Estimation of Femoral Head Bone Mineral Density in Hip Fractures of the Elderly
Yıl: 2016 Cilt: 27 Sayı: 1 Sayfa Aralığı: 5 - 7 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022
Estimation of Femoral Head Bone Mineral Density in Hip Fractures of the Elderly
Öz: Amaç: Kalça çevresi kırıklarda tespit veya kalça replasmanı kararı vermek bazen kolay olmayabilir. Tespit sonrası implant yetmezliği ihtimalini azaltmak adına femur başında tespit materyallerinin yerleştirildiği bölgelerin kemik mineral yoğunluğunun bilinmesi faydalı olabilir. Bu çalışmada rutin DEXA ölçümü ile ölçülemeyen femur başı primer kompresif trabekül bölgesinin kemik yoğunluğunu belirlemeyi ve proksimal femurun diğer bölgeleri ile olan ilişkisini belirlemeyi amaçladık. Yöntemler: Kalça kırığı nedeniyle hemiartroplasti uygulanan 29 hastadan çıkarılan femur başlarının kemik mineral yoğunlukları DEXA yöntemi ile değerlendirildi. Elde edilen ölçümler hastanın sağlam olan diğer kalça DEXA değerleri ile karşılaştırıldı. Bulgular: Ortalama femur başı primer kompresif trabekül bölgesine ait kemik mineral yoğunluğu (PK-KMY) 0.610 ± 11 (g/cm²) olarak belirlendi. Beklendiği üzere elde edilen KMD değerleri proksimal femurda rutin DEXA ölçümü ile değerlendirilen diğer bölgeler (boyun, Ward's ve toplam proksimal femur) ile uyum gözlenirken, en güçlü ilişki boyun bölgesi KMY yoğunlukları ile gözlendi. Kemik mineral yoğunluklarında cinsiyet açısından herhangi bir fark gözlenmedi. Sonuç: Beklendiği üzere primer kompresif trabekül bölgesi kemik mineral yoğunluğu ile en kuvvetlisi boyun ile olmak üzere, Ward's ve toplam proksimal femur kemik mineral yoğunluğu arasında olumlu ilişki gözlendi. Ameliyat öncesi özellikle boyun bölgesi olmak üzere, sağlam kalçanın kemik mineral yoğunluğunun ölçülmesi tespit yapılması planlanan hastalarda erken mekanik yetmezliğin önlenmesi adına faydalı olabilir.
Anahtar Kelime: Konular:
Yaşlı Kalça Çevresi Kırıklarda Femur Başı Kemik Mineral Yoğunluğunun Değerlendirilmesi
Öz: Objective: It is usually challenging to decide which hip fractures should be fixed and which should be replaced to avoid fixation failure and revision. Therefore, it may be of benefit to evaluate the bone mineral density of the fixation point of the femoral head preoperatively. In this study we tried to investigate the relationship between the bone mineral density (BMD) of the fixation point of femoral head, which is the primary compressive trabeculation area, and other parts of the proximal femur evaluated routinely during Dual-Energy X-ray absorptiometry (DXA) measurements. Methods: Retrieved femoral heads of 29 patients during hemiarthroplasty for hip fracture were evaluated using DXA. These results were correlated with the DXA measurements of proximal femora of uninvolved hips of patients. Results: Mean BMD values of retrieved femoral head primary compressive trabecular region (PC-BMD) values were 0.610 ± 11 (g/cm²). Although there were significant positive correlation of PC-BMD with neck, Ward's and total proximal femoral region as expected, highest correlation coefficient was calculated at femoral neck region. These results did not differ when patients were regrouped according to uninvolved side BMD values as osteoporotic and