{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T06:57:26Z","timestamp":1793861846672,"version":"4.6.1"},"reference-count":34,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2021,2,11]],"date-time":"2021-02-11T00:00:00Z","timestamp":1613001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"},{"start":{"date-parts":[[2021,2,11]],"date-time":"2021-02-11T00:00:00Z","timestamp":1613001600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Osteoporos Int"],"published-print":{"date-parts":[[2021,8]]},"DOI":"10.1007\/s00198-021-05881-y","type":"journal-article","created":{"date-parts":[[2021,2,11]],"date-time":"2021-02-11T23:52:31Z","timestamp":1613087551000},"page":"1661-1668","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":73,"title":["High prevalence and undertreatment of osteoporosis in elderly patients undergoing total hip arthroplasty"],"prefix":"10.1007","volume":"32","author":[{"given":"M.M.","family":"Delsmann","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Strahl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"M\u00fchlenfeld","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.M.","family":"Jandl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.T.","family":"Beil","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Ries","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Rolvien","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,2,11]]},"reference":[{"key":"5881_CR1","doi-asserted-by":"publisher","first-page":"1662","DOI":"10.1016\/S0140-6736(18)31777-X","volume":"392","author":"RJ Ferguson","year":"2018","unstructured":"Ferguson RJ, Palmer AJ, Taylor A, Porter ML, Malchau H, Glyn-Jones S (2018) Hip replacement. Lancet 392:1662\u20131671","journal-title":"Lancet"},{"key":"5881_CR2","doi-asserted-by":"publisher","first-page":"517","DOI":"10.1016\/j.jocd.2019.07.013","volume":"22","author":"PA Anderson","year":"2019","unstructured":"Anderson PA, Morgan SL, Krueger D, Zapalowski C, Tanner B, Jeray KJ, Krohn KD, Lane JP, Yeap SS, Shuhart CR, Shepherd J (2019) Use of bone health evaluation in orthopedic surgery: 2019 ISCD official position. J Clin Densitom 22:517\u2013543","journal-title":"J Clin Densitom"},{"key":"5881_CR3","doi-asserted-by":"publisher","first-page":"8079354","DOI":"10.1155\/2016\/8079354","volume":"2016","author":"GS Maier","year":"2016","unstructured":"Maier GS, Kolbow K, Lazovic D, Maus U (2016) The importance of bone mineral density in hip arthroplasty: results of a survey asking orthopaedic surgeons about their opinions and attitudes concerning osteoporosis and hip arthroplasty. Adv Orthop 2016:8079354","journal-title":"Adv Orthop"},{"key":"5881_CR4","doi-asserted-by":"publisher","first-page":"604","DOI":"10.1302\/2046-3758.812.BJR-2019-0337","volume":"8","author":"S Konan","year":"2019","unstructured":"Konan S, Abdel MP, Haddad FS (2019) Cemented versus uncemented hip implant fixation: should there be age thresholds? Bone Joint Res 8:604\u2013607","journal-title":"Bone Joint Res"},{"key":"5881_CR5","doi-asserted-by":"publisher","first-page":"1041","DOI":"10.1016\/j.bone.2006.11.013","volume":"40","author":"TJ Makinen","year":"2007","unstructured":"Makinen TJ, Alm JJ, Laine H, Svedstrom E, Aro HT (2007) The incidence of osteopenia and osteoporosis in women with hip osteoarthritis scheduled for cementless total joint replacement. Bone 40:1041\u20131047","journal-title":"Bone"},{"key":"5881_CR6","doi-asserted-by":"publisher","first-page":"1347","DOI":"10.1016\/j.arth.2019.03.044","volume":"34","author":"JT Bernatz","year":"2019","unstructured":"Bernatz JT, Brooks AE, Squire MW, Illgen RI 2nd, Binkley NC, Anderson PA (2019) Osteoporosis is common and undertreated prior to total joint arthroplasty. J Arthroplasty 34:1347\u20131353","journal-title":"J Arthroplasty"},{"key":"5881_CR7","doi-asserted-by":"publisher","first-page":"234","DOI":"10.1093\/ageing\/afp222","volume":"39","author":"EA Lingard","year":"2010","unstructured":"Lingard EA, Mitchell SY, Francis RM, Rawlings D, Peaston R, Birrell FN, McCaskie AW (2010) The prevalence of osteoporosis in patients with severe hip and knee osteoarthritis awaiting joint arthroplasty. Age Ageing 