Abstract:
OBJECTIVES:Microindentation has the potential to measure the stiffness of an individual patient's bone. Bone stiffness plays a crucial role in the press-fit stability of orthopaedic implants. Arming surgeons with accurate bone stiffness information may reduce surgical complications including periprosthetic fractures. The question addressed with this systematic review is whether microindentation can accurately measure cortical bone stiffness. METHODS:A systematic review of all English language articles using a keyword search was undertaken using Medline, Embase, PubMed, Scopus and Cochrane databases. Studies that only used nanoindentation, cancellous bone or animal tissue were excluded. RESULTS:A total of 1094 abstracts were retrieved and 32 papers were included in the analysis, 20 of which used reference point indentation, and 12 of which used traditional depth-sensing indentation. There are several factors that must be considered when using microindentation, such as tip size, depth and method of analysis. Only two studies validated microindentation against traditional mechanical testing techniques. Both studies used reference point indentation (RPI), with one showing that RPI parameters correlate well with mechanical testing, but the other suggested that they do not. CONCLUSION:Microindentation has been used in various studies to assess bone stiffness, but only two studies with conflicting results compared microindentation with traditional mechanical testing techniques. Further research, including more studies comparing microindentation with other mechanical testing methods, is needed before microindentation can be used reliably to calculate cortical bone stiffness.Cite this article: M. Arnold, S. Zhao, S. Ma, F. Giuliani, U. Hansen, J. P. Cobb, R. L. Abel, O. Boughton. Microindentation - a tool for measuring cortical bone stiffness? A systematic review. Bone Joint Res 2017;6:542-549. DOI: 10.1302/2046-3758.69.BJR-2016-0317.R2.
journal_name
Bone Joint Resjournal_title
Bone & joint researchauthors
Arnold M,Zhao S,Ma S,Giuliani F,Hansen U,Cobb JP,Abel RL,Boughton Odoi
10.1302/2046-3758.69.BJR-2016-0317.R2subject
Has Abstractpub_date
2017-09-01 00:00:00pages
542-549issue
9issn
2046-3758pii
6/9/542journal_volume
6pub_type
杂志文章abstract:OBJECTIVES:To study the measurement properties of a joint specific patient reported outcome measure, a measure of capability and a general health-related quality of life (HRQOL) tool in a large cohort of patients with a hip fracture. METHODS:Responsiveness and associations between the Oxford Hip Score (a hip specific ...
journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.33.2000250
更新日期:2014-03-19 00:00:00
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journal_title:Bone & joint research
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doi:10.1302/2046-3758.22.2000137
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journal_title:Bone & joint research
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doi:10.1302/2046-3758.73.BJR-2017-0193.R1
更新日期:2018-05-05 00:00:00
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journal_title:Bone & joint research
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doi:10.1302/2046-3758.29.2000176
更新日期:2013-09-02 00:00:00
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doi:10.1302/2046-3758.96.BJR-2020-0030.R2
更新日期:2020-07-23 00:00:00
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doi:10.1302/2046-3758.83.BJR-2018-0049.R1
更新日期:2019-04-02 00:00:00
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journal_title:Bone & joint research
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doi:10.1302/2046-3758.56.2000469
更新日期:2016-06-01 00:00:00
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更新日期:2020-10-01 00:00:00
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journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.58.2000626
更新日期:2016-08-01 00:00:00
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journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.16.2000008
更新日期:2012-06-01 00:00:00
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journal_title:Bone & joint research
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pub_type: 杂志文章
doi:10.1302/2046-3758.610.BJR-2017-0094.R1
更新日期:2017-10-01 00:00:00
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journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.29.2000179
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doi:10.1302/2046-3758.111.2000087
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更新日期:2017-02-01 00:00:00
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更新日期:2014-04-02 00:00:00
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更新日期:2020-08-02 00:00:00
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更新日期:2021-01-01 00:00:00
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journal_title:Bone & joint research
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更新日期:2012-04-01 00:00:00
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更新日期:2020-11-01 00:00:00
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journal_title:Bone & joint research
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更新日期:2016-04-01 00:00:00
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journal_title:Bone & joint research
pub_type: 杂志文章
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更新日期:2016-09-01 00:00:00
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journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.33.2000226
更新日期:2014-03-10 00:00:00
abstract:OBJECTIVES:Evidence -based medicine (EBM) is designed to inform clinical decision-making within all medical specialties, including orthopaedic surgery. We recently published a pilot survey of the Canadian Orthopaedic Association (COA) membership and demonstrated that the adoption of EBM principles is variable among Can...
journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.54.2000578
更新日期:2016-04-01 00:00:00