A non-invasive acoustic and vibration analysis technique for evaluation of hip joint conditions.

The performance evaluation of THA outcome is difficult and surgeons often use invasive methods to investigate effectiveness. A non-invasive acoustic and vibration analysis technique has recently been developed for more-in-depth evaluation of in vivo hip conditions. Gait kinematics, corresponding vibration and sound measurement of five THA subjects were analyzed post-operatively using video-fluoroscopy, sound and accelerometer measurements while walking on a treadmill. The sound sensor and a pair of tri-axial accelerometers, externally attached to the pelvic and femoral bone prominences, detected frequencies that are propagated through the femoral head and acetabular cup interactions. A data acquisition system was used to amplify the signal and filter out noise generated by undesired frequencies. In vivo kinematics and femoral head sliding quantified using video fluoroscopy were correlated to the sound and acceleration measurements. Distinct variations between the different subjects were identified. A correlation of sound and acceleration impulses with separation has been achieved. Although, in vivo sounds are quite variable in nature and all correlated well with the visual images. This is the first study to document and correlate visual and audible effects of THA under in-vivo conditions. This study has shown that the development of the acoustic and vibration technique provides a practical method and generates new possibilities for a better understanding of THA performance. Copyright 2009 Elsevier Ltd. All rights reserved.