title: Computerized mechanical validation of custom-made stems.
abstract: The new community laws regarding medical devices require that custom-made devices be prescribed by the surgeon, who assumes responsibility for the device along with the manufacturer. It is the purpose of this study to indicate a method that allows use to check whether custom-made prostheses in particular conform to the requirements established by European laws; these are prostheses produced in a single model and that have rather short development and realization times. The pre-clinical method of validation proposed, based on a calculation with finite elements, was first verified by in vitro measurements and then used to evaluate 15 cases selected among the most critical ones in terms of size and/or geometrical irregularity from a group of 100 stems that had already been implanted. The method proposed was confirmed to be accurate and reliable; in 3 out of 15 stems analyzed we found values for mechanical resistance that were less than minimum values required by law.
authors.affiliation: Laboratorio di Tecnologia dei Materiali, Istituti Ortopedici Rizzoli, Bologna.
authors.forename: M
authors.initials: M
authors.lastname: Viceconti
authors.forename: L
authors.initials: L
authors.lastname: Bellingeri
authors.forename: M
authors.initials: M
authors.lastname: Baleani
authors.forename: A
authors.initials: A
authors.lastname: Toni
mesh_terms: D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation / Q000379:methods*; D001696:Biomechanical Phenomena; D001698:Biomedical Engineering; D017076:Computer-Aided Design; D006801:Humans; D007595:Joint Prosthesis; D011474:Prosthesis Design; D015607:Stents