In their retrospective study of patients who underwent THA, they found highly significant differences in Gruen zones 1, 2, 5 and 7 that favored the modified anterolateral approach.
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Periprosthetic bone mineral density, assessed using dual energy x-ray absorptiometry, following arthroplasty in patients with femoral neck fracture: 5-year outcomes of a randomized controlled trial.
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There was a tendency toward an increase in total BMD between 1 and 5 years postoperatively in the two groups, but this did not reach statistical significance ( Figure 2 ).