Osteoporosis in the setting of knee arthroplasty: a narrative review
Mohammad Daher, Elio Mekhael, Mouhanad M. El‐Othmani
Abstract
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.
Topics & Concepts
MedicinePeriprostheticOsteoporosisKnee replacementArthroplastyOsteopeniaOsteoarthritisHip replacementSurgeryKnee surgeryNarrative reviewPhysical therapyIntensive care medicineInternal medicineBone mineralAlternative medicinePathologyOrthopaedic implants and arthroplastyTotal Knee Arthroplasty OutcomesBone health and treatments