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Evaluation of electromechanical impedance based structural health monitoring for detection of loosening in total knee arthroplasty

机译:基于机电阻抗的结构健康监测评价,用于检测全膝关节形成术中松动

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Total Knee Arthroplasty (TKA) continues to be a common and important orthopedic procedure for many in the UnitedStates. Despite recent medical advancements and increasing knowledge in the orthopedic community, it has beendetermined that 20% of TKA patients are still dissatisfied with their knee replacements. Causes of this failure includeseptic loosening and wear on the bearing component of the implant. Another cause of failure that has received specificattention from the mechanical community is aseptic loosening, which has been attributed to unbalanced ligaments ormisalignment of the implant components. Previous efforts have been made to detect loosening by using passive forcesensors such as piezoelectric transducers or strain gauges to detect misalignment. An alternative to this is to perform activesensing or structural health monitoring to evaluate possible loosening before it becomes a critical concern to the patient.One method of structural health monitoring, called the electromechanical impedance (EMI) method, is particularlyattractive as it can use a single, compact piezoelectric transducer to determine the state of the host structure. This work isintended to evaluate the ability of the EMI method in sensing loosening between the cement and bone of a TKA tibial tray.This work will utilize real tibial trays implanted into synthetic bone (Sawbone) to evaluate the feasibility of detectingloosening using the EMI method. The intention of this work is to serve as a foundation for further in-vivo and intraoperativestudies.
机译:膝关节间关节成形术(TKA)仍然是曼联许多人的常见而重要的整形外科手术状态。尽管最近的医疗进步和骨科社区的知识增加,但它已经存在确定20%的TKA患者仍然对膝关节置换不满。这种失败的原因包括植入物的轴承部件上的化粪池松动和磨损。另一个收到特定的失败原因来自机械界的关注是无菌松动,这归因于韧带不平衡或植入部件的未对准。以前的努力通过使用被动力来检测松动如压电换能器或应变仪等传感器以检测未对准。替代方案是执行活动感应或结构健康监测,以评估可能在患者成为关键问题之前的可能松动。一种结构健康监测方法,称为机电阻抗(EMI)方法是特别的有吸引力,可以使用单个紧凑的压电换能器来确定主机结构的状态。这项工作是旨在评估EMI方法在感测到TKA胫骨托盘的水泥和骨之间的松动的能力。这项工作将利用植入合成骨(Sawbone)的真正的胫骨托盘来评估检测的可行性使用EMI方法松开。这项工作的意图是作为进一步的体内和术语作为进一步的基础学习。

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