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. 2008 Dec;89(12):2373-4.
doi: 10.1016/j.apmr.2008.06.007. Epub 2008 Nov 1.

Prevalence of osteoporosis in osteoarthritic patients undergoing total hip or total knee arthroplasty

Anna Labuda  1 , Alexandra Papaioannou, Janet Pritchard, Courtney Kennedy, Justin DeBeer, Jonathan D Adachi
Affiliations

Prevalence of osteoporosis in osteoarthritic patients undergoing total hip or total knee arthroplasty

Anna Labuda et al. Arch Phys Med Rehabil. 2008 Dec.

Abstract

Objective: To determine the prevalence of osteoporosis in osteoarthritic patients undergoing total hip or total knee arthroplasty.

Design: Cross-sectional study.

Setting: The Specialized Outpatient Rehabilitation Service's (SORS) Pre-surgical Arthroplasty Service located at the Chedoke Hospital, Hamilton Health Sciences, Hamilton, ON, Canada.

Participants: SORS outpatients (N=364), from the period of March 2006 to March 2007.

Interventions: Not applicable.

Main outcome measures: Prevalence of osteoporosis was determined by review of a self-reported survey, and defined by (1) self-reported diagnosis of osteoporosis, (2) history of fragility fracture (defined by a bone fracture occurring as a result of a fall from standing height or less after the age of 50), or (3) current treatment for osteoporosis using bisphosphonates.

Results: Of the study cohort, 26% were classified as having osteoporosis, according to our criteria. Of the patients with self-reported osteoporosis or a history of fragility fractures, only 37% and 17% reported current treatment with bisphosphonates, respectively.

Conclusions: Osteoporosis is common in the osteoarthritic arthroplasty population, with a prevalence at least equal to that in the general population. Due to the self-reported nature of the study, the prevalence of osteoporosis in this population is likely significantly higher. Results from this study indicate need for further research, specifically in formal assessment for osteoporosis in patients undergoing a joint replacement.

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Conflict of interest statement

No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.

References

    1. Weng H, Fitzgerald J. Current issues in joint replacement surgery. Curr Opin Rheumatol. 2006;18:163–9. - PubMed
    1. Brown J, Josse R Scientific Advisory Council of the Osteoporosis Society of Canada. 2002 clinical practice guidelines for the diagnosis and management of osteoporosis in Canada. Can Med Assoc J. 2002;167:1–34. - PMC - PubMed
    1. Konttinen Y, Zhao D, Beklen A, et al. The microenvironment around total hip replacement prostheses. Clin Orthop Relat Res. 2005;30:28–38. - PubMed
    1. Sawka A, Papaioannou A, Josse R, et al. What is the number of older Canadians needed to screen by measurement of bone density to detect an undiagnosed case of osteoporosis? A population-based study from CaMos. J Clin Densitom. 2006;9:413–8. - PubMed
    1. Antoniades L, MacGregor A, Matson M, Spector T. A cotwin control study of the relationship between hip osteoarthritis and bone mineral density. Arthritis Rheum. 2000;43:1450–5. - PubMed

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