Prediction of proximal femur strength using a CT-based nonlinear finite element method: Differences in predicted fracture load and site with changing load and boundary conditions

Bone

Volumn 45, Issue 2, 2009, Pages 226-231

  Bessho, Masahiko ^a   Ohnishi, Isao ^a   Matsumoto, Takuya ^a   Ohashi, Satoru ^a   Matsuyama, Juntaro ^a   Tobita, Kenji ^a   Kaneko, Masako ^a   Nakamura, Kozo ^a  

^a UNIVERSITY OF TOKYO   (Japan)

Author keywords

Bone strength; CT; Finite element method; Hip fracture; Osteoporosis

Indexed keywords

AGED; ARTICLE; BONE STRENGTH; BONE STRESS; CLINICAL ARTICLE; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; FALLING; FEMALE; FEMUR NECK FRACTURE; FEMUR TROCHANTERIC FRACTURE; FINITE ELEMENT ANALYSIS; HUMAN; PREDICTION; STANDING;

AGED; AGED, 80 AND OVER; FEMALE; FEMORAL FRACTURES; FEMUR; FINITE ELEMENT ANALYSIS; HUMANS; TOMOGRAPHY, X-RAY COMPUTED; WEIGHT-BEARING;

EID: 67649427852     PISSN: 87563282     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.bone.2009.04.241     Document Type: Article

References (23)

1. Yoshimura N., Suzuki T., Hosoi T., and Orimo H. Epidemiology of hip fracture in Japan: incidence and risk factors. J. Bone Miner. Metab. 23 (2005) 78-80 Suppl
2. Hedlund R., and Lindgren U. Trauma type, age, and gender as determinants of hip fracture. J. Orthop. Res. 5 (1987) 242-246
3. Cummings S.R., Black D.M., Nevitt M.C., Browner W.S., Cauley J.A., Genant H.K., et al. Appendicular bone density and age predict hip fracture in women. The Study of Osteoporotic Fractures Research Group. JAMA 263 (1990) 665-668
4. Sloan J., and Holloway G. Fractured neck of the femur: the cause of the fall?. Injury 13 (1981) 230-232
5. Pinilla T.P., Boardman K.C., Bouxsein M.L., Myers E.R., and Hayes W.C. Impact direction from a fall influences the failure load of the proximal femur as much as age-related bone loss. Calcif. Tissue Int. 58 (1996) 231-235
6. Fujii M. Experimental study on the mechanism of femoral neck fractures. Nippon Seikeigeka Gakkai Zasshi 61 (1987) 531-541
7. Ford C.M., Keaveny T.M., and Hayes W.C. The effect of impact direction on the structural capacity of the proximal femur during falls. J. Bone Miner. Res. 11 (1996) 377-383
8. Keyak J.H., Skinner H.B., and Fleming J.A. Effect of force direction on femoral fracture load for two types of loading conditions. J. Orthop. Res. 19 (2001) 539-544
9. Bessho M., Ohnishi I., Matsuyama J., Matsumoto T., Imai K., and Nakamura K. Prediction of strength and strain of the proximal femur by a CT-based finite element method. J. Biomech. 40 (2007) 1745-1753
10. Ito M., Lang T.F., Jergas M., Ohki M., Takada M., Nakamura T., et al. Spinal trabecular bone loss and fracture in American and Japanese women. Calcif. tissue int. 61 (1997) 123-128
11. Keyak J.H., Kaneko T.S., Rossi S.A., Pejcic M.R., Tehranzadeh J., and Skinner H.B. Predicting the strength of femoral shafts with and without metastatic lesions. Clin. Orthop. Relat. Res. 439 (2005) 161-170
12. Keyak J.H., Kaneko T.S., Tehranzadeh J., and Skinner H.B. Predicting proximal femoral strength using structural engineering models. Clin. Orthop. Relat. Res. (2005) 219-228
13. Keyak J.H., Rossi S.A., Jones K.A., and Skinner H.B. Prediction of femoral fracture load using automated finite element modeling. J. Biomech. 31 (1998) 125-133
14. Keller T.S. Predicting the compressive mechanical behavior of bone. J. Biomech. 27 (1994) 1159-1168
15. Bayraktar H.H., Morgan E.F., Niebur G.L., Morris G.E., Wong E.K., and Keaveny T.M. Comparison of the elastic and yield properties of human femoral trabecular and cortical bone tissue. J. Biomech. 37 (2004) 27-35
16. McCalden R.W., McGeough J.A., Barker M.B., and Court-Brown C.M. Age-related changes in the tensile properties of cortical bone. The relative importance of changes in porosity, mineralization, and microstructure. J. Bone Joint Surg. 75-A (1993) 1193-1205
17. Hirsch C., and Frankel V.H. Analysis of forces producing fractures of the proximal end of the femur. J. Bone Joint Surg. Br. 42 (1960) 633-640
18. Anderson J.Y., and Trinkaus E. Patterns of sexual, bilateral and interpopulational variation in human femoral neck-shaft angles. J. Anat. 192 Pt 2 (1998) 279-285
19. Hall M.L., Heavens J., and Ell P.J. Variation between femurs as measured by dual energy X-ray absorptiometry (DEXA). Eur. J. Nucl. Med. 18 (1991) 38-40
20. Boston D.A. Bilateral fractures of the femoral neck. Injury 14 (1982) 207-210
21. Robinovitch S.N., McMahon T.A., and Hayes W.C. Force attenuation in trochanteric soft tissues during impact from a fall. J. Orthop. Res. 13 (1995) 956-962
22. Keyak J.H., and Falkinstein Y. Comparison of in situ and in vitro CT scan-based finite element model predictions of proximal femoral fracture load. Med. Eng. Phys. 25 (2003) 781-787
23. Wiener S.L., Andersson G.B., Nyhus L.M., and Czech J. Force reduction by an external hip protector on the human hip after falls. Clin. Orthop. (2002) 157-168