Quantitative Monitoring of Osseointegrated Implant Stability Using Vibration Analysis

Quantitative Monitoring of Osseointegrated Implant Stability Using Vibration Analysis

Shouxun Lu, Benjamin Steven Vien, Matthias Russ, Mark Fitzgerald, Wing Kong Chiu

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Abstract. Reliable and quantitative assessments for the stability of the osseointegrated prostheses are desirable and advantageous in ensuring the success of the installation and long-term performance. However, the common evaluation techniques are qualitative, where their accuracy of which relies on the surgeon’s experience. This computational study investigates the potential of using vibrational response to evaluate the stability of the osseointegrated implant using finite element simulation. This paper mainly focuses on the resonance frequency shift and mode shape changes associated with the degree of osseointegration which is simulated by varying bone-implant interface Young’s modulus. The resonance frequency of the specific torsional modes increases 211% and 155% for low-frequency (0 to 1800Hz) and high-frequency (1800 to 5000Hz) ranges respectively, as the simulated osseointegration process. Moreover, the torsional mode change from the implant to the femur-implant system is clearly evidenced. The findings highlight the potential application of vibration analysis on the assessment of implant stability.

Keywords
Osseointegrated Implant, Vibrational Response, Vibration Analysis, Finite Element Modelling

Published online 2/20/2021, 8 pages
Copyright © 2021 by the author(s)
Published under license by Materials Research Forum LLC., Millersville PA, USA

Citation: Shouxun Lu, Benjamin Steven Vien, Matthias Russ, Mark Fitzgerald, Wing Kong Chiu, Quantitative Monitoring of Osseointegrated Implant Stability Using Vibration Analysis, Materials Research Proceedings, Vol. 18, pp 87-94, 2021

DOI: https://doi.org/10.21741/9781644901311-11

The article was published as article 11 of the book Structural Health Monitoring

Content from this work may be used under the terms of the Creative Commons Attribution 3.0 licence. Any further distribution of this work must maintain attribution to the author(s) and the title of the work, journal citation and DOI.

