An unusual reaction in muscle in association with Vitallium plate: a report of possible metal hypersensitivity.
(1/21)
A case is reported in which fractures of the radius and ulna were fixed with Vitallium plates and screws. Seven years later a painful swelling appeared over the extensor aspect of the forearm. After eight years sarcoma was suspected and a pale tumour infiltrating muscle was found at operation. However, the histology excluded neoplasia and showed massive fibrosis and patchy necrosis of muscle, with chronic inflammatory changes peripherally. After the removal of the metal the swelling disappeared. A sinus down to the ulna followed operation and was not cured two years later. At this stage standard patch testing showed skin sensitivity to cobalt. Metal sensitivity is proposed as the cause of this extraordinary reaction in muscle. (+info)
The electrochemical behaviour of various non-precious Ni and Co based alloys in artificial saliva.
(2/21)
Five non-precious Ni-Co based alloys were analyzed with respect to their corrosion behaviour. The correlation between the amount of the elements Cr, Mo, V and the corrosion behaviour, expressed by the PREN (pitting resistance equivalent number) index in the case of the allied steels, was extended for Ni-Cr and Co-Cr dental alloys characterization. Open circuit potential, corrosion current densities, as a measure of the corrosion rate, and main parameters of the corrosion process were evaluated from linear and cyclic polarization curves, for five Ni-Cr or Co-Cr alloys in an Afnor type artificial saliva. The maintenance times of the alloy in the corrosive medium influence the corrosion rate; the corrosion current values decrease with the maintenance time due to their passivation in solution. The microscopic analysis of the alloy surfaces shows that this passivation in solution does not modify the corrosion type. The alloys with PREN +info)
Evaluation of the castability of a Co-Cr-Mo-W alloy varying the investing technique.
(3/21)
The purpose of this study was to compare the castability of Co-Cr-Mo-W (Remanium 2000), Ni-Cr (Durabond) and Co-Cr-Mo (Vera PDI) alloys invested with either conventional (phosphate- and silica-based) or mixed investing techniques. A 10 X 10 mm square-shaped nylon net containing 100 open squares served as a template for construction of wax patterns, which were invested with phosphate-based investment (Termocast), silica-based investment (Refrafil) and mixed investing technique (2-mm layer phosphate investment plus filling with silica investment). Forty-five cast specimens (5 per experimental condition) were obtained and sandblasted with aluminum oxide. The number of completely reproduced cast segments was counted to obtain a percentage designated "castability value", which indicated the accuracy of the alloy to reproduce mold details. Statistical analysis using two-way ANOVA and Tukey's test showed that, comparing the alloys, Remanium 2000 had statistically similar castability (p>0.05) to Vera PDI and lower than Durabond (p<0.05). Considering the mixed technique results, Remanium 2000 yielded lower castability value (p<0.05) than Durabond and Vera PDI alloys, which showed similar results to each other (p>0.05). In conclusion, the castability of the Co-Cr-Mo-W alloy (Remanium 2000) was comparable to that of the Co-Cr alloy (Vera PDI) and worse than that of the Ni-Cr alloy (Durabond). Except for Remanium 2000, the mixed investing technique considerably improved the accuracy of the alloys to reproduce cast details, compared to the phosphate-based investment. The mixed investing technique appears as a viable alternative to improve castability of base metal alloys without decreasing the surface quality of the metallic pieces. (+info)
Increased endothelial and vascular smooth muscle cell adhesion on nanostructured titanium and CoCrMo.
(4/21)
In the body, vascular cells continuously interact with tissues that possess nanostructured surface features due to the presence of proteins (such as collagen and elastin) embedded in the vascular wall. Despite this fact, vascular stents intended to restore blood flow do not have nanoscale surface features but rather are smooth at the nanoscale. As the first step towards creating the next generation of vascular stent materials, the objective of this in vitro study was to investigate vascular cell (specifically, endothelial, and vascular smooth muscle cell) adhesion on nanostructured compared with conventional commercially pure (cp) Ti and CoCrMo. Nanostructured cp Ti and CoCrMo compacts were created by separately utilizing either constituent cp Ti or CoCrMo nanoparticles as opposed to conventional micron-sized particles. Results of this study showed for the first time increased endothelial and vascular smooth muscle cell adhesion on nanostructured compared with conventional cp Ti and CoCrMo after 4 hours' adhesion. Moreover, compared with their respective conventional counterparts, the ratio of endothelial to vascular smooth muscle cells increased on nanostructured cp Ti and CoCrMo. In addition, endothelial and vascular smooth muscle cells had a better spread morphology on the nanostructured metals compared with conventional metals. Overall, vascular cell adhesion was better on CoCrMo than on cp Ti. Results of surface characterization studies demonstrated similar chemistry but significantly greater root-mean-square (rms) surface roughness as measured by atomic force microscopy (AFM) for nanostructured compared with respective conventional metals. For these reasons, results from the present in vitro study provided evidence that vascular stents composed of nanometer compared with micron-sized metal particles (specifically, either cp Ti or CoCrMo) may invoke cellular responses promising for improved vascular stent applications. (+info)
Co-Cr-Mo alloy particles induce tumor necrosis factor alpha production in MLO-Y4 osteocytes: a role for osteocytes in particle-induced inflammation.
(5/21)
The interaction of osteoblasts with bone-implant materials: 1. The effect of physicochemical surface properties of implant materials.
(8/21)
This comparative study of various surface treatments of commercially available implant materials is intended as guidance for orientation among particular surface treatment methods in term of the cell reaction of normal human osteoblasts and blood coagulation. The influence of physicochemical surface parameters such as roughness, surface free energy and wettability on the response of human osteoblasts in the immediate vicinity of implants and on the blood coagulation was studied. The osteoblast proliferation was monitored and the expression of tissue mediators (TNF-alpha, IL-8, MMP-1, bone alkaline phosphatase, VCAM-1, TGF-beta) was evaluated after the cell cultivation onto a wide range of commercially available materials (titanium and Ti6Al4V alloy with various surface treatments, CrCoMo alloy, zirconium oxide ceramics, polyethylene and carbon/carbon composite). The formation of a blood clot was investigated on the samples immersed in a freshly drawn whole rabbit blood using scanning electron microscope. The surfaces with an increased osteoblast proliferation exhibited particularly higher surface roughness (here R(a) 3.5 microm) followed by a high polar part of the surface free energy whereas the effect of wettability played a minor role. The surface roughness was also the main factor regulating the blood coagulation. The blood clot formation analysis showed a rapid coagulum formation on the rough titanium-based surfaces. The titanium with an etching treatment was considered as the most suitable candidate for healing into the bone tissue due to high osteoblast proliferation, the highest production of osteogenesis markers and low production of inflammatory cytokines and due to the most intensive blood clot formation. (+info)