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dc.contributor.author
Bliven, Emily
dc.contributor.author
Fung, Anita
dc.contributor.author
Cripton, Peter A.
dc.contributor.author
Helgason, Benedikt
dc.contributor.author
Guy, Pierre
dc.date.accessioned
2023-09-07T14:39:59Z
dc.date.available
2023-06-22T07:40:29Z
dc.date.available
2023-06-22T11:50:59Z
dc.date.available
2023-09-07T14:39:59Z
dc.date.issued
2023-09
dc.identifier.issn
1554-527X
dc.identifier.issn
0736-0266
dc.identifier.other
10.1002/jor.25636
en_US
dc.identifier.uri
http://hdl.handle.net/20.500.11850/617791
dc.description.abstract
Various femoral augmentation designs have been investigated over the past decade for the prevention of geriatric hip fracture. The experimental methods used to evaluate the efficacy of these augmentations have not been critically evaluated or compared in terms of biofidelity, robustness, or ease of application. Such parameters have significant relevance in characterizing future clinical success. In this study we aimed to use a scoping review to summarize the experimental studies that evaluate femoral augmentation approaches, and critically evaluate commonly applied protocols and identify areas for concordance with the clinical situation. We conducted a literature search targeting studies that used experimental test methods to evaluate femoral augmentation to prevent geriatric fragility fracture. A total of 25 studies met the eligibility criteria. The most commonly investigated augmentation to date is the injection of bone cement or another material that cured in situ, and a popular subsequent method for biomechanical evaluation was to load the augmented proximal femur until fracture in a sideways fall configuration. We noted limitations in the clinical relevance of sideways fall scenarios being modeled and large variance in the concordance of many of the studies identified. Our review brings about recommendations for enhancing the fidelity of experimental methods modeling clinical sideways falls, which include an improved representation of soft tissue effects, using outcome metrics beyond load-to-failure, and applying loads inertially. Effective augmentations are encouraging for their potential to reduce the burden of hip fracture; however, the likelihood of this success is only as strong as the methods used in their evaluation.
en_US
dc.language.iso
en
en_US
dc.publisher
Wiley
en_US
dc.subject
augmentation
en_US
dc.subject
biomechanics
en_US
dc.subject
femoroplasty
en_US
dc.subject
hip fracture
en_US
dc.subject
prevention
en_US
dc.title
Evaluating femoral augmentation to prevent geriatric hip fracture: A scoping review of experimental methods
en_US
dc.type
Review Article
dc.date.published
2023-05-30
ethz.journal.title
Journal of Orthopaedic Research
ethz.journal.volume
41
en_US
ethz.journal.issue
9
en_US
ethz.journal.abbreviated
Orthop Res.
ethz.pages.start
1855
en_US
ethz.pages.end
1862
en_US
ethz.identifier.wos
ethz.identifier.scopus
ethz.publication.place
Hoboken, NJ
en_US
ethz.publication.status
published
en_US
ethz.leitzahl
ETH Zürich::00002 - ETH Zürich::00012 - Lehre und Forschung::00007 - Departemente::02070 - Dep. Gesundheitswiss. und Technologie / Dep. of Health Sciences and Technology::02518 - Institut für Biomechanik / Institute for Biomechanics::03915 - Ferguson, Stephen / Ferguson, Stephen
ethz.leitzahl.certified
ETH Zürich::00002 - ETH Zürich::00012 - Lehre und Forschung::00007 - Departemente::02070 - Dep. Gesundheitswiss. und Technologie / Dep. of Health Sciences and Technology::02518 - Institut für Biomechanik / Institute for Biomechanics::03915 - Ferguson, Stephen / Ferguson, Stephen
ethz.date.deposited
2023-06-22T07:40:34Z
ethz.source
WOS
ethz.eth
yes
en_US
ethz.availability
Metadata only
en_US
ethz.rosetta.installDate
2023-09-07T14:40:00Z
ethz.rosetta.lastUpdated
2024-02-03T03:24:17Z
ethz.rosetta.versionExported
true
ethz.COinS
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