A new instrumented hip joint prosthesis was developed which allows the in vivo measurement of the complete contact loads in the joint, i.e. 3 force and 3 moment components. A clinically proven standard implant was modified. Inside the hollow neck, 6 semiconductor strain gauges are applied to measure the deformation of the neck. Also integrated are a small coil for the inductive power supply and a 9-channel telemetry transmitter. The neck cavity is closed by a titanium plate and hermetically sealed by electron beam welding. The sensor signals are pulse interval modulated (PIM) with a sampling rate of about 120 Hz. The pulses are transmitted at radio frequencies via a small antenna loop inside the ceramic head, which is connected to the electronic circuit by a two-pin feedthrough. Inductive power supply, calculation of the loads from the measured deformations and real time load display are carried out by the external equipment. The maximum error of the load components is 2% including crosstalk.
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http://dx.doi.org/10.1016/j.medengphy.2009.10.003 | DOI Listing |
Arch Orthop Trauma Surg
January 2025
Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Campus de Gualtar, Braga, 4710-057, Portugal.
Introduction: Total joint arthroplasties generally achieve good outcomes, but chronic pain and disability are a significant burden after these interventions. Acknowledging relevant risk factors can inform preventive strategies. This study aimed to identify chronic pain profiles 6 months after arthroplasty using the ICD-11 (International Classification of Diseases) classification and to find pre and postsurgical predictors of these profiles.
View Article and Find Full Text PDFMed Biol Eng Comput
January 2025
Biomedical Engineering, Bahçeşehir University, Çırağan Caddesi Osmanpaşa Mektebi Sokak No: 4-6 Beşiktaş, İstanbul, 34353, Turkey.
This study aims to understand the impact of backpack carriage, a regular activity for many, on back muscles and joint mobility during walking so that clinicians can develop strategies or products to ensure individuals' safety and well-being. Surface electromyography (EMG) and XSENS Awinda motion capture systems were used to analyze the effects of carrying a backpack (12% of body weight) on erector spinae and multifidus muscles, as well as spinal, hip, knee, and ankle joints. Subjects walked at 4 km/h on flat and inclined surfaces.
View Article and Find Full Text PDFJ Clin Med
January 2025
Department of Woman, Child and of General and Specialized Surgery, University of Campania "Luigi Vanvitelli", 81100 Naples, Italy.
Periprosthetic joint infections (PJIs) are a significant issue in joint replacement surgery patients, affecting results and mortality. Recent research focuses on developing hydrogels (HG) and antimicrobial coatings to reduce pressure injuries, with DAC™ HG showing lower infection risk in hip revision surgery. However, the effectiveness of DAC™ hydrogel in PIJs is still unknown.
View Article and Find Full Text PDFJ Clin Med
January 2025
Division of Orthopaedics and Traumatology, Cantonal Hospital Winterthur, 8401 Winterthur, Switzerland.
Wear particle reaction is present in every arthroplasty. Sometimes, this reaction may lead to formation of large pseudotumors. As illustrated in this case, the volume of the reaction may be out of proportion to the volume of the wear scar.
View Article and Find Full Text PDFJ Clin Med
January 2025
Department of Internal Medicine, 4th Military Clinical Hospital, 50-981 Wroclaw, Poland.
Fungal periprosthetic joint infections (PJIs) are rare but increasingly recognized complications following total joint arthroplasty (TJA). While remains the most common pathogen, non-albicans species and other fungi, such as , have gained prominence. These infections often present with subtle clinical features and affect patients with significant comorbidities or immunosuppression.
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