{"id":932,"date":"2026-02-02T08:43:52","date_gmt":"2026-02-02T08:43:52","guid":{"rendered":"https:\/\/www.doctorwat.com\/?p=932"},"modified":"2026-02-02T08:49:49","modified_gmt":"2026-02-02T08:49:49","slug":"bone-health-optimization-before-joint-replacement","status":"publish","type":"post","link":"https:\/\/www.doctorwat.com\/en\/bone-health-optimization-before-joint-replacement\/","title":{"rendered":"\u0e01\u0e32\u0e23\u0e1b\u0e23\u0e31\u0e1a\u0e1b\u0e23\u0e38\u0e07\u0e2a\u0e38\u0e02\u0e20\u0e32\u0e1e\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01\u0e43\u0e2b\u0e49\u0e40\u0e2b\u0e21\u0e32\u0e30\u0e2a\u0e21\u0e01\u0e48\u0e2d\u0e19\u0e01\u0e32\u0e23\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14\u0e40\u0e1b\u0e25\u0e35\u0e48\u0e22\u0e19\u0e02\u0e49\u0e2d"},"content":{"rendered":"

\u0e04\u0e27\u0e32\u0e21\u0e2a\u0e33\u0e04\u0e31\u0e0d\u0e02\u0e2d\u0e07\u0e20\u0e32\u0e27\u0e30\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01\u0e1e\u0e23\u0e38\u0e19\u0e15\u0e48\u0e2d\u0e01\u0e32\u0e23\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14\u0e40\u0e1b\u0e25\u0e35\u0e48\u0e22\u0e19\u0e02\u0e49\u0e2d\u0e40\u0e17\u0e35\u0e22\u0e21<\/strong><\/h2>\n\n\n\n

            \u0e01\u0e32\u0e23\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14\u0e40\u0e1b\u0e25\u0e35\u0e48\u0e22\u0e19\u0e02\u0e49\u0e2d\u0e2a\u0e30\u0e42\u0e1e\u0e01\u0e40\u0e17\u0e35\u0e22\u0e21 (THA) \u0e41\u0e25\u0e30\u0e01\u0e32\u0e23\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14\u0e40\u0e1b\u0e25\u0e35\u0e48\u0e22\u0e19\u0e02\u0e49\u0e2d\u0e40\u0e02\u0e48\u0e32\u0e40\u0e17\u0e35\u0e22\u0e21 (TKA) \u0e40\u0e1b\u0e47\u0e19\u0e2b\u0e19\u0e36\u0e48\u0e07\u0e43\u0e19\u0e2b\u0e31\u0e15\u0e16\u0e01\u0e32\u0e23\u0e40\u0e01\u0e35\u0e48\u0e22\u0e27\u0e01\u0e31\u0e1a\u0e28\u0e31\u0e25\u0e22\u0e01\u0e23\u0e23\u0e21\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01\u0e17\u0e35\u0e48\u0e1e\u0e1a\u0e1a\u0e48\u0e2d\u0e22\u0e17\u0e35\u0e48\u0e2a\u0e38\u0e141<\/sup> \u0e42\u0e14\u0e22\u0e1e\u0e1a\u0e27\u0e48\u0e32\u0e42\u0e23\u0e04\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01\u0e1e\u0e23\u0e38\u0e19\u0e40\u0e1b\u0e47\u0e19\u0e1b\u0e31\u0e08\u0e08\u0e31\u0e22\u0e40\u0e2a\u0e35\u0e48\u0e22\u0e07\u0e41\u0e25\u0e30\u0e21\u0e35\u0e1c\u0e25\u0e15\u0e48\u0e2d\u0e1c\u0e25\u0e25\u0e31\u0e1e\u0e18\u0e4c\u0e04\u0e27\u0e32\u0e21\u0e2a\u0e33\u0e40\u0e23\u0e47\u0e08\u0e2a\u0e33\u0e2b\u0e23\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14\u0e40\u0e1b\u0e25\u0e35\u0e48\u0e22\u0e19\u0e02\u0e49\u0e2d\u0e40\u0e17\u0e35\u0e22\u0e21 (TJA) \u0e20\u0e32\u0e27\u0e30\u0e41\u0e17\u0e23\u0e01\u0e0b\u0e49\u0e2d\u0e19\u0e17\u0e35\u0e48\u0e40\u0e01\u0e35\u0e48\u0e22\u0e27\u0e02\u0e49\u0e2d\u0e07\u0e01\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14 TJA \u0e44\u0e14\u0e49\u0e41\u0e01\u0e48 \u0e01\u0e32\u0e23\u0e41\u0e15\u0e01\u0e2b\u0e31\u0e01\u0e02\u0e2d\u0e07\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01\u0e02\u0e13\u0e30\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14 (intraoperative fracture) \u0e01\u0e32\u0e23\u0e2b\u0e25\u0e27\u0e21\u0e02\u0e2d\u0e07\u0e02\u0e49\u0e2d\u0e40\u0e17\u0e35\u0e22\u0e21\u0e41\u0e1a\u0e1a\u0e1b\u0e25\u0e2d\u0e14\u0e40\u0e0a\u0e37\u0e49\u0e2d (aseptic loosening) \u0e41\u0e25\u0e30\u0e01\u0e32\u0e23\u0e41\u0e15\u0e01\u0e2b\u0e31\u0e01\u0e02\u0e2d\u0e07\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01\u0e23\u0e2d\u0e1a\u0e02\u0e49\u0e2d\u0e40\u0e17\u0e35\u0e22\u0e21 (periprosthetic fracture)2 <\/sup> \u0e21\u0e35\u0e01\u0e32\u0e23\u0e28\u0e36\u0e01\u0e29\u0e32\u0e1e\u0e1a\u0e27\u0e48\u0e32\u0e42\u0e23\u0e04\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01\u0e1e\u0e23\u0e38\u0e19\u0e17\u0e33\u0e43\u0e2b\u0e49\u0e40\u0e01\u0e34\u0e14\u0e01\u0e32\u0e23\u0e41\u0e15\u0e01\u0e2b\u0e31\u0e01\u0e02\u0e2d\u0e07\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01\u0e23\u0e2d\u0e1a\u0e02\u0e49\u0e2d\u0e40\u0e17\u0e35\u0e22\u0e21\u0e40\u0e1e\u0e34\u0e48\u0e21\u0e02\u0e36\u0e49\u0e19 0.3-5.5% \u0e2b\u0e25\u0e31\u0e07\u0e08\u0e32\u0e01\u0e01\u0e32\u0e23\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14\u0e40\u0e1b\u0e25\u0e35\u0e48\u0e22\u0e19\u0e02\u0e49\u0e2d\u0e40\u0e17\u0e35\u0e22\u0e21\u0e04\u0e23\u0e31\u0e49\u0e07\u0e41\u0e23\u0e01 \u0e41\u0e25\u0e30\u0e1e\u0e1a\u0e16\u0e36\u0e07 30% \u0e2b\u0e25\u0e31\u0e07\u0e01\u0e32\u0e23\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14\u0e40\u0e1b\u0e25\u0e35\u0e48\u0e22\u0e19\u0e02\u0e49\u0e2d\u0e40\u0e17\u0e35\u0e22\u0e21\u0e43\u0e2b\u0e21\u0e48\u0e0b\u0e49\u0e333,4<\/sup><\/p>\n\n\n\n

