Smart sensor implant technology in total knee arthroplasty |
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| Institution: | 1. Trauma and Orthopaedic Surgeon, Southport and Ormskirk NHS Trust, Southport, PR8 6PN, UK;2. Clinical Fellow in Trauma and Orthopaedics, Health Education East Midlands, Leicester, LE3 5DR, UK;3. Department of Orthopaedics, Atal Bihari Vajpayee Institute of Medical Sciences, Dr Ram Manohar Lohia Hospital, New Delhi, 110001, India;4. Consultant Orthopaedic, Foot and Ankle Surgeon, King''s College Hospital NHS Foundation Trust, Denmark Hill, London, SE5 9RS, UK;5. Consultant Musculoskeletal Radiologist, Royal Orthopaedic Hospital, Birmingham, B31 2AP, UK;6. Department of Orthopaedics, Indraprastha Apollo Hospital, Sarita Vihar, Mathura Road, 110076, New Delhi, India;1. Department of Orthopaedic Surgery, Virginia Commonwealth University Health, Richmond, Virginia;2. Department of Orthopaedic Surgery, Emory Healthcare, Atlanta, Georgia;3. Illinois Bone and Joint Institute, Morton Grove, Illinois;4. NYU Orthopaedic Surgery Associates, NYU Langone Health, New York, New York;5. Department of Orthopaedic Surgery, The Cleveland Clinic Foundation A41, Cleveland, Ohio;6. Department of Orthopaedic Surgery, Cleveland Clinic Florida - Weston, Weston, Florida;7. Miami Orthopaedics and Sports Medicine Institute, Baptist Health South Florida, Miami, Florida;1. Sydney Knee Specialists, Kogarah, NSW, Australia;2. St. George and Sutherland Clinical School, University of New South Wales, St George Hospital, Kogarah, NSW, Australia;3. Department of Orthopaedic Surgery, St George Private Hospital, Kogarah, NSW, Australia;4. Department of Orthopaedic Surgery, South Western Sydney Clinical School, University of NSW, Liverpool, NSW, Australia;5. Whitlam Orthopaedic Research Centre, Ingham Institute of Applied Medical Research, Liverpool, NSW, Australia |
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| Abstract: | Innovations in computer technology and implant design have paved the way for the development of smart instruments and intelligent implants in trauma and orthopaedics to improve patient-related functional outcomes. Sensor technology uses embedded devices that detect physical, chemical and biological signals and provide a way for these signals to be measured and recorded. Sensor technology applications have been introduced in various fields of medicine in the diagnosis, treatment and monitoring of diseases. Intelligent ‘Smart’ implants are devices that can provide diagnostic capabilities along with therapeutic benefits. In trauma and orthopaedics, applications of sensors is increasing because of the advances in microchip technologies for implant devices and research designs. It offers real-time monitoring from the signals transmitted by the embedded sensors and thus provides early management solutions. Smart orthopaedic implants have applications in total knee arthroplasty, hip arthroplasty, spine surgery, fracture healing, early detection of infection and implant loosening. Here we have explored the role of Smart sensor implant technology in total knee arthroplasty. Smart sensor assisted can be used intraoperatively to provide objective assessment of ligament and soft tissue balancing whilst maintaining the sagittal and coronal alignment to achieve desired kinematic targets following total knee arthroplasty. It can also provide post-implantation data to monitor implant performance in natural conditions and patient's clinical recovery during rehabilitation. The use of Smart Sensor implant technology in total knee arthroplasty appears to provide superior patient satisfaction rates and improved functional outcomes. |
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| Keywords: | Sensor Smart implant Total knee arthroplasty Orthopaedic surgery Orthopaedics |
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