Table 3:
Baseline (Mean ± SEM) | Change over 12-months [Mean (95% CI)] | P-value comparing changes over 12 months in surgical vs. non-surgical groups |
||||
---|---|---|---|---|---|---|
Distal Tibia | Non-Surgical (n=15) |
Surgical (n=15) |
Non-Surgical (n=15) |
Surgical (n=15) |
Adjusted for age, sex, race and baseline |
Adjusted for age, sex, race, baseline and change in BMI |
Bone Geometry | ||||||
Cortical Area (mm2) | 143.6 ± 8.7 | 141.5 ± 5.9 | 6.2 (1.1, 11.2) | −1.3 (−5.0, 2.4) | 0.023 | 0.017 |
Trabecular Area (mm2) | 603.3 ± 32.2 | 645.3 ± 28.3 | −5.2 (−9.2, −1.2) | 1.6 (−1.9, 5.1) | 0.026 | 0.040 |
Cortical Thickness (mm) | 1.36 ± 0.08 | 1.31 ± 0.06 | 0.06 (−0.10, −0.01) | 0.01 (−0.02, 0.05) | 0.014 | 0.010 |
Bone Microarchitecture | ||||||
Cortical Porosity (%) | 3.98 ± 0.45 | 4.08 ± 0.45 | −0.09 (−0.75, 0.57) | −0.90 (−1.57, −0.22) | 0.012 | 0.123 |
Trabecular Number (1/mm) | 2.54 ± 0.06 | 2.68 ± 0.08 | −0.06 (−0.13, 0.01) | −0.24 (−0.34, −0.15) | 0.019 | 0.939 |
Trabecular Separation (mm) | 0.32 ± 0.01 | 0.31 ± 0.01 | 0.01 (−0.00, 0.02) | 0.03 (0.02, 0.05) | 0.008 | 0.440 |
Trabecular Thickness (mm) | 0.078 ± 0.003 | 0.069 ± 0.002* | 0.003 (0.001, 0.005) | 0.005 (0.001, 0.008) | 0.233 | 0.290 |
Volumetric BMD (vBMD) | ||||||
Cortical vBMD (mgHA/cm3) | 856.4 ± 14.2 | 858.9 ± 8.9 | 11.9 (0.1, 23.7) | 19.5 (13.7, 25.4) | 0.040 | 0.192 |
Trabecular vBMD (mgHA/cm3) | 233.3 ± 7.2 | 220.8 ± 8.6 | 2.5 (−5.8, 0.8) | −6.6 (−3.1, 16.3) | 0.176 | 0.154 |
Total vBMD (mgHA/cm3) | 359.1 ± 11.9 | 339.9 ± 13.0 | 8.1 (1.5, 14.7) | −3.4 (−14.1, 7.4) | 0.153 | 0.114 |
Strength Estimates | ||||||
Stiffness (kN/mm) | 271.6 ± 10.3 | 257.9 ± 9.6 | 7.6 (0.6, 14.6) | 4.8 (−6.2, 15.8) | 0.985 | 0.044 |
Failure Load (kN) | 13.2 ± 0.5 | 13.1 ± 0.5 | 0.3 (0.0, 0.7) | 0.1 (−0.3, 0.6) | 0.874 | 0.064 |
Distal Radius | Baseline (Mean ± SEM | Change over 12-months (Mean (95% CI) | P-value comparing changes over 12 months in surgical vs. non-surgical groups |
|||
Non-Surgical (n=15) |
Surgical (n=15) |
Non-Surgical (n=15) |
Surgical (n=15) |
Adjusted for age, sex, race and baseline |
Adjusted for age, sex, race, baseline and change in BMI |
|
Bone Geometry | ||||||
Cortical Area (mm2) | 57.1 ± 4.5 | 58.9 ± 3.9 | 2.6 (−1.2, 6.4) | 1.0 (−1.3, 3.3) | 0.851 | 0.426 |
Trabecular Area (mm2) | 232.3 ± 11.8 | 235.8 ± 16.2 | −1.8 (−5.0, 1.4) | −0.4 (−2.4, 1.6) | 0.853 | 0.447 |
Cortical Thickness (mm) | 0.80 ± 0.07 | 0.83 ± 0.06 | 0.04 (−0.0, 0.1) | 0.01 (−0.02, 0.05) | 0.972 | 0.391 |
Bone Microarchitecture | ||||||
Cortical Porosity (%) | 2.04 ± 0.35 | 1.79 ± 0.22 | −0.17 (−0.58, 0.24) | −0.54 (−0.96, −0.13) | 0.024 | 0.391 |
Trabecular Number (1/mm) | 2.26 ± 0.06 | 2.33 ± 0.06 | 0.05 (−0.06, 0.16) | −0.13 (−0.27, 0.00) | 0.078 | 0.357 |
Trabecular Separation (mm) | 0.37 ± 0.01 | 0.36 ± 0.01 | −0.01 (−0.03, 0.01) | 0.03 (−0.00, 0.06) | 0.054 | 0.214 |
Trabecular Thickness (mm) | 0.080 ± 0.003 | 0.074 ± 0.003 | −0.002 (−0.006, 0.002) | −0.001 (−0.004, 0.002) | 0.574 | 0.576 |
Volumetric BMD (vBMD) | ||||||
Cortical vBMD (mgHA/cm3) | 796.8 ± 25.6 | 807.9 ± 18.8 | 17.7 (0.1, 35.3) | 22.0 (14.2, 29.7) | 0.012 | 0.117 |
Trabecular vBMD (mgHA/cm3) | 214.9 ± 8.9 | 205.8 ± 6.8 | −0.3 (−2.8, 2.2) | −12.0 (−21.2, −2.8) | 0.010 | 0.191 |
Total vBMD (mgHA/cm3) | 347.1 ± 12.6 | 344.7 ± 15.8 | 5.4 (−3.1, 13.9) | −3.0 (−10.0, 4.0) | 0.206 | 0.967 |
Strength Estimates | ||||||
Stiffness (kN/mm) | 102.1 ± 6.3 | 95.9 ± 4.9 | −1.6 (−5.8, 2.6) | −1.6 (−4.6, 1.3) | 0.823 | 0.779 |
Failure Load k(N) | 4.8 ± 0.2 | 4.8 ± 0.2 | −0.07 ( −0.24,0.10) | −0.09 (−0.22, 0.05) | 0.768 | 0.651 |
P<0.05 for baseline comparisons; BMD: bone mineral density; Significant changes from baseline and significant p values are bolded
Baseline measures were compared using the Student t-test; Within group changes over 12 months were assessed using the paired t-test
Differences between surgical and non-surgical groups were assessed using multivariable analyses after adjusting for baseline measures, age, sex, race +/− change in BMI over 12 months