11.07.2015 Views

Convened under the auspicious of esteemed endorsers - ISTA

Convened under the auspicious of esteemed endorsers - ISTA

Convened under the auspicious of esteemed endorsers - ISTA

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The hammering sounds in press-fit implantation <strong>of</strong> acetabular components were studiedintraoperatively in 22 patients (28 hips) who <strong>under</strong>went primary THA for treatment <strong>of</strong> advancedosteoarthritis. All operations were performed via <strong>the</strong> direct anterior approach in a supineposition. The hemispherical titanium-alloy acetabular component (TriAD; stryker) wasimplanted in all patients. A sound level meter (NA-28; RION) was used to record and analyze<strong>the</strong> sounds. The hammering sounds <strong>of</strong> <strong>the</strong> first three hits and last three hits were recorded as <strong>the</strong>“before press-fit” and “after press-fit” sound samples, respectively. A frequency analysis was<strong>the</strong>n performed at <strong>the</strong> point <strong>of</strong> peak sound pressure in each sample.Results:The dominant frequency <strong>of</strong> <strong>the</strong> impact sounds was equal to or lower than 1 kHz in 20% <strong>of</strong> <strong>the</strong>before press-fit samples and 76% <strong>of</strong> <strong>the</strong> after press-fit samples, and equal to or higher than 4kHz in 69% <strong>of</strong> <strong>the</strong> before press-fit samples and 21% <strong>of</strong> <strong>the</strong> after press-fit samples. Thefrequency <strong>of</strong> <strong>the</strong> impact sounds changed significantly (p

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