Abstract

Instrumented implants can improve the clinical outcome of total hip replacements (THRs). To overcome the drawbacks of external energy supply and batteries, energy harvesting is a promising approach to power energy-autonomous implants. Therefore, we recently presented a new piezoelectric-based energy harvesting concept for THRs. In this study, the performance of the proposed energy harvesting system was numerically and experimentally investigated. First, we numerically reproduced our previous results for the physiologically based loading situation in a simplified setup. Thereafter, this configuration was experimentally realised by the implantation of a functional model of the energy harvesting concept into an artificial bone segment. Additionally, the piezoelectric element alone was investigated to analyse the predictive power of the numerical model. We measured the generated voltage for a load profile for walking and calculated the power output. The maximum power for the directly loaded piezoelectric element and the functional model were 28.6 and 10.2 µW, respectively. Numerically, 72.7 µW was calculated. The curve progressions were qualitatively in good accordance with the numerical data. The deviations were explained by sensitivity analysis and model simplifications, e.g., material data or lower acting force levels by malalignment and differences between virtual and experimental implantation. The findings verify the feasibility of the proposed energy harvesting concept and form the basis for design optimisations with increased power output.

Highlights

  • To the best of our knowledge, no further work on energy harvesting for total hip replacements (THRs) was published until we recently proposed our new concept [41]: Here, a piezoelectric multilayer element was integrated into a total hip stem and loaded by the deformation of the implant

  • A small difference was present for the maximum power calculated according to Safaei et al [56,57] since, for our previous work, we considered the passive top and bottom layers

  • We proposed a reproducible setup for the experimental testing of a modified total hip stem implanted in an artificial bone segment

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Summary

Introduction

Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. Implantation of a total hip replacement (THR) is a surgical treatment for hip jointrelated diseases. This final measure is taken if conservative therapies fail and cannot resolve persistent symptoms that decrease the quality of life [1]. The main indication for THR is severe hip osteoarthritis [2]; osteoarthritis in general is one of the most common disabling diseases worldwide [3,4]. With regard to the clinical outcome and economic burden, THR revision surgeries should be avoided [8,9,10,11]

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