BACKGROUND Although modular prosthesis is commercially available to meet requirements in most limb salvage surgeries, customized prosthesis is still needed. In contrast to traditional complicated procedures, rapid prototyping (RP) technique can directly manufacture customized titanium prosthesis. The objectives of this study were to describe the workflow of this technique and show the follow-up...

BACKGROUND The hard and soft tissue deficiency is a limiting factor for the prosthetic restoration and any surgical attempt to correct the anatomic foundation needs to be precisely executed for optimal results. The purpose of this paper is to describe the clinical steps that are needed to confirm the treatment plan and allow its proper execution. METHODS Team work and basic principles are emp...

INTRODUCTION In the normal hip, stress is distributed over the entire crossection of the femur. Bending and axial compression are the major modes of loading. Following THA, the stress in the bone is significantly different mainly due to the manner in which the load is transferred to the femur (Huiskes, 1990, Huiskes, 1995). In this case, the load is primarily transferred through shear across th...

BACKGROUND The reconstruction of a large mandibular defect poses a challenging issue in oral cancer ablation surgery. One popular option for mandibular continuity reconstruction after tumor resection involves the use of a reconstruction plate (R-plate), which maintains space and contour without bone harvesting. An R-plate, however, cannot provide final functional loading rehabilitation with imp...

Over time, leg prostheses have improved in design, but have been incapable of actively adapting to different walking velocities in a manner comparable to a biological limb. People with a leg amputation using such commercially available passive-elastic prostheses require significantly more metabolic energy to walk at the same velocities, prefer to walk slower and have abnormal biomechanics compa...

BACKGROUND AND PURPOSE To try to improve the outcome of our TKAs, we started to use the CKS prosthesis. However, in a retrospective analysis this design tended to give worse results. We therefore conducted a randomized, controlled trial comparing this CKS prosthesis and our standard PFC prosthesis. Because many randomized studies between different TKA concepts generally fail to show superiority...

Background: Limb salvaging surgeries are current surgical treatment of extremity bone sarcomas. Resected bonereplacement consists of two main methods; tumor prosthesis versus structural allograft. Biological reconstruction withan allograft is an economic cheap method in young sarcoma patients, however, the surgeons are more convinced withtumor prosthesis replacement.Methods: We evaluated the sh...

AbstractIntroduction Silicone gel breast implants are used for breast reconstruction post mastectomy. In the event of cancer recurrence, the radiation oncologists are forced to irradiate through the prosthesis device. Due to prosthesis higher atomic number dose perturbations occur during treatment. This study determined the influence of silicone gel thickness on the photon beam distribution. Ma...

The restoration and recovery of a defective skull can be performed through operative techniques to implant a customized prosthesis. Recently, image processing, surface reconstruction and geometric methods have been used for digital prosthesis design. In this chapter we review state-of-the-art approaches in this field and discuss related issues. The field of prosthesis modeling may include metho...

BACKGROUND Advancements in upper limb prosthesis design have focused on providing increased degrees of freedom for the end effector through multiple articulations of a prosthetic hand, wrist and elbow. Measuring improvement in patient function with these devices requires development of appropriate assessment tools. OBJECTIVES This study presents a refined clothespin relocation test for measur...