title: Predictors of femoral neck fracture following hip resurfacing: a cadaveric study.
abstract: We aimed to establish if radiological parameters, dual energy x-ray absorptiometry (DEXA) and quantitative CT (qCT) could predict the risk of sustaining a femoral neck fracture following hip resurfacing. Twenty-one unilateral fresh frozen femurs were used. Each femur had a plain digital anteroposterior radiograph, DEXA scan and qCT scan. Femurs were then prepared for a Birmingham Hip Resurfacing femoral component and loaded to failure. Results demonstrated that gender and qCT measurements showed strong correlation with failure load. QCT could be used as an individual measure to predict risk of post-operative femoral neck fracture. However, when qCT is unavailable; gender, pre-operative DEXA scan and Neck Width measurements can be used together to assess risk of post-operative femoral neck fracture in patients due to undergo hip resurfacing.
authors: The Royal Orthopaedic Hospital, Northfield, Birmingham, West Midlands, UK.
authors: Edward T
authors: ET
authors: Davis
authors: Michael
authors: M
authors: Olsen
authors: Rad
authors: R
authors: Zdero
authors: Gemma M
authors: GM
authors: Smith
authors: James P
authors: JP
authors: Waddell
authors: Emil H
authors: EH
authors: Schemitsch
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005265:Femoral Neck Fractures / Q000209:etiology* / Q000503:physiopathology; D005269:Femur / Q000000981:diagnostic imaging; D062785:Hemiarthroplasty / Q000009:adverse effects*; D006801:Humans; D066298:In Vitro Techniques; D008297:Male; D008875:Middle Aged; D057068:Periprosthetic Fractures / Q000209:etiology* / Q000503:physiopathology; D011859:Radiography; D013314:Stress, Mechanical