References
[1] Shao, F., et al., Natural frequency analysis of osseointegration for trans-femoral implant. Ann Biomed Eng, 2007. 35(5): p. 817-24. https://doi.org/10.1007/s10439-007-9276-z
[2] Hagberg, K., et al., Osseoperception and osseointegrated prosthetic limbs, in Psychoprosthetics. 2008, Springer. p. 131-140. https://doi.org/10.1007/978-1-84628-980-4_10
[3] Ward, D. and K. Robinson, Osseointegration for the skeletal fixation of limb prostheses in amputations at the trans-femoral level. The osseointegration book: From calvarium to calcaneus. Berlin (Germany): Quintessence, 2005: p. 463-76.
[4] Isaacson, B.M. and S. Jeyapalina, Osseointegration: a review of the fundamentals for assuring cementless skeletal fixation. Orthopedic Research and reviews, 2014. 6: p. 55-65. https://doi.org/10.2147/ORR.S59274
[5] Brånemark, R., et al., Osseointegration in skeletal reconstruction and rehabilitation: a review. Journal of rehabilitation research and development, 2001. 38(2): p. 175.
[6] Morelli, F., et al., Influence of bone marrow on osseointegration in long bones: an experimental study in sheep. Clinical oral implants research, 2015. 26(3): p. 300-306. https://doi.org/10.1111/clr.12487
[7] Agarwal, R. and A.J. García, Biomaterial strategies for engineering implants for enhanced osseointegration and bone repair. Advanced Drug Delivery Reviews, 2015. 94. https://doi.org/10.1016/j.addr.2015.03.013
[8] Lu, S., et al., Non-radiative healing assessment techniques for fractured long bones and osseointegrated implant. Biomedical engineering letters, 2020. 10(1): p. 63-81. https://doi.org/10.1007/s13534-019-00120-0
[9] Vien, B.S., et al., A stress wave-based health monitoring concept on a novel osseointegrated endoprosthesis design. 2018.
[10] Østbyhaug, P.O., et al., Primary stability of custom and anatomical uncemented femoral stems: A method for three-dimensional in vitro measurement of implant stability. Clinical Biomechanics, 2010. 25(4): p. 318-324. https://doi.org/10.1016/j.clinbiomech.2009.12.012
[11] Lioubavina‐Hack, N., N.P. Lang, and T. Karring, Significance of primary stability for osseointegration of dental implants. Clinical Oral Implants Research, 2006. 17(3): p. 244-250. https://doi.org/10.1111/j.1600-0501.2005.01201.x
[12] Thesleff, A., B. Håkansson, and M. Ortiz-Catalan, Biomechanical Characterisation of Bone-anchored Implant Systems for Amputation Limb Prostheses: A Systematic Review. Annals of Biomedical Engineering, 2018. 46(3): p. 377-391. https://doi.org/10.1007/s10439-017-1976-4
[13] Vayron, R., et al., Ultrasonic evaluation of dental implant osseointegration. Journal of Biomechanics, 2014. 47(14): p. 3562-3568. https://doi.org/10.1016/j.jbiomech.2014.07.011
[14] Cairns, N.J., et al., Evaluation of modal analysis techniques using physical models to detect osseointegration of implants in transfemoral amputees. Conference proceedings: … Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Conference, 2011: p. 1600-1603. https://doi.org/10.1109/IEMBS.2011.6090463
[15] Dhert, W., et al., A finite element analysis of the push‐out test: Influence of test conditions. Journal of Biomedical Materials Research Part A, 1992. 26(1): p. 119-130. https://doi.org/10.1002/jbm.820260111
[16] Johansson, C.B., L. Sennerby, and T. Albrektsson, A removal torque and histomorphometric study of bone tissue reactions to commercially pure titanium and Vitallium implants. International Journal of Oral & Maxillofacial Implants, 1991. 6(4).
[17] Chiu, W.K., et al., Vibration-based healing assessment of an internally fixated femur. Journal of Nondestructive Evaluation, Diagnostics and Prognostics of Engineering Systems, 2019. 2(2): p. 021003. https://doi.org/10.1115/1.4043276
[18] Chiu, W.K., et al., Towards a Non-Invasive Technique for Healing Assessment of Internally Fixated Femur. Sensors, 2019. 19(4): p. 857. https://doi.org/10.3390/s19040857
[19] Chiu, W., et al., Effects of mass loading on the viability of assessing the state of healing of a fixated fractured long bone. Journal of Rehabilitation and Assistive Technologies Engineering, 2019. 6: p. 2055668319842806. https://doi.org/10.1177/2055668319842806
[20] Li, P., N. Jones, and P. Gregg, Vibration analysis in the detection of total hip prosthetic loosening. Medical engineering & physics, 1996. 18(7): p. 596-600. https://doi.org/10.1016/1350-4533(96)00004-5
[21] Varini, E., et al., Assessment of implant stability of cementless hip prostheses through the frequency response function of the stem–bone system. Sensors and Actuators A: Physical, 2010. 163(2): p. 526-532. https://doi.org/10.1016/j.sna.2010.08.029
[22] Jaecques, S.V., C. Pastrav, and G. Van der Perre. Analysis of the fixation quality of total hip replacements using a vibrational technique. in ASME 7th Biennial Conference on Engineering Systems Design and Analysis. 2004. American Society of Mechanical Engineers. https://doi.org/10.1115/ESDA2004-58581
[23] Alshuhri, A.A., et al., Development of a non-invasive diagnostic technique for acetabular component loosening in total hip replacements. Med Eng Phys, 2015. 37(8): p. 739-45. https://doi.org/10.1016/j.medengphy.2015.05.012
[24] Bediz, B., H.N. Özgüven, and F. Korkusuz, Vibration measurements predict the mechanical properties of human tibia. Clinical biomechanics, 2010. 25(4): p. 365-371. https://doi.org/10.1016/j.clinbiomech.2010.01.002
[25] Jaecques, S., et al., Vibration analysis of orthopaedic implant stability: exploratory finite element modelling. Proceedings of the Belgian Day on Biomedical engineering, 2002.
[26] Huang, H.M., et al., Early detection of implant healing process using resonance frequency analysis. Clinical oral implants research, 2003. 14(4): p. 437-443. https://doi.org/10.1034/j.1600-0501.2003.00818.x
[27] Cairns, N.J., et al., Ability of modal analysis to detect osseointegration of implants in transfemoral amputees: a physical model study. Med Biol Eng Comput, 2013. 51(1-2): p. 39-47. https://doi.org/10.1007/s11517-012-0962-0
[28] Qi, G., W.P. Mouchon, and T.E. Tan, How much can a vibrational diagnostic tool reveal in total hip arthroplasty loosening? Clinical Biomechanics, 2003. 18(5): p. 444-458. https://doi.org/10.1016/S0268-0033(03)00051-2
[29] Rieger, J.S., et al., Loosening detection of the femoral component of hip prostheses with extracorporeal shockwaves: a pilot study. Med Eng Phys, 2015. 37(2): p. 157-64. https://doi.org/10.1016/j.medengphy.2014.11.011
[30] Dong, Y., et al., Finite Element Analysis of Absorbable Sheath to Prevent Stress Shielding of Tibial Interlocking Intramedullary Nail. IOP Conference Series: Materials Science and Engineering, 2017. 224. https://doi.org/10.1088/1757-899X/224/1/012052
[31] Helgason, B., et al., Risk of failure during gait for direct skeletal attachment of a femoral prosthesis: a finite element study. Medical engineering & physics, 2009. 31(5): p. 595-600. https://doi.org/10.1016/j.medengphy.2008.11.015
[32] Pal, S., Design of artificial human joints & organs. 2014: Springer. https://doi.org/10.1007/978-1-4614-6255-2
[33] Oftadeh, R., et al., Biomechanics and mechanobiology of trabecular bone: a review. Journal of biomechanical engineering, 2015. 137(1). https://doi.org/10.1115/1.4029176
[34] Dalstra, M., et al., Mechanical and textural properties of pelvic trabecular bone. Journal of biomechanics, 1993. 26(4-5): p. 523-535. https://doi.org/10.1016/0021-9290(93)90014-6
[35] RUSS, M., et al., Development of a Novel Osseointegrated Endoprosthesis, Combing Orthopaedic and Engineering Design Principles, and Structural Health Monitoring Conc. Structural Health Monitoring 2017, 2017(shm). https://doi.org/10.12783/shm2017/14244
[36] Wang, W. and J.P. Lynch, IWSHM 2017: Application of guided wave methods to quantitatively assess healing in osseointegrated prostheses. Structural Health Monitoring, 2018. 17(6): p. 1377-1392. https://doi.org/10.1177/1475921718782399
[37] Vien, B.S., et al., A Quantitative Approach for the Bone-implant Osseointegration Assessment Based on Ultrasonic Elastic Guided Waves. Sensors, 2019. 19(3). https://doi.org/10.3390/s19030454
[38] Chiu, W.K., et al., Healing assessment of fractured femur treated with an intramedullary nail. Structural Health Monitoring, 2019: p. 1475921718816781. https://doi.org/10.1177/1475921718816781
[39] Claes, L.E. and J.L. Cunningham, Monitoring the mechanical properties of healing bone. Clin Orthop Relat Res, 2009. 467(8): p. 1964-71. https://doi.org/10.1007/s11999-009-0752-7