Evidence map›Paper›PMID 34026938›Full record

ArticleThe archives of bone and joint surgery2021

Feasibility Analysis of a Novel Method for the Estimation of Local Bone Mechanical Properties: A Preliminary Investigation of Different Pressure Rod Designs on Synthetic Cancellous Bone Models.

Alexander Maslaris, Matthias Bungartz, Frank Layher, Timo Zippelius, Georg Matziolis, Olaf Brinkmann

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Article in The archives of bone and joint surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Alexander MaslarisGerman Center for Orthopedics, Friedrich-Schiller University Jena, Campus Eisenberg, Germany.
Matthias BungartzGerman Center for Orthopedics, Friedrich-Schiller University Jena, Campus Eisenberg, Germany.
Frank LayherGerman Center for Orthopedics, Laboratory of Biomechanics, Friedrich-Schiller University Jena, Campus Eisenberg, Germany.
Timo ZippeliusGerman Center for Orthopedics, Friedrich-Schiller University Jena, Campus Eisenberg, Germany.
Georg MatziolisGerman Center for Orthopedics, Friedrich-Schiller University Jena, Campus Eisenberg, Germany.
Olaf BrinkmannGerman Center for Orthopedics, Friedrich-Schiller University Jena, Campus Eisenberg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhilst traumatology around elderly population becomes more and more popular nowadays, the knowledge of local bone quality prior to osteosynthesis is of paramount importance. Assessment of the local bone mechanical properties provides essential information related to implant stability and can support treatment strategies in a timely manner. In the acute setting, dual-energy X-ray absorptiometry and quantitative computer tomography cannot be used routinely, and up till now no known intraoperative methods have been established.

methodsA novel technique was developed to determine the local bone strength. A feasibility and sensitivity analysis were performed on synthetic cancellous bone models of various densities [including osteoporotic ranges (0.12 - 0.48g/cm

resultsThe Intraoperative Osseomechanical Strength Measurement (IOSM) method revealed high sensitivity for the evaluation of local density on synthetic bone material. Among the indenter designs tested, the one with 40° sharp apex and 5 mm diameter reflected accurately the density changes of the synthetic bones. It was also associated with less invasiveness posing no risk for the primary implant stability of the osteosynthesis that may follow.

conclusionThe IOSM method using the indicated indenter design on synthetic cancellous models appears to be a minimal invasive technique with high accuracy in identifying different bone densities . Further studies on human bone material are now focused on the evaluation of the IOSM sensitivity compared to the gold standards (Dual-energy X-ray absorptiometry and quantitative computer tomography).

Indexed as

Bone mineral densitymplant failurentraoperative evaluationocal bone strengthsteoporotic fracturesteosynthesis

Identifiers

PMID34026938
PMCPMC8121033

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