Bone Load Estimation for the Proximal Femur Using Single Energy Quantitative CT Data

Kenneth J. Fischer, Christopher R. Jacobs, Marc E. Levenston, D.D. Cody, and Dennis R. Carter


Abstract

A density-based load estimation method was applied to determine femoral load patterns. Two-dimensional finite element models were constructed using single energy quantitative computed tomography (QCT) data from two femora. Basic load cases included parabolic pressure joint loads and constant tractions on the greater trochanter. An optimization procedure adjusted the magnitudes of the basic load cases, such that the applied mechanical stimulus approached the ideal stimulus throughout each model. Dominant estimated load directions were generally consistent with published experimental data for gait. Other estimated loads suggested that loads at extreme joint orientations may be important to maintenance of bone structure. Remodeling simulations with the estimated loads produced density distributions qualitatively similar to the QCT sets. Average nodal density errors between QCT data and predictions were 0.24 g/cm3 and 0.28 g/cm3. The results indicate that density-based load estimation could improve understanding of loading patterns on bones.