Do metal implants for total hip arthroplasty affect bioelectrical impedance analysis? A retrospective study

Abstract Background Evaluation of body composition after total hip arthroplasty (THA) is essential because it can be used to evaluate muscle and functional recovery. Muscle volume and degeneration are evaluated using computed tomography (CT). However, CT evaluation of muscle volume has several limit...

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Main Authors: Taku Ukai, Masahiko Watanabe
Format: Article
Language:English
Published: BMC 2023-09-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12891-023-06893-x
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author Taku Ukai
Masahiko Watanabe
author_facet Taku Ukai
Masahiko Watanabe
author_sort Taku Ukai
collection DOAJ
description Abstract Background Evaluation of body composition after total hip arthroplasty (THA) is essential because it can be used to evaluate muscle and functional recovery. Muscle volume and degeneration are evaluated using computed tomography (CT). However, CT evaluation of muscle volume has several limitations, such as radiation exposure and high medical cost. Bioelectrical impedance analysis (BIA) has gained attention for resolving these limitations of CT. BIA takes advantage of the microelectric current; thus, metal implants may affect the results. Therefore, this study aimed to elucidate the effects of metal implants on BIA after THA. Methods Two groups of patients were assessed (Group 1: 70 patients who underwent unilateral THA and BIA; Group 2: 35 patients who underwent THA and BIA before and after THA). Electric impedance (resistance and reactance) of the operated and non-operated lower limbs was compared in Group 1. The pre- and post-operative impedances of the torso and operated ipsilateral limbs were compared in Group 2. Results Regarding electric impedance in Group 1, no significant differences were observed in electrical resistance and reactance between the operated and non-operated lower limbs. Concerning electric impedance in Group 2, postoperative electric resistance of the torso was significantly lower than that preoperatively. However, no significant difference was seen in electric resistance and reactance of the operated ipsilateral limbs preoperatively and postoperatively. Conclusions Electrical resistance and reactance of the limbs did not change significantly after THA. BIA is useful for measuring body composition after THA.
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spelling doaj.art-ee90d57e414d445694b47ad4ed2577352023-11-19T12:08:57ZengBMCBMC Musculoskeletal Disorders1471-24742023-09-012411710.1186/s12891-023-06893-xDo metal implants for total hip arthroplasty affect bioelectrical impedance analysis? A retrospective studyTaku Ukai0Masahiko Watanabe1Department of Orthopaedic Surgery, Surgical Science, Tokai University School of MedicineDepartment of Orthopaedic Surgery, Surgical Science, Tokai University School of MedicineAbstract Background Evaluation of body composition after total hip arthroplasty (THA) is essential because it can be used to evaluate muscle and functional recovery. Muscle volume and degeneration are evaluated using computed tomography (CT). However, CT evaluation of muscle volume has several limitations, such as radiation exposure and high medical cost. Bioelectrical impedance analysis (BIA) has gained attention for resolving these limitations of CT. BIA takes advantage of the microelectric current; thus, metal implants may affect the results. Therefore, this study aimed to elucidate the effects of metal implants on BIA after THA. Methods Two groups of patients were assessed (Group 1: 70 patients who underwent unilateral THA and BIA; Group 2: 35 patients who underwent THA and BIA before and after THA). Electric impedance (resistance and reactance) of the operated and non-operated lower limbs was compared in Group 1. The pre- and post-operative impedances of the torso and operated ipsilateral limbs were compared in Group 2. Results Regarding electric impedance in Group 1, no significant differences were observed in electrical resistance and reactance between the operated and non-operated lower limbs. Concerning electric impedance in Group 2, postoperative electric resistance of the torso was significantly lower than that preoperatively. However, no significant difference was seen in electric resistance and reactance of the operated ipsilateral limbs preoperatively and postoperatively. Conclusions Electrical resistance and reactance of the limbs did not change significantly after THA. BIA is useful for measuring body composition after THA.https://doi.org/10.1186/s12891-023-06893-xBioimpedanceBody compositionElectrical resistanceTotal hip arthroplasty
spellingShingle Taku Ukai
Masahiko Watanabe
Do metal implants for total hip arthroplasty affect bioelectrical impedance analysis? A retrospective study
BMC Musculoskeletal Disorders
Bioimpedance
Body composition
Electrical resistance
Total hip arthroplasty
title Do metal implants for total hip arthroplasty affect bioelectrical impedance analysis? A retrospective study
title_full Do metal implants for total hip arthroplasty affect bioelectrical impedance analysis? A retrospective study
title_fullStr Do metal implants for total hip arthroplasty affect bioelectrical impedance analysis? A retrospective study
title_full_unstemmed Do metal implants for total hip arthroplasty affect bioelectrical impedance analysis? A retrospective study
title_short Do metal implants for total hip arthroplasty affect bioelectrical impedance analysis? A retrospective study
title_sort do metal implants for total hip arthroplasty affect bioelectrical impedance analysis a retrospective study
topic Bioimpedance
Body composition
Electrical resistance
Total hip arthroplasty
url https://doi.org/10.1186/s12891-023-06893-x
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