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Summary: Personalized Hip Prosthesis

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  • Summary: Personalized Hip Prosthesis

    Dear Biomch-L's

    A certain time ago I posted a question regarding custom made hip
    prosthesis. At first I'd like to thank erverybody who replied to the
    question. The summary of the messages follows after the original posting.
    Best wishes
    Joerg

    --------Original Posting---------------------------------------

    I'm a graduate enginering student at the university of technology at
    Aachen. For a project work I have to write a paper on the state-of-the-art
    of the use and the constuction of personalized hip-prosthesis. It means
    hip-prothesis which are adapted to the interior shape of the patient's femur
    bone. I'd appreciate any Information and hints to literature you are able to
    indicate.
    Many thanks
    Jörg Smolenski

    --------Original Posting---------------------------------------

    ----------------
    The following companies have programs for "custom" or "patient-specific" hip
    prostheses:

    Biomet, Inc., Warsaw, IN, PMI - Patient-Matched Implants
    Hayes Medical, Inc., Sacramento, CA - Patient-specific Implants
    DePuy, Inc., Warsaw, IN, Thackray system
    Stryker (Osteonics), Allendale, NJ - Custom Hips
    Zimmer, Inc, Warsaw, IN - "Walker System" (after Peter Walker, PhD)
    Sulzer Orthopedics, Austin, TX - Custom hips

    This should get you started. Most of these companies also have web pages
    that you can search to get addresses, phone numbers, etc. for information.
    There are, of course, other companies that do customs as well. Good luck.

    Robert Enzerink
    MED Group
    Davis, CA 95616

    -------------------
    Dear Joerg,

    there are 3-4 groups in the world that manufatcure custo hip stems. The one
    I know better is that of Peter S. Walker, in Stanmore (London).

    The problem, as usual, is that who deisgned a new prosthesis will find
    evidence of its advantages; other people will find the opposite.

    So, to see the pro's of custom stems, youi can definitely check the
    publications of Walker and Hua.
    Others (I can't recall the author right now, but you can probably track
    them through Medline) have done some excellent work proving that there is
    no need for custom stems as few standard formats can fit most of the
    femurs.

    Probably the truth lies between the two lines.
    You can also check: Clarke H.J., Jinnah R.H., Cox Q.G.N., Curtis M.J.
    (1992) J. Arthroplasty 7: 235-239
    Finally, you can check the work of Galante, of Huiskes, of Jasty on the
    effect of fit on load transfer.

    Best wishes,

    luca
    ------------------
    The main makers of intraoperative custom hips that I know of are a
    Belgium company called Stewal, who have a system for milling hips to
    match a silicone rubber cast of the inside of the femur that the
    surgeon makes during the operation. The surgeon they have mostly
    worked with is Michel Mulier; if you search for his name in Medline
    or similar you should find plenty of papers about their technique.

    Good luck,

    Sam Evans.
    --------------------------
    Dear Joerg,

    Please refer to the Biomechanics laboratory at the Faculty of Applied
    Sciences (Kath. University Leuven), directed by prof. Georges Van der
    Perre (see e-mail address in message header), who have a long
    experience in the area you mention.

    Kind regards

    Arthur Spaepen

    -------------------------
    Dear Mr. Smolenski

    In our laboratory we have been working now for almost fifteen years on
    custom-made prostheses. In a first project we have developed the
    technology behind the Identifit prosthesis, a hip stem which is
    manufactured during the operation. Its shape is based upon a mould taken
    of the cavity during surgery. Manufacturing time is currently below 30
    minutes. The technology is now applied on a commercial basis with more than
    3000 cases performed worldwide.
    In a second project which is running now (supported by the Brite Euram
    programme) we are developing custom implants based upon medical images and
    using rapid prototyping technology.
    Yours sincerely

    Jos Vander Sloten


    Jos VANDER SLOTEN Ph.D.
    K.U.Leuven
    Division of Biomechanics and Engineering Design
    Celestijnenlaan 200A
    B-3001 Heverlee (Belgium)
    tel. +32 16 327099
    fax. +32 16 327994
    Email jos.vandersloten@mech.kuleuven.ac.be
    -----------------------------------------------

    Dear Joerg,

    You should try searching for articles by Eivind Andersen,
    Paal Benum et.al. They are doing customized femural implants
    based on 3-D scan images, just like you describe.

    They are based at the University hospital in Trondheim, Norway, and are
    associated with the company Scandinavian Customized Prostheses.

    It would't surprise me if Eivind is a BIOMECH-L subscriber himself.

    Good luck!

    Regards,
    Oyvind Stavdahl (Siv.ing., Dr.ing. student)
    Department of Engineering Cybernetics
    NTNU, The Norwegian University of
    Science and Technology Direct line: +47 73 59 43 77
    O. Bragstads plass 8 Switchboard: +47 73 59 43 76
    N-7034 TRONDHEIM Fax: +47 73 59 43 99
    NORWAY Email: Oyvind.Stavdahl@itk.ntnu.no
    http://www.itk.ntnu.no/ansatte/Stavdahl_Oyvind
    ---------------------

    Joerg,

    Guten Tag! Ich bin ein Student an der Uni in Minneapolis, Minnesota. Ich
    arbeite jetzt auf ein Projekt, das sich um Hueftprothesen handelt. Ich
    empfehle irgendein Produktkatalog von SUlzer Orthopaedie. Sie koennen
    Sulzer auch auf dem Internet finden. Sonst gibt's viele Artikeln in
    Clinical Orthopedics and Related Research ueber dieses Thema.
    -----------------------

    If you have access to the World Wide Web, I suggest looking
    into the activities of the U.S. company Johnson & Johnson
    Professional in Raynham, Massachusetts.

    Regards,

    Amy Courtney
    ------------------


    Jörg Smolenski E-Mail :
    Viktoriastr. 36 Institut : Smolenski@ilt.fhg.de
    52066 Aachen Home : Joerg.Smolenski@post.rwth-aachen.de
    ++49/(0)241/543656

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