All Title Author
Keywords Abstract

Publish in OALib Journal
ISSN: 2333-9721
APC: Only $99

ViewsDownloads

Relative Articles

More...

Factors Influence on the Broaching Hammering Sound during Cementless Total Hip Arthroplasty

DOI: 10.4236/jbise.2022.159021, PP. 229-240

Keywords: Total Hip Arthroplasty, Cementless Stem, Hammering Sound, Fast Fourier Transform, Femoral Morphology

Full-Text   Cite this paper   Add to My Lib

Abstract:

Background: The aim of this study is to identify the factors influence on the broaching hammering sound character during cementless total hip arthroplasty. Methods: We analyzed frequency spectrum of the hammering sound for 49 cases of uncomplicated cementless THAs using two types of proximal-coated stem performed by experienced surgeons. Normalized sound pressure (NSP) of each 0.5 kHz frequency band in final stage of broach procedure was determined by the fast Fourier transform analysis. The relationships between those sound characteristics and femoral morphology such as canal calcar ratio (CCR), Canal flare index (CFI), morphological cortical index (MCI) and femoral shaft length (FSL) in different cementless stem were investigated. Results: In Accolade 2, CCR was positively related to NSP in several bands [Frequency band (kHz); r: 2.0 - 2.5; 0.37, 4.5 - 5.0; 0.37, 9.5 - 10.0; 0.44], and negatively related to 7.5 - 8.0 kHz (r = -0.39). Negative correlations were observed among CFI and MCI in specific frequency bands (4.5 - 5.0, 5.0 - 5.5, and 7.5 - 8.0 kHz). In Taperloc Microplasty, strong correlations were found between FSL and the NSP of 7.5. - 8.0 kHz (r = 0.78) and CCR and the 7.5 - 8.0 kHz bands. There was significant difference of NSPs between high and low group divided by morphological parameters. Acoustic characteristics of NSPs between Accolade 2 and Microplasty were significantly different in 9 frequency bands. Conclusions: The hammering sound correlated with four parameters of the femoral morphology and differed in different types of proximal-coated stem. Those novel five factors are important to consider when to predict complications using acoustic analysis.

