Vibration analysis in the detection of total hip prosthetic loosening.

This present paper reports on experiments which seek to obtain evidence of the usefulness of vibration in the diagnosis of implant loosening by utilizing extra information by considering the amplitude response at all frequencies (within a certain range) as well as spectral analysis of particular waveforms. This frequency response is essentially a study of the manner in which the amplitude of vibration of a system varies as the frequency of an input force of fixed amplitude is varied. The experimental technique involved the application of a sinusoidal force to the distal end of a femur containing an implanted prosthesis and collecting the output signal using an accelerometer placed at the proximal end. The output signal was stored on a computer with a digital signal processing board and subsequently analysed using the two signal processing techniques mentioned above. Data were collected when the implanted prosthesis was secure, and at various stages of loosening. Analysis of these data shows that prosthetic instability can be detected using both modalities of vibration analysis.