\u0e08\u0e32\u0e01\u0e01\u0e32\u0e23\u0e28\u0e36\u0e01\u0e29\u0e32\u0e40\u0e01\u0e35\u0e48\u0e22\u0e27\u0e01\u0e31\u0e1a\u0e2d\u0e38\u0e1a\u0e31\u0e15\u0e34\u0e01\u0e32\u0e23\u0e13\u0e4c\u0e02\u0e2d\u0e07\u0e42\u0e23\u0e04\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01\u0e1e\u0e23\u0e38\u0e19\u0e43\u0e19\u0e1c\u0e39\u0e49\u0e1b\u0e48\u0e27\u0e22\u0e17\u0e35\u0e48\u0e17\u0e33\u0e01\u0e32\u0e23\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14 TJA \u0e1e\u0e1a\u0e27\u0e48\u0e32 36.7% \u0e02\u0e2d\u0e07\u0e1c\u0e39\u0e49\u0e1b\u0e48\u0e27\u0e22\u0e17\u0e35\u0e48\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14\u0e40\u0e1b\u0e47\u0e19\u0e42\u0e23\u0e04\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01\u0e1e\u0e23\u0e38\u0e195,6<\/sup> \u0e19\u0e2d\u0e01\u0e08\u0e32\u0e01\u0e19\u0e35\u0e49\u0e1c\u0e39\u0e49\u0e1b\u0e48\u0e27\u0e22\u0e17\u0e35\u0e48\u0e44\u0e14\u0e49\u0e23\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14 TJA \u0e08\u0e30\u0e21\u0e35\u0e04\u0e27\u0e32\u0e21\u0e40\u0e2a\u0e35\u0e48\u0e22\u0e07\u0e43\u0e19\u0e01\u0e32\u0e23\u0e40\u0e01\u0e34\u0e14\u0e42\u0e23\u0e04\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01\u0e1e\u0e23\u0e38\u0e19\u0e2b\u0e25\u0e31\u0e07\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14\u0e40\u0e1e\u0e34\u0e48\u0e21\u0e02\u0e36\u0e49\u0e19\u0e40\u0e19\u0e37\u0e48\u0e2d\u0e07\u0e08\u0e32\u0e01\u0e21\u0e35\u0e01\u0e32\u0e23\u0e2a\u0e39\u0e0d\u0e40\u0e2a\u0e35\u0e22\u0e21\u0e27\u0e25\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01\u0e2b\u0e25\u0e31\u0e07\u0e01\u0e32\u0e23\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14 \u0e42\u0e14\u0e22\u0e1e\u0e1a\u0e27\u0e48\u0e32\u0e21\u0e35\u0e01\u0e32\u0e23\u0e2a\u0e39\u0e0d\u0e40\u0e2a\u0e35\u0e22\u0e21\u0e27\u0e25\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01\u0e40\u0e1e\u0e34\u0e48\u0e21\u0e02\u0e36\u0e49\u0e19\u0e16\u0e36\u0e07 20% \u0e23\u0e2d\u0e1a\u0e46 \u0e01\u0e23\u0e30\u0e14\u0e39\u0e01\u0e17\u0e35\u0e48\u0e17\u0e33\u0e01\u0e32\u0e23\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14 TJA7,8<\/sup><\/p>\n\n\n\n

\u0e22\u0e32\u0e23\u0e31\u0e01\u0e29\u0e32\u0e42\u0e23\u0e04\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01\u0e1e\u0e23\u0e38\u0e19\u0e01\u0e31\u0e1a\u0e1c\u0e25\u0e25\u0e31\u0e1e\u0e18\u0e4c\u0e43\u0e19\u0e01\u0e32\u0e23\u0e1b\u0e23\u0e31\u0e1a\u0e1b\u0e23\u0e38\u0e07\u0e2a\u0e38\u0e02\u0e20\u0e32\u0e1e\u0e02\u0e2d\u0e07\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01<\/strong><\/h2>\n\n\n\n

