Osteoporosis & bone health

A new hip fracture risk index derived from FEA-computed proximal femur fracture loads and energies-to-failure

Osteoporos IntPublished Case-control study

Authors' conclusion

The global FEA-computed fracture risk index increased hip fracture risk prediction accuracy in males.

Study context

Population
Hip fracture subjects and age- and sex-matched control subjects from the AGES-Reykjavik study110 fracture, 235 controls
Comparison
Global FEA-computed fracture risk index (principal component (PC1)) vs all finite element (FE) parameters combined for hip fracture prediction
Outcome
Prediction performance for incident hip fracture (AUC)
Methodological detailsage- and sex-matched, principal component analysis, logistic regression, stratified resampling
  • Age- and sex-matched
  • Principal component analysis
  • Logistic regression
  • Stratified resampling

Main finding

As reported in the abstract

Hip fracture prediction
PC1 was the significant predictor of hip fracture
p-value < 0.001

Observational data: associations, not effects.

Further findings

OutcomePC1All FE parameters combinedP value
AUC for hip fracture prediction in males (subgroup)P < 0.001
AUC0.7760.737

Original publication

A new hip fracture risk index derived from FEA-computed proximal femur fracture loads and energies-to-failure. Osteoporos Int. Published 22 January 2024. doi:10.1007/s00198-024-07015-6

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