Hip implant force measurement
Design of an intraoperative hip joint 3-DOF force measurement system
T. Mol (TU Delft - Mechanical Engineering)
T. Horeman – Mentor (TU Delft - Medical Instruments & Bio-Inspired Technology)
J. Wei – Graduation committee member (TU Delft - Mechanical Engineering)
A. Hunt – Graduation committee member (TU Delft - Micro and Nano Engineering)
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Abstract
Achieving appropriate soft tissue tension around the hip joint is an important factor for achieving hip stability after Total Hip Arthroplasty (THA). Hip instability leads to dislocations, pain, and is a common reason for early revision surgery. The current soft tissue tension assessments available during surgery rely on experience, and dislocations occur twice as often after THAs performed by inexperienced surgeons compared to more experienced surgeons. This paper presents a new mechanism which measures and displays hip force in Three Degrees Of Freedom (3-DOF) during THA. A prototype measured axial and normal force components up to 75 N with a sampling frequency of 14.6 Hz, an accuracy up to 11 N, and a Root Mean Square Error (RMSE) of 4.0 N (axial) and 3.0 N (normal). Additionally, it measured the normal force direction with an accuracy up to 7.1∙10^(-2) π rad and RMSE of 7.1∙10^(-2) π rad. Data needs to be collected to build a predictive model which estimates the required hip force range and distribution to achieve a stable joint. When combined with such a predictive model, the proposed design is a promising assistive surgical tool.