39:234\u2013239","journal-title":"Age Ageing"},{"key":"5881_CR8","doi-asserted-by":"publisher","first-page":"2371","DOI":"10.2106\/00004623-200312000-00015","volume":"85","author":"J Glowacki","year":"2003","unstructured":"Glowacki J, Hurwitz S, Thornhill TS, Kelly M, LeBoff MS (2003) Osteoporosis and vitamin-D deficiency among postmenopausal women with osteoarthritis undergoing total hip arthroplasty. J Bone Joint Surg Am 85:2371\u20132377","journal-title":"J Bone Joint Surg Am"},{"key":"5881_CR9","first-page":"247","volume":"12","author":"V Bottai","year":"2015","unstructured":"Bottai V, Dell\u2019Osso G, Celli F, Bugelli G, Cazzella N, Cei E, Guido G, Giannotti S (2015) Total hip replacement in osteoarthritis: the role of bone metabolism and its complications. Clin Cases Miner Bone Metab 12:247\u2013250","journal-title":"Clin Cases Miner Bone Metab"},{"key":"5881_CR10","doi-asserted-by":"crossref","unstructured":"Lindberg-Larsen M, Jorgensen CC, Solgaard S, Kjersgaard AG, Kehlet H, Lunbeck Foundation Centre for Fast-track H, Knee R (2017) Increased risk of intraoperative and early postoperative periprosthetic femoral fracture with uncemented stems. Acta Orthop 88:390-394","DOI":"10.1080\/17453674.2017.1302908"},{"key":"5881_CR11","doi-asserted-by":"publisher","first-page":"189","DOI":"10.11138\/ccmbm\/2017.14.1.189","volume":"14","author":"A Capone","year":"2017","unstructured":"Capone A, Congia S, Civinini R, Marongiu G (2017) Periprosthetic fractures: epidemiology and current treatment. Clin Cases Miner Bone Metab 14:189\u2013196","journal-title":"Clin Cases Miner Bone Metab"},{"key":"5881_CR12","doi-asserted-by":"publisher","first-page":"1400","DOI":"10.1016\/j.arth.2019.03.031","volume":"34","author":"B Liu","year":"2019","unstructured":"Liu B, Ma W, Li H, Wu T, Huo J, Han Y (2019) Incidence, classification, and risk factors for intraoperative periprosthetic femoral fractures in patients undergoing total hip arthroplasty with a single stem: a retrospective study. J Arthroplasty 34:1400\u20131411","journal-title":"J Arthroplasty"},{"key":"5881_CR13","unstructured":"(2017) Prophylaxe, Diagnostik und Therapie der Osteoporose bei postmenopausalen Frauen und M\u00e4nnern. Dachverband der Deutschsprachigen Wissenschaftlichen Osteologischen Gesellschaft. https:\/\/www.dv-osteologie.org\/uploads\/Leitlinie%202017\/Finale%20Version%20Leitlinie%20Osteoporose%202017_end.pdf"},{"key":"5881_CR14","doi-asserted-by":"publisher","first-page":"494","DOI":"10.1136\/ard.16.4.494","volume":"16","author":"JH Kellgren","year":"1957","unstructured":"Kellgren JH, Lawrence JS (1957) Radiological assessment of osteo-arthrosis. Ann Rheum Dis 16:494\u2013502","journal-title":"Ann Rheum Dis"},{"key":"5881_CR15","doi-asserted-by":"publisher","first-page":"2104","DOI":"10.1177\/0300060517732697","volume":"46","author":"D Apostu","year":"2018","unstructured":"Apostu D, Lucaciu O, Berce C, Lucaciu D, Cosma D (2018) Current methods of preventing aseptic loosening and improving osseointegration of titanium implants in cementless total hip arthroplasty: a review. J Int Med Res 46:2104\u20132119","journal-title":"J Int Med Res"},{"key":"5881_CR16","doi-asserted-by":"crossref","unstructured":"Pilliar RM, Lee JM, Maniatopoulos C (1986) Observations on the effect of movement on bone ingrowth into porous-surfaced implants. Clin Orthop Relat Res 108-113","DOI":"10.1097\/00003086-198607000-00023"},{"key":"5881_CR17","doi-asserted-by":"publisher","first-page":"107","DOI":"10.3109\/17453674.2012.678798","volume":"83","author":"HT Aro","year":"2012","unstructured":"Aro HT, Alm JJ, Moritz N, Makinen TJ, Lankinen P (2012) Low BMD affects initial stability and delays stem osseointegration in cementless total hip arthroplasty in women: a 2-year RSA study of 39 patients. Acta Orthop 83:107\u2013114","journal-title":"Acta Orthop"},{"key":"5881_CR18","doi-asserted-by":"publisher","first-page":"e0158411","DOI":"10.1371\/journal.pone.0158411","volume":"11","author":"S Gabarre","year":"2016","unstructured":"Gabarre S, Herrera A, Ibarz E, Mateo J, Gil-Albarova J, Gracia L (2016) Comparative analysis of the biomechanical behaviour of two cementless short stems for hip replacement: