Exploring the Performance of an Artificial Intelligence-Based Load Sensor for Total Knee Replacements.

Using tibial sensors in total knee replacements (TKRs) can enhance patient outcomes and reduce early revision surgeries, benefitting hospitals, the National Health Services (NHS), stakeholders, biomedical companies, surgeons, and patients. Having a sensor that is accurate, precise (over the whole surface), and includes a wide range of loads is important to the success of joint force tracking. This research aims to investigate the accuracy of a novel intraoperative load sensor for use in TKRs. This research used a self-developed load sensor and artificial intelligence (AI). The sensor is compatible with Zimmer's Persona Knee System and adaptable to other knee systems. Accuracy and precision were assessed, comparing medial/lateral compartments inside/outside the sensing area and below/within the training load range. Five points were tested on both sides (medial and lateral), inside and outside of the sensing region, and with a range of loads. The average accuracy of the sensor was 83.41% and 84.63% for the load and location predictions, respectively. The highest accuracy, 99.20%, was recorded from inside the sensing area within the training load values, suggesting that expanding the training load range could enhance overall accuracy. The main outcomes were that (1) the load and location predictions were similar in accuracy and precision (p > 0.05) in both compartments, (2) the accuracy and precision of both predictions inside versus outside of the triangular sensing area were comparable (p > 0.05), and (3) there was a significant difference in the accuracy of load and location predictions (p < 0.05) when the load applied was below the training loading range. The intraoperative load sensor demonstrated good accuracy and precision over the whole surface and over a wide range of load values. Minor improvements to the software could greatly improve the results of the sensor. Having a reliable and robust sensor could greatly improve advancements in all joint surgeries.

Digital Filtering and Signal Decomposition: A Priori and Adaptive Approaches in Body Area Sensing.

Elimination of undesired signals from a mixture of captured signals in body area sensing systems is studied in this paper. A series of filtering techniques including a priori and adaptive approaches are explored in detail and applied involving decomposition of signals along a new system's axis to separate the desired signals from other sources in the original data. Within the context of a case study in body area systems, a motion capture scenario is designed and the introduced signal decomposition techniques are critically evaluated and a new one is proposed. Applying the studied filtering and signal decomposition techniques demonstrates that the functional based approach outperforms the rest in reducing the effect of undesired changes in collected motion data which are due to random changes in sensors positioning. The results showed that the proposed technique reduces variations in the data for average of 94% outperforming the rest of the techniques in the case study although it will add computational complexity. Such technique helps wider adaptation of motion capture systems with less sensitivity to accurate sensor positioning; therefore, more portable body area sensing system.