Intraoperative physician assessment during total hip arthroplasty correlates with DXA parameters
Authors' conclusion
IPA during THA is a simple, valuable tool for quantifying bone status based on tactile feedback.
Study context
- Population
- Patients undergoing primary total hip arthroplasty (THA) with intraoperative physician assessment (IPA) recorded in the operative report and a DXA within 2 years before surgery64 hips
- Participants
- 60 patients
- Exposure
- IPA score vs DXA bone mineral density (BMD) and T-score, 3D Shaper measurements, WHO classification, FRAX scores, Dorr classification and cortical index
- Outcome
- Correlation of IPA score (5-point scale, 1 = excellent; 5 = poor) with DXA and related bone parameters
Methodological detailsretrospective analysis
- Retrospective analysis
Main finding
As reported in the abstract
Correlation of IPA score with bone parameters
- Strong correlation with lowest T-score, WHO classification, and FRAX major and hip fracture scores (r = ± 0.485-0.622, all p < 0.001)
- Moderate correlation with total hip BMD and 3D Shaper measurements (trabecular volumetric BMD, cortical surface BMD, cortical thickness) (r = ± 0.326-0.386, all p < 0.01)
- All patients with below-average IPA scores had osteopenia or osteoporosis by DXA
Observational data: associations, not effects.
Original publication
Intraoperative physician assessment during total hip arthroplasty correlates with DXA parameters. Osteoporos Int. Published 6 September 2024. doi:10.
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