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Towards an App to Estimate Patient-Specific Perioperative Femur Fracture Risk
- Source :
- Applied Sciences, Vol 10, Iss 6409, p 6409 (2020), Applied Sciences, Volume 10, Issue 18
- Publication Year :
- 2020
- Publisher :
- MDPI AG, 2020.
-
Abstract
- Total Hip Arthroplasty has been one of the most successful surgical procedure in terms of patient outcomes and satisfaction. However, due to increase in life expectancy and the related incidence of age-dependent bone diseases, a growing number of cases of intra-operative fractures lead to revision surgery with high rates of morbidity and mortality. Surgeons choose the type of the implant, either cemented or cementless prosthesis, on the basis of the age, the quality of the bone and the general medical conditions of the patients. Generally, no quantitative measures are available to assess the intra-operative fracture risk. Consequently, the decision-making process is mainly based on surgical operators&rsquo<br />expertise and qualitative information obtained from imaging. Motivated by this scenario, we here propose a mechanical-supported strategy to assist surgeons in their decisions, by giving intelligible maps of the risk fracture which take into account the interplay between the actual mechanical strength distribution inside the bone tissue and its response to the forces exerted by the implant. In the presented study, we produce charts and patient-specific synthetic &ldquo<br />traffic-light&rdquo<br />indicators of fracture risk, by making use of ad hoc analytical solutions to predict the stress levels in the bone by means of Computed Tomography-based mechanical and geometrical parameters of the patient. We felt that if implemented in a friendly software or proposed as an app, the strategy could constitute a practical tool to help the medical decision-making process, in particular with respect to the choice of adopting cemented or cementless implant.
- Subjects :
- medicine.medical_specialty
total hip arthroplasty
bone elastic-plastic behavior
media_common.quotation_subject
0206 medical engineering
02 engineering and technology
lcsh:Technology
lcsh:Chemistry
03 medical and health sciences
0302 clinical medicine
medicine
General Materials Science
Quality (business)
Instrumentation
lcsh:QH301-705.5
media_common
Fluid Flow and Transfer Processes
High rate
030222 orthopedics
Femur fracture
business.industry
lcsh:T
Process Chemistry and Technology
General Engineering
Perioperative
Patient specific
intra-operative femur fracture risk
020601 biomedical engineering
lcsh:QC1-999
Computer Science Applications
lcsh:Biology (General)
lcsh:QD1-999
lcsh:TA1-2040
Life expectancy
Physical therapy
Implant
business
lcsh:Engineering (General). Civil engineering (General)
lcsh:Physics
Total hip arthroplasty
Subjects
Details
- Language :
- English
- ISSN :
- 20763417
- Volume :
- 10
- Issue :
- 6409
- Database :
- OpenAIRE
- Journal :
- Applied Sciences
- Accession number :
- edsair.doi.dedup.....a07cc47b8aaebe0a5d24d4d765c39afa