>>99
And, an other type customized stem has been produced on CT-imaging data through CAD and CAM .
Lateral sides of this stem were curved, titanic wire mesh pads were put on the frontal side and the back side of the proximal position of the stem and in the inside of it.
But, in this case, as those pads were not all-circumferential, dissociation between pads and a stem after formation of osseous tissues on pads was often reported as a serious problem.
Consequently, non-infectious loosenings were frequently caused in such cases too.
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>>100
There were few reports of customized stem in the first half of the 1990’s .
Meanwhile, in the latter half of the 1990’s , customized stems having various surfacial conditions such as blasting, a coating on the proximal position of a stem with plasma-spraying, a coating with hydroxyapatite, etc were introduced into clinical fields,
comparatively good clinical results over a short and a middle term also were reported.
>>101
Furthermore, a length of stem was remarkably shortened to be to a higher order position of a lesser trochanter for keeping osseous tissues.
So that, partial good results over a middle term also were reported.
But, even if a length of stem was remarkably shortened, bone-atrophy caused around the proximal position of a thigh-bone due to stress-shielding has never been completely overcome ( in 2013 ).
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>>102
3.5.1-3 Ways to produce a customized stem
〈 Determination of a gesign for an implant 〉
Usually, each sectional figure of an implant for each axial section is determined on data of a thigh-bone drawn through helical CT , the 3D figure is designed with CAD / CAM -system.
Though stems produced on X-ray images rather than CT also have been reported, it’s insufficient to 3-dimensionally produce an implant with such ways.
Next, we check whether the produced implant can be just put in the femoral medullary cavity or not through simulations on a computer.
And finally, the design for the implant is determined.
>>103
〈 Parameters to design a customized stem 〉
Following respective factors are taken into consideration to prepare an implant suitable to each individual pathological condition.
・ stem-length
・ offset
・ neck-shaft angle
・ neck-cut angle
・ bowing around a lateral side
・ a range of proximal coating
Then, we need to sufficiently check the risks of breakdown of stem through stress analysis.
>>104
〈 Production of a customized stem 〉
Here, we pay attention to a layering molding method with powdered Ti-6Al-4V alloys through electron-beams of some ways to produce this component.
First, powdered alloys are melted by applying an electron-beam to them,
next, those melted alloys are solidified through cooling.
And, a stem is produced through such an alternate repetition of melting and solidification according to a drawn 3D CAD model.
According to many reports, we also heard that most of the hopeless alcoholics and the chaps habitually presenting e×treme erotic advertisements and vulgar ones would fight against the world as their enemies from now.
Indeed, we also heard that the people habitually and intentionally making annoying and noisy sounds with vehicles in Japan also would fight against the world as their enemies.
а
We also heard that the people habitually presenting undesirable advertisements such as unreliable ones dealing with defective products and fakes like in this site would be conveyed to purgatories owing to the judgment by the king of Enma (閻魔).
We also heard that the people habitually presenting undesirable contents such as e×tremely erotic & vulgar contents and unreliable ones dealing with defective products & fakes on the net also would be conveyed to purgatories owing to the judgment by the king of Enma (閻魔).
We also heard that the people habitually presenting undesirable contents such as e×tremely erotic & vulgar contents and unreliable ones dealing with defective products & fakes on the net also would be conveyed to purgatories owing to the judgment by the king of Enma (閻魔).
We also heard that the people habitually presenting undesirable contents such as e×tremely erotic & vulgar contents and unreliable ones dealing with defective products & fakes on the net also would be conveyed to purgatories owing to the judgment by the king of Enma (閻魔).
We also heard that the people habitually presenting undesirable contents such as e×tremely erotic & vulgar contents and unreliable ones dealing with defective products & fakes on the net also would be conveyed to purgatories owing to the judgment by the king of Enma (閻魔).
We also heard that the people habitually presenting undesirable contents such as e×tremely erotic & vulgar contents and unreliable ones dealing with defective products & fakes on the net also would be conveyed to purgatories owing to the judgment by the king of Enma (閻魔).
We also heard that the people habitually presenting undesirable contents such as e×tremely erotic & vulgar contents and unreliable ones dealing with defective products & fakes on the net also would be conveyed to purgatories owing to the judgment by the king of Enma (閻魔).
We also heard that the people habitually presenting undesirable contents such as e×tremely erotic & vulgar contents and unreliable ones dealing with defective products & fakes on the net also would be conveyed to purgatories owing to the judgment by the king of Enma (閻魔).
We also heard that the people habitually presenting undesirable contents such as e×tremely erotic & vulgar contents and unreliable ones dealing with defective products & fakes on the net also would be conveyed to purgatories owing to the judgment by the king of Enma (閻魔).
We also heard that the people habitually presenting undesirable contents such as e×tremely erotic & vulgar contents and unreliable ones dealing with defective products & fakes on the net also would be conveyed to purgatories owing to the judgment by the king of Enma (閻魔).
We also heard that the people habitually presenting undesirable contents such as e×tremely erotic & vulgar contents and unreliable ones dealing with defective products & fakes on the net also would be conveyed to purgatories owing to the judgment by the king of Enma (閻魔).
