Inertial Tracking System for Monitoring Dual Mobility Hip Implants In Vitro

Dual mobility (DM) implants are being increasingly used for total hip arthroplasties due to the additional range of motion and joint stability they afford over more traditional implant types. Currently, there are no reported methods for monitoring their motions under realistic operating conditions while in vitro and, therefore, it is challenging to predict how they will function under clinically relevant conditions and what failure modes may exist. This study reports the development, calibration, and validation of a novel inertial tracking system that directly mounts to the mobile liner of DM implants. The tracker was custom built and based on a miniaturized, off-the-shelf inertial measurement unit (IMU) and employed a gradient-decent sensor fusion algorithm for amalgamating nine degree-of-freedom IMU readings into three-axis orientation estimates. Additionally, a novel approach to magnetic interference mitigation using a fixed solenoid and magnetic field simulation was evaluated. The system produced orientation measurements to within 1.0 degrees of the true value under ideal conditions and 3.9 degrees with a negligible drift while in vitro, submerged in lubricant, and without a line of sight.

Automated summary

This study reports the development, calibration, and validation of a novel inertial tracking system that mounts directly to the mobile liner of dual mobility (DM) implants, allowing monitoring of their motions under realistic operating conditions. The system demonstrated accurate orientation measurements within 1.0 degrees under ideal conditions and with a negligible drift while in vitro, submerged in lubricant, and without a line of sight.