Risk assessment of electromagnetic fields exposure with metallic orthopedic implants: A cadaveric study

SummaryMetallic materials are well known to strongly interact with electromagnetic fields. While biological effects of such field have been extensively studied, only few works dealt with the interactions of electromagnetic waves with passive metallic device implanted in biological system. Hence only several numerical and phantom simulation studies were focusing on this aspect, whereas no in situ anatomic experiment has been previously performed. In this study the effect of electromagnetic waves on eight different orthopaedic medical devices (six plates from 55 to 318 mm length, a total knee and a total hip prosthesis) were explored on six human cadavers. To mimic a random environmental exposure resulting from the most common frequencies band used in domestic environment and medical applications (TV and radio broadcasting, cell phone communication, MRI, diathermy treatment), a multifrequency generator emitting in VHF, UHF, GSM and GCS frequency bands was used. The different medical devices were exposed to an electromagnetic field at 50 W/m2 and 100 W/m2. After 6 min exposure, the temperature was measured on three points close to each medical device, and the induced currents were estimated. No significant temperature increase (< 0.2 °C) was finally detected; beside, a slight induced tension (up to 1.1 V) was recorded but would appear too low to induce any biological side effect.