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Selection of Hammering Sound Collection Devices for the Development of Total Hip Arthroplasty Support Systems

DOI: 10.4236/jbise.2022.157016, PP. 179-186

Keywords: Intraoperative Fractures, Total Hip Arthroplasty, Hammering Sound, Fourier Analysis, Peak Frequency

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In total hip arthroplasty, intraoperative femoral fractures can be avoided by analyzing the hammering sounds from the stem inserted into the femur. This procedure is based on a hammering test that makes use of the fact that sound depends on the stability of the object. This technique is generally used in engineering. A system designed to avoid excessive stem hammering by predicting the intraoperative fracture risk based on this technique and software for real-time spectra analysis has been developed with repetitive improvements. The remaining technical challenge lies in selecting an appropriate sound collection device and building a compact and easy unit for use. This study reviewed the types of directional microphones suitable for the sound collection system to develop a practical THA support system. Four types of microphones based on selected methods were used to collect and compare the peak frequencies of the hammering sounds and make comparisons between them, and the built system was used to conduct clinical trials. For miniaturization and operational ease of the unit, plug-in unidirectional microphones are appropriate. However, no laboratory-level data has been collected, and thus, further data accumulation is necessary.


[1]  Zhuang, X., Homma, Y., Ishii, S., Shirogane, Y., Tanabe, H., Baba, T., Kaneko, K., Sato, T. and Ishijima, M. (2022) Acoustic Characteristics of Broaching Procedure for Post-Operative Stem Subsidence in Cementless Total Hip Arthroplasty. International Orthopaedics, 46, 741-748.
[2]  Mihalko, W.M., Wimmer, M.A., Pacione, C.A., Laurent, M.P., Murphy, R.F. and Rider, C. (2014) How Have Alternative Bearings and Modularity Affected Revision Rates in Total Hip Arthroplasty? Clinical Orthopaedics and Related Research, 472, 3747-3758.
[3]  Moroni, A., Faldini, C., Piras, F. and Giannini, S. (2000) Risk Factors for Intraoperative Femoral Fractures during Total Hip Replacement. Annales Chirurgiae et Gynaecologiae, 89, 113-118.
[4]  Schwartz, J.T., Mayer, J.G. and Engh, C.A. (1989) Femoral Fracture during Non-Cemented Total Hip Arthroplasty. The Journal of Bone and Joint Surgery, 71, 1135-1142.
[5]  White, C.A., Carsen, S., Rasuli, K., Feibel, R.J., Kim, P.R. and Beaulé, P.E. (2012) High Incidence of Migration with Poor Initial Fixation of the Accolade® Stem. Clinical Orthopaedics and Related Research, 470, 410-417.
[6]  Morohashi, I., Iwase, H., Kanda, A., Sato, T., Homma, Y., Mogami, A., Obayashi, O. and Kaneko, K. (2017) Acoustic Pattern Evaluation during Cementless Hip Arthroplasty Surgery May Be a New Method for Predicting Complications. SICOT-J, 3, 13.
[7]  Sakai, R., Kikuchi, A., Morita, T., Takahira, N., Uchiyama, K., Yamamoto, T., Moriya, M., Uchida, K., Fukusima, K., Tanaka, K., Takaso, M., Itoman, M. and Mabuchi, K. (2011) Hammering Sound Frequency Analysis and Prevention of Intraoperative Periprosthetic Fractures during Total Hip Arthroplasty. Hip International, 21, 718-723.
[8]  Sakai, R., Yamamoto, T., Uchiyama, K., Takahira, N., Kakeshita, M.., Otsu, Y., Yoshida, K. and Ujihira, M. (2020) Prediction of Intraoperative Fracture by Hammering Sound Frequency Analysis and Stress Estimation during Total Hip Arthroplasty. Journal of Biomedical Science and Engineering, 13, 113-119.
[9]  Sakai, R., Uchiyama, K., Takahira, N., Kakeshita, M.., Otsu, Y., Yoshida, K. and Ujihira, M. (2020) Usefulness of Hammering Sound Frequency Analysis as an Evaluation Method for the Prevention of Trouble during Hip Replacement. Journal of Biomedical Science and Engineering, 13, 74-80.
[10]  Sakai, R., Uchiyama, K., Kensuke, F., Takahira, N., Yoshida, K. and Ujihira, M. (2021) Hammering Sound Frequency Analysis to Fix an Acetabular Cup during Total Hip Arthroplasty: Clinical Trials and Biomechanical Studies. Journal of Biomedical Science and Engineering, 14, 14-20.
[11]  Whitwell, G., Brockett, L.C., Young, S., Stone, M. and Stewart, D.T. (2013) Spectral Analysis of the Sound Produced during Femoral Broaching and Implant Insertion in Uncemented Total Hip Arthroplasty. Journal of Engineering in Medicine, 227, 175-180.
[12]  Jin, X. and Ling, S.L. (2012) A Method of Measuring Acoustic Absorption Coefficient of a Material Specimen Using a Dynamic Microphone. Journal of Mechanical Science and Technology, 26, 741-748.
[13]  Pederson, M., Olthuis, W. and Bergveld, P. (1998) High-Performance Condenser Microphone with Fully Integrated CMOS Amplifier and DC-DC Voltage Converter. Journal of Microelectromechanical Systems, 7, 387-394.
[14]  Micro and Nano Technologies (2020) Handbook of Silicon Based MEMS Materials and Technologies. Third Edition, Elsevier, Amsterdam, 937-948.
[15]  Bauer, B.B. (1941) Uniphase Unidirectional Microphones. The Journal of the Acoustical Society of America, 13, 41.


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