Daher Mohammad, Mekhael Elio, El-Othmani Mouhanad M
Orthopedic Department, Hôtel Dieu de France, Beirut, Lebanon.
Department of Orthopedic Surgery, Brown University Medical Center, Providence, RI, 02906, USA.
Arthroplasty. 2024 Oct 2;6(1):50. doi: 10.1186/s42836-024-00273-z.
Patients undergoing knee replacement, which is mainly indicated in severe osteoarthritis, are frequently co-affected by osteoporosis and osteopenia. With a prevalence standing at around 20% in patients receiving knee arthroplasty, osteoporosis could lead to poor outcomes postoperatively. Some of these complications include periprosthetic fractures and an increased revision rate. Antiresorptive medications have been shown to be beneficial postoperatively. However, no studies have been conducted on whether they had any benefits if given preoperatively. Surgical management may also be beneficial, but this area remains full of controversy.
接受膝关节置换术（主要适用于重度骨关节炎）的患者经常同时患有骨质疏松症和骨质减少症。在接受膝关节置换术的患者中，骨质疏松症的患病率约为20%，这可能导致术后效果不佳。其中一些并发症包括假体周围骨折和翻修率增加。抗吸收药物已被证明在术后有益。然而，尚未有关于术前给予这些药物是否有任何益处的研究。手术治疗也可能有益，但这一领域仍充满争议。
