Evidence map›Paper›PMID 20101133›Full record

ArticleJournal of orthopaedic trauma2010

A biomechanical evaluation of femoroplasty under simulated fall conditions.

Edward G Sutter, Simon C Mears, Stephen M Belkoff

Open access · greenAbstract read
In one paragraph

Article in Journal of orthopaedic trauma, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 71 citations in OpenAlex.

  1. Article
  2. How accurately do finite element models predict the fall impact response of ex vivo specimens augmented by prophylactic intramedullary nailing?Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
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  6. Periprosthetic fracture following arthroplasty for femoral neck fracture: is a cemented stem protective?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
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  10. Review
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  14. Treatment of bone loss in proximal femurs of postmenopausal osteoporotic women with AGN1 local osteo-enhancement procedure (LOEP) increases hip bone mineral density and hip strength: a long-term prospective cohort study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020
    Article
  15. Article
  16. In vitro injection of osteoporotic cadaveric femurs with a triphasic calcium-based implant confers immediate biomechanical integrity.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2019
    Article
  17. Article
  18. A BIOMECHANICAL AND THERMAL ANALYSIS FOR BONE AUGMENTATION OF THE PROXIMAL FEMUR.International Mechanical Engineering Congress and Exposition : [proceedings]. International Mechanical Engineering Congress and Exposition · 2018
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Edward G SutterInternational Center for Orthopaedic Advancement, Department of Orthopaedic Surgery, The Johns Hopkins Bayview Medical Center, Baltimore, MD 21224-2780, USA.
Simon C Mears
Stephen M Belkoff
Center for Veterinary Medicine · US

Funding

Image-Guided Osteoporotic Bone Augmentation with Intraoperative Biomechanical GuiR21EB007747 · NIBIB · JOHNS HOPKINS UNIVERSITY · PI ARMAND, MEHRAN · 2007 to 2009
$1.1M
NIBIB NIH HHS 1R21EB007747-01NIBIB NIH HHS R21 EB007747
6 · The paper itself

Abstract

objectivesTo test the hypotheses that, compared with controls: 1) femoroplasty (the injection of bone cement into the proximal femur in an attempt to prevent fragility fracture) increases the yield and ultimate loads, yield and ultimate energies, and stiffness of the proximal osteoporotic femur in a simulated fall model; and 2) the manner in which the cement distributes in the proximal femur affects the extent to which those mechanical properties are altered.

methodsIn 10 pairs of osteoporotic human cadaveric femora, we injected one femur of each pair with 40 to 50 mL of polymethylmethacrylate bone cement; the noninjected femur served as the control. The filling percentage was calculated in four anatomic regions of the femur: head, neck, trochanter, and subtrochanter. All specimens were biomechanically tested in a configuration that simulated a fall on the greater trochanter. Student t test, linear regression, and multinomial logistic regression statistical analyses were conducted where appropriate with significant difference defined as P < 0.05.

resultsFemoroplasty significantly increased yield load (22.0%), ultimate load (37.3%), yield energy (79.6%), and ultimate energy (154%) relative to matched controls but did not significantly change stiffness (-10.9%). There was a strong (r = 0.7) correlation between yield load and filling percentage in the femoral neck.

conclusionsThis study showed that 1) femoroplasty significantly increased fracture load and energy to fracture when osteoporotic femora were loaded in simulated fall conditions, and 2) cement filling in the femoral neck may have an important role in the extent to which femoroplasty affects mechanical strength of the proximal femur.

Indexed as

Accidental FallsAgedAged, 80 and overBone CementsCadaverCase-Control StudiesFemaleHip FracturesHumansMaleOsteoporosisPolymethyl MethacrylateStress, MechanicalBone CementsPolymethyl Methacrylate

Identifiers

PMID20101133
PMCPMC2813465
OpenAlexW2034492833

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.