linea anatomic and minihip. PLoS One 11:e0158411","journal-title":"PLoS One"},{"key":"5881_CR19","doi-asserted-by":"publisher","first-page":"371","DOI":"10.1007\/s11926-013-0371-x","volume":"15","author":"LA Russell","year":"2013","unstructured":"Russell LA (2013) Osteoporosis and orthopedic surgery: effect of bone health on total joint arthroplasty outcome. Curr Rheumatol Rep 15:371","journal-title":"Curr Rheumatol Rep"},{"key":"5881_CR20","doi-asserted-by":"publisher","first-page":"691","DOI":"10.1016\/S0736-0266(02)00237-1","volume":"21","author":"JM Wilkinson","year":"2003","unstructured":"Wilkinson JM, Hamer AJ, Rogers A, Stockley I, Eastell R (2003) Bone mineral density and biochemical markers of bone turnover in aseptic loosening after total hip arthroplasty. J Orthop Res 21:691\u2013696","journal-title":"J Orthop Res"},{"key":"5881_CR21","doi-asserted-by":"publisher","first-page":"461","DOI":"10.1302\/0301-620X.98B4.37201","volume":"98-B","author":"MP Abdel","year":"2016","unstructured":"Abdel MP, Watts CD, Houdek MT, Lewallen DG, Berry DJ (2016) Epidemiology of periprosthetic fracture of the femur in 32 644 primary total hip arthroplasties: a 40-year experience. Bone Joint J 98-B:461\u2013467","journal-title":"Bone Joint J"},{"key":"5881_CR22","doi-asserted-by":"publisher","first-page":"S352","DOI":"10.1016\/j.arth.2019.02.004","volume":"34","author":"BD Springer","year":"2019","unstructured":"Springer BD, Etkin CD, Shores PB, Gioe TJ, Lewallen DG, Bozic KJ (2019) Perioperative periprosthetic femur fractures are strongly correlated with fixation method: an analysis from the American Joint Replacement Registry. J Arthroplasty 34:S352\u2013S354","journal-title":"J Arthroplasty"},{"key":"5881_CR23","doi-asserted-by":"publisher","first-page":"e10217","DOI":"10.1002\/jbm4.10217","volume":"3","author":"HT Aro","year":"2019","unstructured":"Aro HT, Nazari-Farsani S, Vuopio M, Loyttyniemi E, Mattila K (2019) Effect of denosumab on femoral periprosthetic BMD and early femoral stem subsidence in postmenopausal women undergoing cementless total hip arthroplasty. JBMR Plus 3:e10217","journal-title":"JBMR Plus"},{"key":"5881_CR24","doi-asserted-by":"publisher","first-page":"e0139927","DOI":"10.1371\/journal.pone.0139927","volume":"10","author":"S Teng","year":"2015","unstructured":"Teng S, Yi C, Krettek C, Jagodzinski M (2015) Bisphosphonate use and risk of implant revision after total hip\/knee arthroplasty: a meta-analysis of observational studies. PLoS One 10:e0139927","journal-title":"PLoS One"},{"key":"5881_CR25","doi-asserted-by":"publisher","first-page":"912","DOI":"10.1080\/17453670610013213","volume":"77","author":"M Hilding","year":"2006","unstructured":"Hilding M, Aspenberg P (2006) Postoperative clodronate decreases prosthetic migration: 4-year follow-up of a randomized radiostereometric study of 50 total knee patients. Acta Orthop 77:912\u2013916","journal-title":"Acta Orthop"},{"key":"5881_CR26","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1186\/s13018-018-0918-7","volume":"13","author":"J Shi","year":"2018","unstructured":"Shi J, Liang G, Huang R, Liao L, Qin D (2018) Effects of bisphosphonates in preventing periprosthetic bone loss following total hip arthroplasty: a systematic review and meta-analysis. J Orthop Surg Res 13:225","journal-title":"J Orthop Surg Res"},{"key":"5881_CR27","doi-asserted-by":"publisher","first-page":"1823","DOI":"10.1007\/s00198-011-1797-5","volume":"23","author":"T Lin","year":"2012","unstructured":"Lin T, Yan SG, Cai XZ, Ying ZM (2012) Bisphosphonates for periprosthetic bone loss after joint arthroplasty: a meta-analysis of 14 randomized controlled trials. Osteoporos Int 23:1823\u20131834","journal-title":"Osteoporos Int"},{"key":"5881_CR28","doi-asserted-by":"publisher","first-page":"3412","DOI":"10.1007\/s11999-015-4263-4","volume":"473","author":"M Khatod","year":"2015","unstructured":"Khatod M, Inacio MC, Dell RM, Bini SA, Paxton EW, Namba RS (2015) Association of bisphosphonate use and risk of revision after THA: outcomes from a US total joint replacement registry. Clin Orthop Relat Res 473:3412\u20133420","journal-title":"Clin Orthop Relat