6):1382~1389.
2019, Vol. 25 
冀公网安备13080202000677号