References

[1]  Homma, Y., Baba, T., Ozaki, Y., et al. (2017) In Total Hip Arthroplasty via the Direct Anterior Approach, a Dual-Mobility Cup Prevents Dislocation as Effectively in Hip Fracture as in Osteoarthritis. International Orthopaedics, 41, 491-497. https://doi.org/10.1007/s00264-016-3332-y
[2]  Tyrpenou, E., Khoshbin, A., Mohammad, S., et al. (2020) A Large-Scale Fifteen-Year Minimum Survivorship of a Cementless Triple Tapered Femoral Stem. The Journal of Arthroplasty, 35, 2161-2166.
https://doi.org/10.1016/j.arth.2020.03.028
[3]  Kurtz, S., Ong, K., Lau, E., et al. (2007) Projections of Primary and Revision Hip and Knee Arthroplasty in the United States from 2005 to 2030. The Journal of Bone and Joint Surgery, 89, 780-785.
https://doi.org/10.2106/00004623-200704000-00012
[4]  Wacha, H., Domsel, G. and Herrmann, E. (2018) Long-Term Follow-Up of 1217 Consecutive Short-Stem Total Hip Arthroplasty (THA): A Retrospective Single-Center Experience. European Journal of Trauma and Emergency Surgery, 44, 457-469. https://doi.org/10.1007/s00068-017-0895-2
[5]  Rivera, F., Leonardi, F., Evangelista, A., et al. (2016) Risk of Stem Undersizing with Direct Anterior Approach for Total HIP Arthroplasty. HIP International, 26, 249-253. https://doi.org/10.5301/hipint.5000337
[6]  Moskal, J.T., Capps, S.G. and Scanelli, J.A. (2016) Still No Single Gold Standard for Using Cementless Femoral Stems Routinely in Total Hip Arthroplasty. Arthroplasty Today, 2, 211-218.
https://doi.org/10.1016/j.artd.2016.02.001
[7]  Khatod, M., Cafri, G., Inacio, M.C.S., et al. (2015) Revision Total Hip Arthoplasty: Factors Associated with Re-Revision Surgery. The Journal of Bone and Joint Surgery, 97, 359-366. https://doi.org/10.2106/JBJS.N.00073
[8]  Schiffner, E., Latz, D., Jungbluth, P., et al. (2019) Is Computerised 3D Templating More Accurate than 2D Templating to Predict Size of Components in Primary Total Hip Arthroplasty? HIP International, 29, 270-275.
https://doi.org/10.1177/1120700018776311
[9]  Weber, M., Woerner, M., Springorum, R., et al. (2014) Fluoroscopy and Imageless Navigation Enable an Equivalent Reconstruction of Leg Length and Global and Femoral Offset in THA. Clinical Orthopaedics and Related Research, 472, 3150-3158. https://doi.org/10.1007/s11999-014-3740-5
[10]  Pastrav, L.C., Jaecques, S.V.N., Jonkers, I., et al. (2009) In Vivo Evaluation of a Vibration Analysis Technique for the Per-Operative Monitoring of the Fixation of Hip Prostheses. Journal of Orthopaedic Surgery, 4, Article No. 10. https://doi.org/10.1186/1749-799X-4-10
[11]  Morohashi, I., Iwase, H., Kanda, A., et al. (2017) Acoustic Pattern Evaluation during Cementless Hip Arthroplasty Surgery May Be a New Method for Predicting Complications. SICOT-J, 3, Article No. 13.
https://doi.org/10.1051/sicotj/2016049
[12]  Sakai, R., Kikuchi, A., Morita, T., et al. (2011) Hammering Sound Frequency Analysis and Prevention of Intraoperative Periprosthetic Fractures during Total Hip Arthroplasty. HIP International, 21, 718-723.
https://doi.org/10.5301/HIP.2011.8823
[13]  Sakai, R., Kitazato, T., Uchiyama, K., Yoshida, K., Yamamoto, T., Takahira, N. and Ujihira, M. (2021) Investigation of Hammering Sound Frequency to Prevent Intraoperative Fracture during Total Hip Arthroplasty. Journal of Biomedical Science and Engineering, 14, 339-345. https://doi.org/10.4236/jbise.2021.1410029
[14]  McConnell, J.S., Saunders, P.R.J. and Young, S.K. (2018) The Clinical Relevance of Sound Changes Produced during Cementless Hip Arthroplasty: A Correctly Sized Femoral Broach Creates a Distinctive Pattern of Audio Frequencies Directly Related to Bone Geometry. The Bone & Joint Journal, 100, 1559-1564.
https://doi.org/10.1302/0301-620X.100B12.BJJ-2018-0368.R2
[15]  Goossens, Q., Pastrav, L., Roosen, J., et al. (2020) Acoustic Analysis to Monitor Implant Seating and Early Detect Fractures in Cementless THA: An in Vivo Study. Journal of Orthopaedic Research, 39, 1164-1173.
https://doi.org/10.1002/jor.24837
[16]  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. https://doi.org/10.1007/s00264-021-05278-w
[17]  Banno, S., Baba, T., Tanabe, H., et al. (2020) Use of Traction Table Did Not Increase Complications in Total Hip Arthroplasty through Direct Anterior Approach Performed by Novice Surgeon. Journal of Orthopaedic Surgery, 28, No. 2. https://doi.org/10.1177/2309499020923093
[18]  Ishii, S., Homma, Y., Baba, T., et al. (2016) Does the Canal Fill Ratio and Femoral Morphology of Asian Females Influence Early Radiographic Outcomes of Total Hip Arthroplasty with an Uncemented Proximally Coated, Tapered-Wedge Stem? The Journal of Arthroplasty, 31, 1524-1528. https://doi.org/10.1016/j.arth.2016.01.016
[19]  Polguj, M., Bliźniewska, K., Jędrzejewski, K., et al. (2013) Morphological Study of Linea Aspera Variations: Proposal of Classification and Sexual Dimorphism. Folia Morphologica, 72, 72-77.
https://doi.org/10.5603/FM.2013.0012
[20]  Whitwell, G., Brockett, C.L., Young, S., et al. (2013) Spectral Analysis of the Sound Produced during Femoral Broaching and Implant Insertion in Uncemented Total Hip Arthroplasty. Proceedings of the Institution of Mechanical Engineers Part H, 227, 175-180. https://doi.org/10.1177/0954411912462813
[21]  Unger, A., Cabrera-Palacios, H., Schulz, A., et al. (2009) Acoustic Monitoring (RFM) of Total Hip Arthroplasty Results of a Cadaver Study. European Journal of Medical Research, 14, 264-271.
https://doi.org/10.1186/2047-783X-14-6-264

Full-Text

comments powered by Disqus

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133

WeChat 1538708413