Res"},{"key":"5881_CR29","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1007\/s11657-018-0522-9","volume":"13","author":"CC Hung","year":"2018","unstructured":"Hung CC, Wang CY, Fu SH, Yang RS, Hsiao FY (2018) Effects of anti-osteoporosis medications on total hip arthroplasty risks in osteoporotic patients with hip osteoarthritis in Taiwan: a nationwide cohort study. Arch Osteoporos 13:107","journal-title":"Arch Osteoporos"},{"key":"5881_CR30","doi-asserted-by":"publisher","first-page":"938","DOI":"10.2106\/JBJS.16.00385","volume":"99","author":"SH Fu","year":"2017","unstructured":"Fu SH, Wang CY, Yang RS, Wu FL, Hsiao FY (2017) Bisphosphonate use and the risk of undergoing total knee arthroplasty in osteoporotic patients with osteoarthritis: a nationwide cohort study in Taiwan. J Bone Joint Surg Am 99:938\u2013946","journal-title":"J Bone Joint Surg Am"},{"key":"5881_CR31","doi-asserted-by":"publisher","first-page":"92","DOI":"10.1136\/annrheumdis-2017-211811","volume":"77","author":"T Neogi","year":"2018","unstructured":"Neogi T, Li S, Peloquin C, Misra D, Zhang Y (2018) Effect of bisphosphonates on knee replacement surgery. Ann Rheum Dis 77:92\u201397","journal-title":"Ann Rheum Dis"},{"key":"5881_CR32","doi-asserted-by":"publisher","first-page":"305","DOI":"10.1359\/jbmr.090728","volume":"25","author":"M Priemel","year":"2010","unstructured":"Priemel M, von Domarus C, Klatte TO, Kessler S, Schlie J, Meier S, Proksch N, Pastor F, Netter C, Streichert T, Puschel K, Amling M (2010) Bone mineralization defects and vitamin D deficiency: histomorphometric analysis of iliac crest bone biopsies and circulating 25-hydroxyvitamin D in 675 patients. J Bone Miner Res 25:305\u2013312","journal-title":"J Bone Miner Res"},{"key":"5881_CR33","unstructured":"(2019) Endoprothesenregister Deutschland (EPRD). Jahresbericht 2019. https:\/\/www.eprd.de\/fileadmin\/user_upload\/Jahresbericht_2019_doppelseite_2.0.pdf"},{"key":"5881_CR34","doi-asserted-by":"publisher","first-page":"445","DOI":"10.1080\/17453674.2019.1634331","volume":"90","author":"A Klasan","year":"2019","unstructured":"Klasan A, Baumlein M, Bliemel C, Putnis SE, Neri T, Schofer MD, Heyse TJ (2019) Cementing of the hip arthroplasty stem increases load-to-failure force: a cadaveric study. Acta Orthop 90:445\u2013449","journal-title":"Acta Orthop"}],"container-title":["Osteoporosis International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00198-021-05881-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00198-021-05881-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00198-021-05881-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,19]],"date-time":"2021-08-19T05:09:35Z","timestamp":1629349775000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00198-021-05881-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,11]]},"references-count":34,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2021,8]]}},"alternative-id":["5881"],"URL":"https:\/\/doi.org\/10.1007\/s00198-021-05881-y","relation":{},"ISSN":["0937-941X","1433-2965"],"issn-type":[{"value":"0937-941X","type":"print"},{"value":"1433-2965","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2,11]]},"assertion":[{"value":"25 November 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 February 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 February 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 April 2021","order":4,"name":"change_date","label":"Change Date","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Update","order":5,"name":"change_type","label":"Change Type","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The following funding note was missing \"Open Access funding enabled and organized by Projekt DEAL.\"","order":6,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"A retrospective chart analysis was conducted in all study patients. Data were anonymized before analysis. Therefore, the need of ethic approval was waived.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"The authors declare that informed consent was obtained in all patients.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"None.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of interest"}}]}}