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Related Experiment Video

Updated: Feb 19, 2026

Engineering Platform and Experimental Protocol for Design and Evaluation of a Neurally-controlled Powered Transfemoral Prosthesis
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Sensor-integrated hip and knee prostheses: advances, challenges, and future perspectives.

Xiang-Dong Wu1,2, Zhixiong Zhao3, Da Lu1

  • 1Department of Orthopaedic Surgery, Beijing Jishuitan Hospital, Capital Medical University, Fourth Clinical College of Peking University, National Center for Orthopaedics, Beijing, China.

Frontiers in Bioengineering and Biotechnology
|February 18, 2026
PubMed
Summary

Smart implants offer real-time monitoring of joint replacements, capturing objective in vivo data to improve patient outcomes and implant longevity. This technology enables proactive care and a new era of intelligent joint arthroplasty.

Keywords:
digital phenotypesorthopedic phenotypingremote monitoringsensor-integrated hip and knee prosthesessmart implanttotal hip arthroplasty (THA)total knee arthroplasty (TKA)wireless telemetry

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Area of Science:

  • Biomedical Engineering
  • Orthopedic Surgery
  • Digital Health

Background:

  • Total joint arthroplasty improves pain and function but has limitations.
  • Dissatisfaction and implant revision are significant concerns post-surgery.
  • Current surveillance methods miss crucial in-vivo performance data during daily activities.

Purpose of the Study:

  • To review the development and applications of fully implantable smart prostheses.
  • To outline the enabling technologies for smart implants.
  • To summarize clinical data and potential of smart implants in arthroplasty.

Main Methods:

  • Review of literature on instrumented prototypes to commercial smart knees.
  • Analysis of sensing, communication, powering, and system integration technologies.
  • Summary of clinical applications and early human data.

Main Results:

  • Smart implants provide objective in vivo data (joint loads, ROM, gait, temperature).
  • This enables orthopedic phenotyping and longitudinal tracking of recovery.
  • Early data suggests potential for improved monitoring and complication detection.

Conclusions:

  • Smart prostheses enable continuous remote monitoring and proactive follow-up.
  • This technology can lead to precision care in joint arthroplasty.
  • Intelligent joint arthroplasty may improve outcomes and extend implant lifespan.