Monitoring of fracture healing by lateral and axial vibration analysis.

The ability to monitor the healing of bone fractures is crucially important in their treatment. The aim of the present study was to develop and validate an objective method for monitoring fracture healing based on bone vibrational response. An analytic model was formulated, with which the mechanical parameters at the fracture site could be studied in relation to both lateral and axial bone vibration. Non-uniformities in the stiffness of the bone at the fracture site can be detected since they produce shifting of the vibration and the phase spectrum and result in strong coupling between the lateral and axial vibration response spectra. The validity of the model was tested in experiments using fresh cadaver tibiae with transverse osteotomy and materials simulating fracture callus. The results of the study of vibration amplitude and phase angle and the coupling of axial and lateral vibration in these experiments confirm our analytic projection. Preliminary results of in vivo investigations using the described method are encouraging.