\u0e21\u0e35\u0e2b\u0e25\u0e31\u0e01\u0e10\u0e32\u0e19\u0e17\u0e35\u0e48\u0e41\u0e2a\u0e14\u0e07\u0e43\u0e2b\u0e49\u0e40\u0e2b\u0e47\u0e19\u0e27\u0e48\u0e32\u0e01\u0e32\u0e23\u0e43\u0e2b\u0e49\u0e22\u0e32\u0e15\u0e49\u0e32\u0e19\u0e01\u0e32\u0e23\u0e2a\u0e25\u0e32\u0e22\u0e02\u0e2d\u0e07\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01 (antiresorptive agents) \u0e2a\u0e32\u0e21\u0e32\u0e23\u0e16\u0e25\u0e14\u0e01\u0e32\u0e23\u0e2a\u0e39\u0e0d\u0e40\u0e2a\u0e35\u0e22\u0e21\u0e27\u0e25\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01\u0e2b\u0e25\u0e31\u0e07\u0e01\u0e32\u0e23\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14 TJA \u0e44\u0e14\u0e499<\/sup> \u0e08\u0e32\u0e01\u0e01\u0e32\u0e23\u0e28\u0e36\u0e01\u0e29\u0e32\u0e02\u0e2d\u0e07 Ro \u0e41\u0e25\u0e30\u0e04\u0e13\u0e301<\/sup>3<\/sup> \u0e1e\u0e1a\u0e27\u0e48\u0e32\u0e1c\u0e39\u0e49\u0e1b\u0e48\u0e27\u0e22\u0e17\u0e35\u0e48\u0e44\u0e14\u0e49\u0e23\u0e31\u0e1a\u0e22\u0e32 bisphosphonates \u0e21\u0e35\u0e2d\u0e31\u0e15\u0e23\u0e32\u0e01\u0e32\u0e23\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14 TKA \u0e43\u0e2b\u0e21\u0e48\u0e0b\u0e49\u0e33\u0e15\u0e48\u0e33\u0e01\u0e27\u0e48\u0e32\u0e1c\u0e39\u0e49\u0e1b\u0e48\u0e27\u0e22\u0e17\u0e35\u0e48\u0e44\u0e21\u0e48\u0e44\u0e14\u0e49\u0e23\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e23\u0e31\u0e01\u0e29\u0e32\u0e14\u0e49\u0e27\u0e22\u0e22\u0e32 (1.5% \u0e40\u0e17\u0e35\u0e22\u0e1a\u0e01\u0e31\u0e1a 2.9%) \u0e2a\u0e2d\u0e14\u0e04\u0e25\u0e49\u0e2d\u0e07\u0e01\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e28\u0e36\u0e01\u0e29\u0e32\u0e43\u0e19\u0e1c\u0e39\u0e49\u0e1b\u0e48\u0e27\u0e22\u0e17\u0e35\u0e48\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14 THA \u0e41\u0e25\u0e30\u0e44\u0e14\u0e49\u0e23\u0e31\u0e1a\u0e22\u0e32 bisphosphonates \u0e08\u0e30\u0e21\u0e35\u0e2d\u0e31\u0e15\u0e23\u0e32\u0e01\u0e32\u0e23\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14 THA \u0e43\u0e2b\u0e21\u0e48\u0e0b\u0e49\u0e33\u0e15\u0e48\u0e33\u0e01\u0e27\u0e48\u0e32\u0e01\u0e25\u0e38\u0e48\u0e21\u0e1c\u0e39\u0e49\u0e1b\u0e48\u0e27\u0e22\u0e17\u0e35\u0e48\u0e44\u0e21\u0e48\u0e44\u0e14\u0e49\u0e23\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e23\u0e31\u0e01\u0e29\u0e32\u0e14\u0e49\u0e27\u0e22\u0e22\u0e32 (2.8% \u0e40\u0e17\u0e35\u0e22\u0e1a\u0e01\u0e31\u0e1a 5.3%) \u0e2d\u0e35\u0e01\u0e14\u0e49\u0e27\u0e221<\/sup>0<\/sup> \u0e19\u0e2d\u0e01\u0e08\u0e32\u0e01\u0e19\u0e35\u0e49\u0e22\u0e31\u0e07\u0e21\u0e35\u0e01\u0e32\u0e23\u0e28\u0e36\u0e01\u0e29\u0e32\u0e41\u0e1a\u0e1a