Antiresorptive Therapy and Revision Risk After Primary Total Knee Arthroplasty: A Systematic Review and Meta-Analysis

Bisphosphonate therapy after TKA is associated with a lower risk of all-cause revision; however, the certainty of evidence is low, and the findings are limited by substantial heterogeneity. No consistent benefit was observed for aseptic loosening, periprosthetic fracture, or long-term BMD preservation.

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Publication Details

Journal
Arthroplasty Today
Published
2026-03-17
DOI
https://doi.org/10.1016/j.artd.2026.101991
Primary Topic
Total Knee Arthroplasty Outcomes
Type
article
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article

Antiresorptive Therapy and Revision Risk After Primary Total Knee Arthroplasty: A Systematic Review and Meta-Analysis

Matthew Bullock, Ramesh Chandra Vadapalli, Aria Darbandi, Liam M. Cleary et al.
Arthroplasty Today
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article

Antiresorptive Therapy and Revision Risk After Primary Total Knee Arthroplasty: A Systematic Review and Meta-Analysis

Matthew Bullock, Ramesh Chandra Vadapalli, Aria Darbandi, Liam M. Cleary, Andrew B. Huffman, William Stone, Alexander Burbelo
article en

Abstract

Bisphosphonate therapy after TKA is associated with a lower risk of all-cause revision; however, the certainty of evidence is low, and the findings are limited by substantial heterogeneity. No consistent benefit was observed for aseptic loosening, periprosthetic fracture, or long-term BMD preservation.

Arthroplasty TodayVol. 38
Marshall University (US)
Good health and well-being
Openalex Percentile: Top 19%
Total Knee Arthroplasty Outcomes
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