At present, load-bearing implants are designed on a deterministic basis int
which the structural strength and applied loading are given fixed values,
and global safety factors are applied to (i) cover any uncertainties in the
se quantities, and (ii) to design against failure of the component. This ap
proach will become increasingly inappropriate as younger and more active pa
tient demands become more exacting and as devices become more complex. The
present work describes a preliminary investigation in which a scientific an
d probabilistic technique is applied to assess the structural integrity of
the knee tibial tray. It is envisaged that by applying such a technique to
other load bearing biomedical devices, reliability theory may aid in future
lifing procedures and materials/design optimisation. (C) 1999 Elsevier Sci
ence Ltd. All rights reserved.