osteopenic. There were no difference in both sexes in this relationship between values of PC-BMD, neck BMD, Ward's BMD and total BMD. Conclusion: As expected, a positive relationship was found between PC-BMD values and neck BMD, ward's BMD and total BMD values with neck BMD revealing the highest correlation. Preoperative bone mineral densitometric evaluation of the uninvolved hip, especially the neck region seems to be helpful to evaluate the densitometric status of femoral head to predict early failure when fixation was attempted.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | KOYUNCU B, SONGÜR M, Keser S, ŞAHİN E, SARIKAYA S, BAYAR A, KAYMAKÇI O (2016). Estimation of Femoral Head Bone Mineral Density in Hip Fractures of the Elderly. , 5 - 7. |
| Chicago | KOYUNCU Bilal,SONGÜR Murat,Keser Selçuk,ŞAHİN Ercan,SARIKAYA Selda,BAYAR Ahmet,KAYMAKÇI Onur Estimation of Femoral Head Bone Mineral Density in Hip Fractures of the Elderly. (2016): 5 - 7. |
| MLA | KOYUNCU Bilal,SONGÜR Murat,Keser Selçuk,ŞAHİN Ercan,SARIKAYA Selda,BAYAR Ahmet,KAYMAKÇI Onur Estimation of Femoral Head Bone Mineral Density in Hip Fractures of the Elderly. , 2016, ss.5 - 7. |
| AMA | KOYUNCU B,SONGÜR M,Keser S,ŞAHİN E,SARIKAYA S,BAYAR A,KAYMAKÇI O Estimation of Femoral Head Bone Mineral Density in Hip Fractures of the Elderly. . 2016; 5 - 7. |
| Vancouver | KOYUNCU B,SONGÜR M,Keser S,ŞAHİN E,SARIKAYA S,BAYAR A,KAYMAKÇI O Estimation of Femoral Head Bone Mineral Density in Hip Fractures of the Elderly. . 2016; 5 - 7. |
| IEEE | KOYUNCU B,SONGÜR M,Keser S,ŞAHİN E,SARIKAYA S,BAYAR A,KAYMAKÇI O "Estimation of Femoral Head Bone Mineral Density in Hip Fractures of the Elderly." , ss.5 - 7, 2016. |
| ISNAD | KOYUNCU, Bilal vd. "Estimation of Femoral Head Bone Mineral Density in Hip Fractures of the Elderly". (2016), 5-7. |
| APA | KOYUNCU B, SONGÜR M, Keser S, ŞAHİN E, SARIKAYA S, BAYAR A, KAYMAKÇI O (2016). Estimation of Femoral Head Bone Mineral Density in Hip Fractures of the Elderly. Gazi Medical Journal, 27(1), 5 - 7. |
| Chicago | KOYUNCU Bilal,SONGÜR Murat,Keser Selçuk,ŞAHİN Ercan,SARIKAYA Selda,BAYAR Ahmet,KAYMAKÇI Onur Estimation of Femoral Head Bone Mineral Density in Hip Fractures of the Elderly. Gazi Medical Journal 27, no.1 (2016): 5 - 7. |
| MLA | KOYUNCU Bilal,SONGÜR Murat,Keser Selçuk,ŞAHİN Ercan,SARIKAYA Selda,BAYAR Ahmet,KAYMAKÇI Onur Estimation of Femoral Head Bone Mineral Density in Hip Fractures of the Elderly. Gazi Medical Journal, vol.27, no.1, 2016, ss.5 - 7. |
| AMA | KOYUNCU B,SONGÜR M,Keser S,ŞAHİN E,SARIKAYA S,BAYAR A,KAYMAKÇI O Estimation of Femoral Head Bone Mineral Density in Hip Fractures of the Elderly. Gazi Medical Journal. 2016; 27(1): 5 - 7. |
| Vancouver | KOYUNCU B,SONGÜR M,Keser S,ŞAHİN E,SARIKAYA S,BAYAR A,KAYMAKÇI O Estimation of Femoral Head Bone Mineral Density in Hip Fractures of the Elderly. Gazi Medical Journal. 2016; 27(1): 5 - 7. |
| IEEE | KOYUNCU B,SONGÜR M,Keser S,ŞAHİN E,SARIKAYA S,BAYAR A,KAYMAKÇI O "Estimation of Femoral Head Bone Mineral Density in Hip Fractures of the Elderly." Gazi Medical Journal, 27, ss.5 - 7, 2016. |
| ISNAD | KOYUNCU, Bilal vd. "Estimation of Femoral Head Bone Mineral Density in Hip Fractures of the Elderly". Gazi Medical Journal 27/1 (2016), 5-7. |
