Rheumatoid arthritis is an autoimmune disorder that frequently affects the fingers and results in swollen and/or painful joints. Total joint replacement surgery is commonly required, in which a silicone elastomer prosthetic is implanted to restore patient hand/finger function and alleviate pain. Design qualification requirements specify that the prosthetic must endure at least 10 million cycles in which the finger joint is flexed through 90 degrees, which is typically determined and verified through a battery of costly physical testing routines. However, physics-based simulation is becoming a commonly used method as an enhancement or replacement to physical testing by medical device companies to save time and money when submitting a device for approval to the US Food and Drug Administration (FDA) and the European Medicines Evaluation Agency (EMEA).
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