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Modal Analysis of the Ancillary During Femoral Stem Insertion: A Study on Bone Mimicking Phantoms

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Abstract

The femoral stem primary stability achieved by the impaction of an ancillary during its insertion is an important factor of success in cementless surgery. However, surgeons still rely on their proprioception, making the process highly subjective. The use of Experimental Modal Analysis (EMA) without sensor nor probe fixation on the implant or on the bone is a promising non destructive approach to determine the femoral stem stability. The aim of this study is to investigate whether EMA performed directly on the ancillary could be used to monitor the femoral stem insertion into the bone. To do so, a cementless femoral stem was inserted into 10 bone phantoms of human femurs and EMA was carried out on the ancillary using a dedicated impact hammer for each insertion step. Two bending modes could be identified in the frequency range [400–8000] Hz for which the resonance frequency was shown to be sensitive to the insertion step and to the bone-implant interface properties. A significant correlation was obtained between the two modal frequencies and the implant insertion depth (R2 = 0.95 ± 0.04 and R2 = 0.94 ± 0.06). This study opens new paths towards the development of noninvasive vibration based evaluation methods to monitor cementless implant insertion.

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Acknowledgments

The authors would like to thank Hugues Albini Lomami to assist in preparing specimens and Léa Terriac for help in gathering experimental results.

Funding

This project has received funding from the European Research Council (ERC) under the European Union’s Horizon 2020 research and innovation program, grant agreement No 682001, project ERC (Consolidator Grant 2015 BoneImplant).

Conflict of interest

There was no conflict of interest for none of the authors.

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Authors and Affiliations

  1. MSME, CNRS, UMR 8208, Univ Paris Est Creteil, Univ Gustave Eiffel, 61, Avenue du Général de Gaulle, 94010, Créteil Cedex, France

    Anne-Sophie Poudrel & Guillaume Haiat

  2. MSME, Univ Paris Est Creteil, UMR CNRS 8208, CNRS, Univ Gustave Eiffel, 94010, Creteil, France

    Giuseppe Rosi & Vu-Hieu Nguyen

Authors
  1. Anne-Sophie Poudrel
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  2. Giuseppe Rosi
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  3. Vu-Hieu Nguyen
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  4. Guillaume Haiat
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Correspondence to Guillaume Haiat.

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Associate Editor Stefan M. Duma oversaw the review of this article.

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Poudrel, AS., Rosi, G., Nguyen, VH. et al. Modal Analysis of the Ancillary During Femoral Stem Insertion: A Study on Bone Mimicking Phantoms. Ann Biomed Eng 50, 16–28 (2022). https://doi.org/10.1007/s10439-021-02887-9

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  • DOI: https://doi.org/10.1007/s10439-021-02887-9

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