Journal of Clinical Densitometry
Volume 9, Issue 4 , Pages 425-430 , October 2006

Assessment of Femoral Neck Strength by 3-Dimensional X-ray Absorptiometry

  • Anthony Le Bras

      Affiliations

    • Laboratoire de Biomécanique, ENSAM-CNRS Paris, France
    • Corresponding Author InformationAddress correspondence to: Anthony Le Bras, Biospace Instruments, 10 rue Mercoeur, Paris, 75011 France.
  • ,
  • Sami Kolta

      Affiliations

    • Centre d'Evaluation des Maladies Osseuses, Service de Rhumatologie Hôpital Cochin AP-HP, Université René Descartes, Paris, France
  • ,
  • Philippe Soubrane

      Affiliations

    • Service d'orthopédie de l'Hôpital St Antoine, AP-HP, Paris, France
  • ,
  • Wafa Skalli

      Affiliations

    • Laboratoire de Biomécanique, ENSAM-CNRS Paris, France
  • ,
  • Christian Roux

      Affiliations

    • Centre d'Evaluation des Maladies Osseuses, Service de Rhumatologie Hôpital Cochin AP-HP, Université René Descartes, Paris, France
  • ,
  • David Mitton

      Affiliations

    • Laboratoire de Biomécanique, ENSAM-CNRS Paris, France

Received 24 February 2006 ,Revised 7 August 2006 ,Accepted 18 August 2006.

References 

  1. Melton LJ. Hip fractures: a worldwide problem today and tomorrow. Bone. 1993;14(Suppl 1):S1–S8
  2. Boettcher WG. Total hip arthroplasties in the elderly. Morbidity, mortality, and cost effectiveness. Clin Orthop. 1992;274:30–34
  3. Cummings SR, Melton LJ. Epidemiology and outcomes of osteoporotic fractures. Lancet. 2002;359:1761–1767
  4. Millar WJ, Hill GB. Hip fractures: mortality, morbidity and surgical treatment. Health Rep. 1994;6:323–337
  5. Cheng XG, Lowet G, Boonen S, et al. Assessment of the strength of proximal femur in vitro: relationship to femoral bone mineral density and femoral geometry. Bone. 1997;20:213–218
  6. Kukla C, Gaebler C, Pichl RW, Prokesch R, Heinze G, Heinz T. Predictive geometric factors in a standardized model of femoral neck fracture. Experimental study of cadaveric human femurs. Injury. 2002;33:427–433
  7. Faulkner KG, Cummings SR, Black D, Palermo L, Gluer CC, Genant HK. Simple measurement of femoral geometry predicts hip fracture: the study of osteoporotic fractures. J Bone Miner Res. 1993;8:1211–1217
  8. Gluer CC, Cummings SR, Pressman A, et al. The Study of Osteoporotic Fractures Research Group. Prediction of hip fractures from pelvic radiographs: the study of osteoporotic fractures. J Bone Miner Res. 1994;9:671–677
  9. Laporte S, Skalli W, De Guise JA, Lavaste F, Mitton D. A biplanar reconstruction method based on 2d and 3d contours: application to the distal femur. Comput Methods Biomech Biomed Engin. 2003;6:1–6
  10. Le Bras A, Laporte S, Bousson V, et al. 3D reconstruction of the proximal femur with low-dose digital stereoradiography. Comput Aided Surg. 2004;9:51–57
  11. Kolta S, Le Bras A, Mitton D, et al. Three-dimensional X-ray absorptiometry (3D-XA): a method for reconstruction of human bones using a dual X-ray absorptiometry device. Osteoporos Int. 2005;16:969–976
  12. Cody DD, Hou FJ, Divine GW, Fyhrie DP. Femoral structure and stiffness in patients with femoral neck fracture. J Orthop Res. 2000;18:443–448
  13. Smith MD, Cody DD, Goldstein SA, Cooperman AM, Matthews LS, Flynn MJ. Proximal femoral bone density and its correlation to fracture load and hip-screw penetration load. Clin Orthop. 1992;283:244–251
  14. Müller M, Nazarian S, Koch P, Schatzker J. 1990 The comprehensive classification of fractures of long bones. Heidelberg: Springer-Verlag, 1990.
  15. Cheng XG, Nicholson PH, Boonen S, et al. Effects of anteversion on femoral bone mineral density and geometry measured by dual energy X-ray absorptiometry: a cadaver study. Bone. 1997;21:113–117
  16. Michelotti J, Clark J. Femoral neck length and hip fracture risk. J Bone Miner Res. 1999;14:1714–1720
  17. Kim JS, Choi KW, Kim SI. Femoral anteversion: estimation by 3D modelling. Medinfo. 1998;9(Pt 2):1025–1029
  18. Kim JS, Park TS, Park SB, Kim IY, Kim SI. Measurement of femoral neck anteversion in 3D. Part 2: 3D modelling method. Med Biol Eng Comput. 2000;38:610–616
  19. Kaufer H, Matthews LS, Sonstegard D. Stable fixation of intertrochanteric fractures. J Bone Joint Surg Am. 1974;56:899–907
  20. Lang TF, Keyak JH, Heitz MW, et al. Volumetric quantitative computed tomography of the proximal femur: precision and relation to bone strength. Bone. 1997;21:101–108
  21. Cody DD, Gross GJ, Hou FJ, Spencer HJ, Goldstein SA, Fyhrie DP. Femoral strength is better predicted by finite element models than QCT and DXA. J Biomech. 1999;32:1013–1020
  22. Beck TJ, Ruff CB, Warden KE, Scott WW, Rao GU. Predicting femoral neck strength from bone mineral data: a structural approach. Invest Radiol. 1990;25:6–18
  23. Lochmuller EM, Zeller JB, Kaiser D, et al. Correlation of femoral and lumbar DXA and calcaneal ultrasound, measured in situ with intact soft tissues, with the in vitro failure loads of the proximal femur. Osteoporos Int. 1998;8:591–598
  24. Bonnaire FA, Buitrago-Tellez C, Schmal H, Gotze B, Weber AT. Correlation of bone density and geometric parameters to the mechanical strength of the femoral neck. Injury. 2002;33(Suppl 3):C47–C53

PII: S1094-6950(06)00256-3

doi: 10.1016/j.jocd.2006.08.007

Journal of Clinical Densitometry
Volume 9, Issue 4 , Pages 425-430 , October 2006