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The prevalence of osteoporosis in patients with severe hip and knee osteoarthritis awaiting joint arthroplasty
Author(s)Elizabeth A Lingard, Sheryl Y Mitchell, Roger M Francis
Journal titleAge and Ageing, vol 39, no 2, March 2010
Pagespp 234-238
Sourcehttp://www.ageing.oxfordjournals.org http://www.bgs.org.uk doi:10.1093/ageing/afp222
KeywordsArthritis ; Osteoporosis ; Orthopaedics ; Cross sectional surveys ; Newcastle upon Tyne.
AnnotationThe presence of osteoporosis in patients with hip and knee osteoarthritis (OA) has important implications for understanding disease progression and providing optimal surgical and medical management. A cross-sectional observational study was conducted in Newcastle-upon-Tyne with patients with osteoarthritis aged 65-80 awaiting total knee hip arthroplasty. The cohort consisted of 199 patients (mean age 72, SD 4) and 113 (57%) were women. The overall rate of osteoporosis at any site was 23% (46/100) and a further 43% (85/199) of patients would have been classified as osteoporotic according to World Health Organization (WHO) criteria. Osteoporosis was more commonly detected in the forearm (14%) than the lumbar spine (8.5%) and proximal femur of the index side (8.2%). In summary, a significant proportion of patients with end-stage OA have osteoporosis, but the diagnosis may be missed unless bone mineral density ( BMD) measurements are performed at sites distant from joints affected by OA. (RH).
Accession NumberCPA-100407220 A
ClassmarkCLA: CLO: LKB: 3KB: 86A

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