On the determination of the osseous tissue density in the periprosthesis area

Authors

  • Aleksandr Avrunin
  • Rashid Tikhilov

DOI:

https://doi.org/10.15674/0030-598720093121-126

Keywords:

projection mineral density, bone, hip replacement, an error method DEXA

Abstract

Using an in vitro model, the authors made an attempt to diagnose the reproducibility error (RE) of the DEXA method in the periprosthetic area around the Müller femoral component without cement and, on the basis of the achieved results, suggested an algorithm of investigation, which minimizes the above error down to clinically insignificant values. The following main factors, which affected RE of the method, were revealed: incorrect positions of the patient and RE of the hardware-software complex. When the femur rotated within ±5º, the biggest deviation in mineral density values of bone tissue achieved 3.9-8.9 %. The authors observed that the maximum value of ER of the hardware-software complex was in Gruen zone 2, where it achieved 3.2 %. The researchers suggested a special algorithm for levelling the above RE down to clinically insignificant indices by the computer simulation technique.

References

  1. Аврунин А.С. Метод двойной фотонной рентгеновской абсорбциометрии при динамическом контроле состояния костной ткани в процессе лечения остеопороза / А.С. Аврунин, Н.В. Корнилов // Гений ортопедии. — 2002. — № 2. — С. 123–128.
  2. Неинвазивный клинический метод оценки остеоцитарного ремоделирования. Новые возможности двухэнергетической рентгеновской абсорбциометрии / А.С. Аврунин, Р.М. Тихилов, И.И. Шубняков [и др.] // Ортопед., травматол. — 2008. — № 2. — С. 67–74.
  3. Оценивает ли двухэнергетическая рентгеновская абсорбциометрия параметры физиологического обмена минерального матрикса? / А.С. Аврунин, Р.М. Тихилов, И.И. Шубняков [и др.] // Гений ортопедии. — 2008. — №1. — С. 41–49.
  4. Аврунин А.С. Позволяет ли метод двухэнергетической рентгеновской абсорбциометрии выявить быстрые колебания проекционной минеральной плотности костной ткани в поясничном отделе позвоночника? / А.С. Аврунин, Р.М. Тихилов, И.И. Шубняков [и др.] // Вестник травматол. и ортопед. им. Н.Н. Приорова. — 2008. — №3. — С. 47–52.
  5. Гублер Е.В. Вычислительные методы анализа и распознавания патологических процессов / Е.В. Гублер. — Л.: Медицина, 1978. — 294 с.
  6. Нормы радиационной безопасности НРБ-99: СП 2.6.1.758-99. — Офиц. изд. — М.: Минздрав, 1999.
  7. Changes in bone mineral density in the proximal femur after cementless total hip arthroplasty / W. Brodner, P. Bitzan, F. Lomoschitz [et al.] //J. Bone Joint Surg. — 2004. — Vol. 86-B, № 1. — P. 20–26.
  8. Chan K.M. Exercise interventions: Defusing the world’s osteoporosis time bomb / K.M. Chan, M. Anderson, M.C. Edith Lau // Bulletin WHO. — 2003. — Vol. 81, № 11. — P. 827-830.

Downloads

How to Cite

Avrunin, A., & Tikhilov, R. (2009). On the determination of the osseous tissue density in the periprosthesis area. ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (3), 121–126. https://doi.org/10.15674/0030-598720093121-126

Issue

No. 3 (2009)

Section

DIGESTS AND REVIEWS

License

Copyright (c) 2014 Aleksandr Avrunin, Rashid Tikhilov

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

The authors retain the right of authorship of their manuscript and pass the journal the right of the first publication of this article, which automatically become available from the date of publication under the terms of Creative Commons Attribution License, which allows others to freely distribute the published manuscript with mandatory linking to authors of the original research and the first publication of this one in this journal.

Authors have the right to enter into a separate supplemental agreement on the additional non-exclusive distribution of manuscript in the form in which it was published by the journal (i.e. to put work in electronic storage of an institution or publish as a part of the book) while maintaining the reference to the first publication of the manuscript in this journal.

The editorial policy of the journal allows authors and encourages manuscript accommodation online (i.e. in storage of an institution or on the personal websites) as before submission of the manuscript to the editorial office, and during its editorial processing because it contributes to productive scientific discussion and positively affects the efficiency and dynamics of the published manuscript citation (see The Effect of Open Access).