meta-analysis \u0e17\u0e35\u0e48\u0e41\u0e2a\u0e14\u0e07\u0e43\u0e2b\u0e49\u0e40\u0e2b\u0e47\u0e19\u0e27\u0e48\u0e32\u0e01\u0e32\u0e23\u0e43\u0e2b\u0e49\u0e22\u0e32 bisphosphonates \u0e2a\u0e32\u0e21\u0e32\u0e23\u0e16\u0e25\u0e14\u0e2d\u0e31\u0e15\u0e23\u0e32\u0e01\u0e32\u0e23\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14 TJA \u0e43\u0e2b\u0e21\u0e48\u0e0b\u0e49\u0e33\u0e44\u0e14\u0e49\u0e16\u0e36\u0e07 50%1<\/sup>1<\/sup><\/p>\n\n\n\n

\u0e41\u0e19\u0e27\u0e17\u0e32\u0e07\u0e01\u0e32\u0e23\u0e1b\u0e23\u0e30\u0e40\u0e21\u0e34\u0e19\u0e41\u0e25\u0e30\u0e23\u0e31\u0e01\u0e29\u0e32\u0e42\u0e23\u0e04\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01\u0e1e\u0e23\u0e38\u0e19\u0e01\u0e48\u0e2d\u0e19\u0e01\u0e32\u0e23\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14 TJA<\/strong><\/h2>\n\n\n\n
\"\"<\/figure>\n\n\n\n

\u0e2a\u0e23\u0e38\u0e1b<\/strong><\/h2>\n\n\n\n

            \u0e42\u0e23\u0e04\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01\u0e1e\u0e23\u0e38\u0e19\u0e40\u0e1b\u0e47\u0e19\u0e42\u0e23\u0e04\u0e17\u0e35\u0e48\u0e1e\u0e1a\u0e44\u0e14\u0e49\u0e1a\u0e48\u0e2d\u0e22\u0e42\u0e14\u0e22\u0e40\u0e09\u0e1e\u0e32\u0e30\u0e01\u0e48\u0e2d\u0e19\u0e17\u0e35\u0e48\u0e1c\u0e39\u0e49\u0e1b\u0e48\u0e27\u0e22\u0e08\u0e30\u0e44\u0e14\u0e49\u0e23\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14 TJA \u0e41\u0e15\u0e48\u0e1c\u0e39\u0e49\u0e1b\u0e48\u0e27\u0e22\u0e2a\u0e48\u0e27\u0e19\u0e43\u0e2b\u0e0d\u0e48\u0e22\u0e31\u0e07\u0e44\u0e14\u0e49\u0e23\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\u0e04\u0e31\u0e14\u0e01\u0e23\u0e2d\u0e07 \u0e1b\u0e23\u0e30\u0e40\u0e21\u0e34\u0e19\u0e04\u0e27\u0e32\u0e21\u0e40\u0e2a\u0e35\u0e48\u0e22\u0e07 \u0e41\u0e25\u0e30\u0e43\u0e2b\u0e49\u0e01\u0e32\u0e23\u0e23\u0e31\u0e01\u0e29\u0e32\u0e42\u0e23\u0e04\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01\u0e1e\u0e23\u0e38\u0e19\u0e01\u0e48\u0e2d\u0e19\u0e01\u0e32\u0e23\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14 TJA \u0e19\u0e49\u0e2d\u0e22\u0e21\u0e32\u0e01 \u0e42\u0e23\u0e04\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01\u0e1e\u0e23\u0e38\u0e19\u0e17\u0e35\u0e48\u0e40\u0e01\u0e34\u0e14\u0e02\u0e36\u0e49\u0e19\u0e23\u0e48\u0e27\u0e21\u0e01\u0e31\u0e1a\u0e42\u0e23\u0e04\u0e02\u0e49\u0e2d\u0e40\u0e2a\u0e37\u0e48\u0e2d\u0e21\u0e2a\u0e48\u0e07\u0e1c\u0e25\u0e15\u0e48\u0e2d\u0e1c\u0e25\u0e25\u0e31\u0e1e\u0e18\u0e4c\u0e2b\u0e25\u0e31\u0e07\u0e01\u0e32\u0e23\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14\u0e17\u0e35\u0e48\u0e41\u0e22\u0e48\u0e25\u0e07 \u0e40\u0e0a\u0e48\u0e19 \u0e01\u0e32\u0e23\u0e41\u0e15\u0e01\u0e2b\u0e31\u0e01\u0e02\u0e2d\u0e07\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01\u0e02\u0e13\u0e30\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14 \u0e01\u0e32\u0e23\u0e2b\u0e25\u0e27\u0e21\u0e02\u0e2d\u0e07\u0e02\u0e49\u0e2d\u0e40\u0e17\u0e35\u0e22\u0e21\u0e41\u0e1a\u0e1a\u0e1b\u0e25\u0e2d\u0e14\u0e40\u0e0a\u0e37\u0e49\u0e2d \u0e41\u0e25\u0e30\u0e01\u0e32\u0e23\u0e41\u0e15\u0e01\u0e2b\u0e31\u0e01\u0e02\u0e2d\u0e07\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01\u0e23\u0e2d\u0e1a\u0e02\u0e49\u0e2d\u0e40\u0e17\u0e35\u0e22\u0e21 \u0e01\u0e32\u0e23\u0e43\u0e2b\u0e49\u0e22\u0e32\u0e17\u0e31\u0e49\u0e07\u0e43\u0e19\u0e01\u0e25\u0e38\u0e48\u0e21\u0e15\u0e49\u0e32\u0e19\u0e01\u0e32\u0e23\u0e2a\u0e25\u0e32\u0e22\u0e02\u0e2d\u0e07\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01\u0e41\u0e25\u0e30\u0e01\u0e25\u0e38\u0e48\u0e21\u0e01\u0e23\u0e30\u0e15\u0e38\u0e49\u0e19\u0e01\u0e32\u0e23\u0e2a\u0e23\u0e49\u0e32\u0e07\u0e02\u0e2d\u0e07\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01 \u0e2a\u0e32\u0e21\u0e32\u0e23\u0e16\u0e2a\u0e48\u0e07\u0e40\u0e2a\u0e23\u0e34\u0e21\u0e17\u0e33\u0e43\u0e2b\u0e49\u0e1c\u0e25\u0e25\u0e31\u0e1e\u0e18\u0e4c\u0e17\u0e32\u0e07\u0e23\u0e31\u0e07\u0e2a\u0e35\u0e27\u0e34\u0e17\u0e22\u0e32\u0e41\u0e25\u0e30\u0e17\u0e32\u0e07\u0e04\u0e25\u0e34\u0e19\u0e34\u0e01\u0e14\u0e35\u0e02\u0e36\u0e49\u0e19\u0e44\u0e14\u0e49 \u0e14\u0e31\u0e07\u0e19\u0e31\u0e49\u0e19\u0e01\u0e32\u0e23\u0e1b\u0e23\u0e30\u0e40\u0e21\u0e34\u0e19\u0e41\u0e25\u0e30\u0e01\u0e32\u0e23\u0e1b\u0e23\u0e31\u0e1a\u0e1b\u0e23\u0e38\u0e07\u0e2a\u0e38\u0e02\u0e20\u0e32\u0e1e\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01\u0e43\u0e2b\u0e49\u0e14\u0e35\u0e02\u0e36\u0e49\u0e19\u0e42\u0e14\u0e22\u0e43\u0e0a\u0e49\u0e22\u0e32\u0e23\u0e31\u0e01\u0e29\u0e32\u0e42\u0e23\u0e04\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01\u0e1e\u0e23\u0e38\u0e19\u0e04\u0e27\u0e23\u0e15\u0e49\u0e2d\u0e07\u0e17\u0e33\u0e15\u0e31\u0e49\u0e07\u0e41\u0e15\u0e48\u0e01\u0e48\u0e2d\u0e19\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14 TJA \u0e1b\u0e23\u0e30\u0e21\u0e32\u0e13 2-6 \u0e40\u0e14\u0e37\u0e2d\u0e19 \u0e41\u0e25\u0e30\u0e04\u0e27\u0e23\u0e17\u0e33\u0e15\u0e48\u0e2d\u0e40\u0e19\u0e37\u0e48\u0e2d\u0e07\u0e2b\u0e25\u0e31\u0e07\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14\u0e2d\u0e22\u0e48\u0e32\u0e07\u0e19\u0e49\u0e2d\u0e22 1-2 \u0e1b\u0e35 \u0e40\u0e1e\u0e37\u0e48\u0e2d\u0e17\u0e33\u0e43\u0e2b\u0e49\u0e44\u0e14\u0e49\u0e1c\u0e25\u0e25\u0e31\u0e1e\u0e18\u0e4c\u0e43\u0e19\u0e01\u0e32\u0e23\u0e23\u0e31\u0e01\u0e29\u0e32\u0e17\u0e35\u0e48\u0e14\u0e35\u0e02\u0e36\u0e49\u0e19 \u0e23\u0e27\u0e21\u0e17\u0e31\u0e49\u0e07\u0e25\u0e14\u0e20\u0e32\u0e27\u0e30\u0e41\u0e17\u0e23\u0e01\u0e0b\u0e49\u0e2d\u0e19\u0e17\u0e35\u0e48\u0e08\u0e30\u0e40\u0e01\u0e34\u0e14\u0e15\u0e32\u0e21\u0e21\u0e32\u0e44\u0e14\u0e49\u0e14\u0e49\u0e27\u0e22<\/p>\n\n\n\n

\u0e40\u0e2d\u0e01\u0e2a\u0e32\u0e23\u0e2d\u0e49\u0e32\u0e07\u0e2d\u0e34\u0e07<\/strong><\/h2>\n\n\n\n

1. Kurtz SM, et al. Future young patient demand for primary and revision joint replacement: national projections from 2010 to 2030. Clin Orthop Relat Res 2009;467:2606-12.
2. Bozic KJ, et al. The epidemiology of revision total knee arthroplasty in the United States. Clin Orthop Relat Res 2010;468:45-51.
3. Frenzel S, et al. Periprosthetic femoral fractures incidence, classification problems and the proposal of a modified classification scheme. Int Orthop 2015;39(10):1909-20.
4. Della Rocca GJ, et al. Periprosthetic fractures: epidemiology and future projections. J Orthop Trauma 2011;25(Suppl 2):S66-70.
5. Bernatz JT, et al. Unrecognized osteoporosis is common in patients with a well-functioning total knee arthroplasty. J Arthroplasty 2019;34:2347-50.
6. Makinen TJ, et al. The incidence of osteopenia and osteoporosis in women with hip osteoarthritis scheduled for cementless total joint replacement. Bone 2007;40:1041-7.
7. Dan D, et al. Bone loss after total hip arthroplasty. Rheumatol Int 2006;26:792-8.
8. Jarvenpaa J, et al. Changes in bone mineral density of the distal femur after total knee arthroplasty: a 7-year DEXA follow-up comparing results between obese and nonobese patients. Knee 2014;21:232-5.
9. Lin T, et al. Bisphosphonates for periprosthetic bone loss after joint arthroplasty: a meta-analysis of 14 randomized controlled trials. Osteoporos Int 2012;23:1823-34.
10. Ro DH, et al. The use of bisphosphonates after joint arthroplasty is associated with lower implant revision rate. Knee Surg Sports Traumatol Arthrosc 2019;27:2082-9.
