This is a preliminary case-control study on osteopenic/osteoporotic elderly women, testing the association of proximal femur fracture with minimum femoral strength, as derived from finite element (FE) analysis in multiple loading conditions. Fracture cases (n = 22) in acute conditions were enrolled among low-trauma fractures admitted in various hospitals in the Emilia Romagna Region, Italy. Women with no history of low-trauma fractures were enrolled as controls (n = 33). Patients were imaged with DXA to obtain aBMD, and with a bilateral full femur CT scan. FE-strength was derived in stance and fall configurations: (i) as the minimum strength among those obtained for multiple loading conditions spanning a domain of plausible force directions, and (ii) as the strength associated to the most commonly used single loading conditions. The association of FE-strength and aBMD with fractures was tested with logistic regression models, deriving odds ratios (ORs) and area under the receiver operating characteristic curve (AUC).FE-strength from multiple loading conditions better classified fracture cases from controls (OR per SD change = 9.6, 95% CI = 3.0-31.3, AUC = 0.87 in stance; OR = 9.5, 95% CI = 2.9-31.2, AUC = 0.88 in fall) compared to aBMD (OR = 3.6, 95% CI = 1.6-8.2, AUC = 0.79 for total femur aBMD), while FE-strength results from the most commonly used single loading conditions were similar to aBMD. Only FE-strength from multiple loading conditions remained significant in age- and aBMD-adjusted models (OR = 10.5, 95% CI = 1.8-61.3, AUC = 0.95). In summary, we highlighted the importance of considering different loading conditions to identify bone weakness, and confirmed that femoral FE-strength estimates may add value to aBMD predictions in elderly osteopenic/osteoporotic women. © 2014.

Multiple loading conditions analysis can improve the association between finite element bone strength estimates and proximal femur fractures: A preliminary study in elderly women / Falcinelli, Cristina; Schileo, Enrico; Balistreri, Luca; Baruffaldi, Fabio; Bordini, Barbara; Viceconti, Marco; Albisinni, Ugo; Ceccarelli, Francesco; Milandri, Luigi; Toni, Aldo; Taddei, Fulvia. - In: BONE. - ISSN 8756-3282. - 67:(2014), pp. 71-80. [10.1016/j.bone.2014.06.038]

Multiple loading conditions analysis can improve the association between finite element bone strength estimates and proximal femur fractures: A preliminary study in elderly women

Ceccarelli, Francesco;
2014-01-01

Abstract

This is a preliminary case-control study on osteopenic/osteoporotic elderly women, testing the association of proximal femur fracture with minimum femoral strength, as derived from finite element (FE) analysis in multiple loading conditions. Fracture cases (n = 22) in acute conditions were enrolled among low-trauma fractures admitted in various hospitals in the Emilia Romagna Region, Italy. Women with no history of low-trauma fractures were enrolled as controls (n = 33). Patients were imaged with DXA to obtain aBMD, and with a bilateral full femur CT scan. FE-strength was derived in stance and fall configurations: (i) as the minimum strength among those obtained for multiple loading conditions spanning a domain of plausible force directions, and (ii) as the strength associated to the most commonly used single loading conditions. The association of FE-strength and aBMD with fractures was tested with logistic regression models, deriving odds ratios (ORs) and area under the receiver operating characteristic curve (AUC).FE-strength from multiple loading conditions better classified fracture cases from controls (OR per SD change = 9.6, 95% CI = 3.0-31.3, AUC = 0.87 in stance; OR = 9.5, 95% CI = 2.9-31.2, AUC = 0.88 in fall) compared to aBMD (OR = 3.6, 95% CI = 1.6-8.2, AUC = 0.79 for total femur aBMD), while FE-strength results from the most commonly used single loading conditions were similar to aBMD. Only FE-strength from multiple loading conditions remained significant in age- and aBMD-adjusted models (OR = 10.5, 95% CI = 1.8-61.3, AUC = 0.95). In summary, we highlighted the importance of considering different loading conditions to identify bone weakness, and confirmed that femoral FE-strength estimates may add value to aBMD predictions in elderly osteopenic/osteoporotic women. © 2014.
2014
Multiple loading conditions analysis can improve the association between finite element bone strength estimates and proximal femur fractures: A preliminary study in elderly women / Falcinelli, Cristina; Schileo, Enrico; Balistreri, Luca; Baruffaldi, Fabio; Bordini, Barbara; Viceconti, Marco; Albisinni, Ugo; Ceccarelli, Francesco; Milandri, Luigi; Toni, Aldo; Taddei, Fulvia. - In: BONE. - ISSN 8756-3282. - 67:(2014), pp. 71-80. [10.1016/j.bone.2014.06.038]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11381/2855717
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