Long-term anchorage of foreign material in vital bone has proven to be the main problem in endoprosthetics. In the authors opinion, modelling of an individual anatomic anchorange component is, at present, the best way to transmit stresses harmoniously in order to utilize functional adaptation of bone and to attain long-term function. The production of a true-to-scale joint model is possible with computer-assisted-tomography. This model of a joint surface or bone canal can be used to construct an individual endoprosthesis prior to surgery. Our procedure of manifactoring a hip stem and a knee-surface-prosthesis is described.

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http://dx.doi.org/10.1055/s-2008-1045059DOI Listing

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