11. Teng S, et al. Bisphosphonate use and risk of implant revision after total hip\/knee arthroplasty: a meta-analysis of observational studies. PLoS One 2015;10: e0139927.<\/p>","protected":false},"excerpt":{"rendered":"

\u0e04\u0e27\u0e32\u0e21\u0e2a\u0e33\u0e04\u0e31\u0e0d\u0e02\u0e2d\u0e07\u0e20\u0e32\u0e27\u0e30\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01\u0e1e\u0e23\u0e38\u0e19\u0e15\u0e48\u0e2d\u0e01\u0e32\u0e23\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14\u0e40\u0e1b\u0e25\u0e35\u0e48\u0e22\u0e19\u0e02\u0e49\u0e2d\u0e40\u0e17\u0e35\u0e22\u0e21             \u0e01\u0e32\u0e23\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14\u0e40\u0e1b\u0e25\u0e35\u0e48\u0e22\u0e19\u0e02\u0e49\u0e2d\u0e2a\u0e30\u0e42\u0e1e\u0e01\u0e40\u0e17\u0e35\u0e22\u0e21 (THA) \u0e41\u0e25\u0e30\u0e01\u0e32\u0e23\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14\u0e40\u0e1b\u0e25\u0e35\u0e48\u0e22\u0e19\u0e02\u0e49\u0e2d\u0e40\u0e02\u0e48\u0e32\u0e40\u0e17\u0e35\u0e22\u0e21 (TKA) \u0e40\u0e1b\u0e47\u0e19\u0e2b\u0e19\u0e36\u0e48\u0e07\u0e43\u0e19\u0e2b\u0e31\u0e15\u0e16\u0e01\u0e32\u0e23\u0e40\u0e01\u0e35\u0e48\u0e22\u0e27\u0e01\u0e31\u0e1a\u0e28\u0e31\u0e25\u0e22\u0e01\u0e23\u0e23\u0e21\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01\u0e17\u0e35\u0e48\u0e1e\u0e1a\u0e1a\u0e48\u0e2d\u0e22\u0e17\u0e35\u0e48\u0e2a\u0e38\u0e141 \u0e42\u0e14\u0e22\u0e1e\u0e1a\u0e27\u0e48\u0e32\u0e42\u0e23\u0e04\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01\u0e1e\u0e23\u0e38\u0e19\u0e40\u0e1b\u0e47\u0e19\u0e1b\u0e31\u0e08\u0e08\u0e31\u0e22\u0e40\u0e2a\u0e35\u0e48\u0e22\u0e07\u0e41\u0e25\u0e30\u0e21\u0e35\u0e1c\u0e25\u0e15\u0e48\u0e2d\u0e1c\u0e25\u0e25\u0e31\u0e1e\u0e18\u0e4c\u0e04\u0e27\u0e32\u0e21\u0e2a\u0e33\u0e40\u0e23\u0e47\u0e08\u0e2a\u0e33\u0e2b\u0e23\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14\u0e40\u0e1b\u0e25\u0e35\u0e48\u0e22\u0e19\u0e02\u0e49\u0e2d\u0e40\u0e17\u0e35\u0e22\u0e21 (TJA) \u0e20\u0e32\u0e27\u0e30\u0e41\u0e17\u0e23\u0e01\u0e0b\u0e49\u0e2d\u0e19\u0e17\u0e35\u0e48\u0e40\u0e01\u0e35\u0e48\u0e22\u0e27\u0e02\u0e49\u0e2d\u0e07\u0e01\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14 TJA \u0e44\u0e14\u0e49\u0e41\u0e01\u0e48 \u0e01\u0e32\u0e23\u0e41\u0e15\u0e01\u0e2b\u0e31\u0e01\u0e02\u0e2d\u0e07\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01\u0e02\u0e13\u0e30\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14 (intraoperative fracture) \u0e01\u0e32\u0e23\u0e2b\u0e25\u0e27\u0e21\u0e02\u0e2d\u0e07\u0e02\u0e49\u0e2d\u0e40\u0e17\u0e35\u0e22\u0e21\u0e41\u0e1a\u0e1a\u0e1b\u0e25\u0e2d\u0e14\u0e40\u0e0a\u0e37\u0e49\u0e2d (aseptic loosening) \u0e41\u0e25\u0e30\u0e01\u0e32\u0e23\u0e41\u0e15\u0e01\u0e2b\u0e31\u0e01\u0e02\u0e2d\u0e07\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01\u0e23\u0e2d\u0e1a\u0e02\u0e49\u0e2d\u0e40\u0e17\u0e35\u0e22\u0e21 (periprosthetic […]<\/p>\n","protected":false},"author":1,"featured_media":934,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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