Abstract
Osseointegrated prostheses are widely used following transfemoral amputation. However, this technique requires sufficient implant stability before and during the rehabilitation period to mitigate the risk of implant breakage and loosening. Hence, reliable assessment methods for the osseointegration process are essential to ensure initial and long–term implant stability. This paper researches the feasibility of a vibration analysis technique for the osseointegration (OI) process by investigating the change in the dynamic response of the residual femur with a novel implant design during a simulated OI process. The paper also proposes a concept of an energy index (the E–index), which is formulated based on the normalized magnitude. To illustrate the potential of the E–index, this paper reports on changes in the vibrational behaviors of a 133 mm long amputated artificial femur model and implant system, with epoxy adhesives applied at the interface to simulate the OI process. The results show a significant variation in the magnitude of the colormap against curing time. The study also shows that the E–index was sensitive to the interface stiffness change, especially during the early curing process. These findings highlight the feasibility of using the vibration analysis technique and the E–index to quantitatively monitor the osseointegration process for future improvement on the efficiency of human health monitoring and patient rehabilitation.
Highlights
The traditional treatment for transfemoral amputation is the prosthetic socket system, which consists of an artificial socket providing a secure connection between the residual limb and the prostheses for the transfemoral amputee [1,2]
This paper investigates the feasibility of a vibration analysis technique on the OIenergy (US20200188140)
This study proposes the concept of using normalized energy difference to formulate an energy index (E–index), which could quantify the stages of OI
Summary
The traditional treatment for transfemoral amputation is the prosthetic socket system, which consists of an artificial socket providing a secure connection between the residual limb and the prostheses for the transfemoral amputee [1,2]. The state–of–the–art method that has been widely investigated and employed is the use of osseointegrated prostheses, consisting of a metal implant that is inserted into the skeletal system, providing a direct connection between the artificial limb and the residual leg [8,9] without the interference of the soft tissue [6,8,10]. Afterwards, the loading on the implant will gradually increase until the TFOI is capable of the full weight load bearing
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