Histological evaluation of acetabular bone quality during revision hip arthroplasty.

Purpose: Aim of this study was to evaluate acetabular bone vitality during revision hip arthroplasty and to compare the bone quality between revision and primary acetabular arthroplasty. Methods: During primary and revision total hip arthroplasty surgeries, biopsies were taken from the acetabulum af...

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Publicado en:Hip International Vol. 30; pp. 66 - 72
Autores principales: Bistolfi, Alessandro, Linari, Alessandra, Aprato, Alessandro, Fusini, Federico, Cravero, Ester, Papotti, Mauro, Ferracini, Riccardo, Massè, Alessandro
Formato: pictorial research tables/charts Journal Article
Publicado: Sage Publications Inc. 2020 Supplement 2
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2020 Supplement 2
      vid: 30
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.1177/1120700020966803
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        atl: Histological evaluation of acetabular bone quality during revision hip arthroplasty.
      aug:
        au:
          Bistolfi, Alessandro
          Linari, Alessandra
          Aprato, Alessandro
          Fusini, Federico
          Cravero, Ester
          Papotti, Mauro
          Ferracini, Riccardo
          Massè, Alessandro
        affil: Department of Orthopaedics, Traumatology and Rehabilitation, AOU City of Health and Science, Turin, Italy
      sug:
        subj:
          Arthroplasty, Replacement, Hip Methods
          Histological Techniques
          Acetabulum
          Bone Density Evaluation
          Human
          Biopsy
          Benzopyrans
          Microscopy Methods
          Radiography Evaluation
          Male
          Female
          Middle Age
          Aged
          Descriptive Statistics
          Comparative Studies
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Purpose: Aim of this study was to evaluate acetabular bone vitality during revision hip arthroplasty and to compare the bone quality between revision and primary acetabular arthroplasty. Methods: During primary and revision total hip arthroplasty surgeries, biopsies were taken from the acetabulum after reaming. The samples (osteochondral cylinders of approximately ⩽1 cm long and 3 mm thickness), after removing the mineral component, were cut longitudinally with a thickness section of 5 µm and colored with hematoxylin-eosin dichromic dye and then evaluated histologically by optical microscopy with 40× magnification. Preoperative radiographs were evaluated. Results: According to inclusion and exclusion criteria, 14 patients formed the revision group patients (mean age: 67.9 years, average time before revision 8.8 years, SD ± 7.06) and 5 patients formed the control primary group (mean age: 61.4 years). The bone quality of the revision group was generally poorer than the primary group, while similar vitality and bone quality has been found between septic and aseptic group. Variables such as age, gender and BMI did not significantly contribute to define bone quality classes. Conclusions: The study confirms the differences in quality and bone vitality between cases and controls and the necessity to find strategies to improve the osteointegrative processes in revision arthroplasties.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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