Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Arthroplasty - Hip
Abstract number: 25505
DENSITOMETRIC ASPECTS IN CASES OF PATIENTS WITH COXARTHROSIS
DEFORMANS
Aleh KEZLIA
Belarusion Medical Academy of Post-Graduate Eduction, Minsk (BELARUS)
Early detection of the disease and evaluation of the quality of bone tissue is critical
for cases of osteoarthritis. On the stage of initial examination, it is important to detect
derangement of metabolism in the bone tissue. The aim of the present work is
research of mineral density of the bone tissue (MDBT) of the patients of different age
groups with hip joint coxarthrosis of second and third stage. Materials and methods:
Method of double-energy X-ray densitometry defines mineral density of bone tissue
in the area of proximal part of hip and spine with estimation of T-scor value.
Examination of 88 patients with degenerative and dystrophic diseases of hip joint
was conducted, of which 29 patients - male at the age group 32-75 years, 59
patients - female at the age group from 40 to 75 years. Results and discussion:
Examination of MDBT of proximal part of hip and lumbar spine showed decrease in
T-scor value to osteopenia and osteoporosis in 46 cases (52.3 %). Decrease of Tscor
value to osteoporosis value was registered in 13 cases (14.8 %). Decrease of Tscor
value to osteopenia value was registered in 33 cases (37.5 %). Therefore,
densitometric examination of skeleton is essential for choice of method and terms of
surgical treatment of hip joint osteoarthritis (particularly endoprosthesis replacement).
Timely diagnosis of mineral density of bone tissue and analysis of individual risk
factors of progress of osteoporosis allows to choose adequate treatment before and
after operation, suspend pathological processes that reduce strength of bone tissue.
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