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Orthopedic implant retrieval--imperatives and possibilities
1Department of Biomedical Industrial and Human Factors Engineering, Wright State University, Dayton, OH 45435, USA.
Annals of Biomedical Engineering
|August 6, 2009
Summary
Premature orthopedic implant failure necessitates improved retrieval standards. This study highlights current standards and proposes a searchable interface for better implant longevity and redesign.
Area of Science:
- Orthopedic Surgery
- Biomaterials Science
- Medical Device Engineering
Background:
- Premature failure of orthopedic implants is a significant clinical challenge.
- Implant retrieval offers valuable data for redesign and enhanced longevity.
- Current FDA approval standards do not strictly enforce the capture and recording of explanted implant data.
Purpose of the Study:
- To present data on orthopedic implant standards, both pre-market approval and in retrieval scenarios.
- To highlight the importance of capturing and recording factors contributing to implant explantation.
- To propose a user-definable, searchable interface for managing retrieved implant data.
Main Methods:
- Review and compilation of existing specifications for implant retrieval, handling, and storage.
- Analysis of current pre-market approval standards versus retrieval scenarios.
- Proposal for a novel data management interface.
Main Results:
- Illustrates discrepancies between pre-market implant standards and retrieval practices.
- Identifies a lack of strict adherence and enforcement in capturing retrieval data.
- Demonstrates the potential for improved implant longevity through systematic data collection.
Conclusions:
- Enhanced standards for orthopedic implant retrieval, handling, and storage are crucial.
- A standardized, searchable database is needed to effectively utilize retrieved implant data.
- Implementing such a system can significantly contribute to redesign efforts and improve long-term implant performance.