We also heard that the people habitually presenting undesirable contents such as e×tremely erotic & vulgar contents and unreliable ones dealing with defective products & fakes on the net also would be conveyed to purgatories owing to the judgment by the king of Enma (閻魔).
We also heard that the people habitually presenting undesirable contents such as e×tremely erotic & vulgar contents and unreliable ones dealing with defective products & fakes on the net also would be conveyed to purgatories owing to the judgment by the king of Enma (閻魔).
We also heard that the people habitually presenting undesirable contents such as e×tremely erotic & vulgar contents and unreliable ones dealing with defective products & fakes on the net also would be conveyed to purgatories owing to the judgment by the king of Enma (閻魔).
We also heard that the people habitually presenting undesirable contents such as e×tremely erotic & vulgar contents and unreliable ones dealing with defective products & fakes on the net also would be conveyed to purgatories owing to the judgment by the king of Enma (閻魔).
We also heard that the people habitually presenting undesirable contents such as e×tremely erotic & vulgar contents and unreliable ones dealing with defective products & fakes on the net also would be conveyed to purgatories owing to the judgment by the king of Enma (閻魔).
We also heard that the people habitually presenting undesirable contents such as e×tremely erotic & vulgar contents and unreliable ones dealing with defective products & fakes on the net also would be conveyed to purgatories owing to the judgment by the king of Enma (閻魔).
We also heard that the people habitually presenting undesirable contents such as e×tremely erotic & vulgar contents and unreliable ones dealing with defective products & fakes on the net also would be conveyed to purgatories owing to the judgment by the king of Enma (閻魔).
We also heard that the people habitually presenting undesirable contents such as e×tremely erotic & vulgar contents and unreliable ones dealing with defective products & fakes on the net also would be conveyed to purgatories owing to the judgment by the king of Enma (閻魔).
We also heard that the people habitually presenting undesirable contents such as e×tremely erotic & vulgar contents and unreliable ones dealing with defective products & fakes on the net also would be conveyed to purgatories owing to the judgment by the king of Enma (閻魔).
We also heard that the people habitually presenting undesirable contents such as e×tremely erotic & vulgar contents and unreliable ones dealing with defective products & fakes on the net also would be conveyed to purgatories owing to the judgment by the king of Enma (閻魔).
We also heard that the people habitually presenting undesirable contents such as e×tremely erotic & vulgar contents and unreliable ones dealing with defective products & fakes on the net also would be conveyed to purgatories owing to the judgment by the king of Enma (閻魔).
We also heard that the people habitually presenting undesirable contents such as e×tremely erotic & vulgar contents and unreliable ones dealing with defective products & fakes on the net also would be conveyed to purgatories owing to the judgment by the king of Enma (閻魔).
We also heard that the people habitually presenting undesirable contents such as e×tremely erotic & vulgar contents and advertisements of unreliable products on the net also would fight against the world as their enemies.
We also heard that the people habitually presenting undesirable contents such as e×tremely erotic & vulgar contents and advertisements of unreliable products on the net also would fight against the world as their enemies.
We also heard that the people habitually presenting undesirable contents such as e×tremely erotic & vulgar contents and advertisements of unreliable products on the net also would fight against the world as their enemies.
We also heard that the people habitually presenting undesirable contents such as e×tremely erotic & vulgar contents and advertisements of unreliable products on the net also would fight against the world as their enemies.
We also heard that the people habitually presenting undesirable contents such as e×tremely erotic & vulgar contents and advertisements of unreliable products on the net also would fight against the world as their enemies.
We also heard that the people habitually presenting undesirable contents such as e×tremely erotic & vulgar contents and advertisements of unreliable products on the net also would fight against the world as their enemies.
Besides, according to many reliable informations, it’s highly probable that the people habitually presenting undesirable advertisements on the net would be transferred to purgatories owing to the judgment by the king of Enma (閻魔).
Besides, according to many reliable informations, it’s highly probable that the people habitually presenting undesirable advertisements on the net would be transferred to purgatories owing to the judgment by the king of Enma (閻魔).
Besides, according to many reliable informations, it’s highly probable that the people habitually presenting undesirable advertisements on the net would be transferred to purgatories owing to the judgment by the king of Enma (閻魔).
Besides, according to many reliable informations, it’s highly probable that the people habitually presenting undesirable advertisements on the net would be transferred to purgatories owing to the judgment by the king of Enma (閻魔).
Besides, according to many reliable informations, it’s highly probable that the people habitually presenting undesirable advertisements on the net would be transferred to purgatories owing to the judgment by the king of Enma (閻魔).
Besides, according to many reliable informations, it’s highly probable that the people habitually presenting undesirable advertisements on the net would be transferred to purgatories owing to the judgment by the king of Enma (閻魔).
>>110 〜 >>144
We also heard that the people habitually presenting undesirable contents such as e×tremely erotic & vulgar contents and unreliable advertisements dealing with fakes on the net and intentionally making various harassments including auditory harassments would fight against the world as their enemies, and they would be transferred to ‘purgatories’ due to the judgment by the king of Enma (閻魔).
