The “Mixing” of Implant Systems

1991 ◽  
Vol 4 (02) ◽  
pp. 38-45 ◽  
Author(s):  
F. Baumgart

SummaryThe so-called “mixing” of implants and instruments from different producers entertain certain risks.The use of standardized implant materials (e.g. stainless steel ISO 5832/1) from different producers is necessary but is not sufficient to justify the use of an osteosynthesis plate from one source and a bone screw from another.The design, dimensions, tolerances, manufacturing procedure, quality controls, and application technique of the instruments and implants also vary according to make. This can lead to damage, failure or fracture of the biomechanical system called “osteosynthesis” and hence the failure of the treatment undertaken. In the end, it is the patient who pays for these problems.Some examples also illustrate the potential problems for the staff and institutions involved.The use of a unique, consistent, well-tested, and approved set of implants and instruments is to be strongly recommended to avoid any additional risk.

2018 ◽  
Vol 204 ◽  
pp. 07020
Author(s):  
Didin Mujahidin ◽  
Poppy Puspitasari ◽  
Djoko Kustono

Bone implants are a tool used as a support of body parts, and bone support in cases of fractures. Scaffold, plate, bone screw, and some other tools can be used in combination to support and fill the connection between broken bones before the tissue grows. The most commonly used implant materials are Titanium, Stainless steel and ceramics, which are very common in the use of medical devices. Biocompatible materials are taken into consideration when planning a medical device. This research intended to know the durability of duralumin material as the latest implant material, as the development and breakthrough in health world. The research methodology used in this study was the optimization in Ansys software 18.1. The implants were designed, the material strength was determined and then given imposition with 6 variations (450 N, 550 N, 650 N, 750 N, 850 N and 950 N). The optimization was a method that identified mat erial strength including Equivalent Stress, Shear Stress and Total Deformation of duralumin material as implant materials with loading variations. Based on the results of the research, the duralumin material had a equivalent stress of 475,700 Pa which was higher than 950000 Pa for ZnO-Al2O3 implants, while the duralumin shear stress of 1084500 Pa was higher than 313720 Pa for ZnO-Al2O3 implants. When compared with titanium implants, the highest equivalent stress of 150000 Pa duralumin material had a higher compression stress than titanium. The highest shear stress of titanium 4358.1 Pa means an implant with a higher shear duralumin material of titanium. Whereas if it was compared to stainless steel with voltage press 564000000 Pa, then the duralumin’s pressure was getting lower. Material hardness affects resistance to wear and tear. Duralumin material hardness was lower than Titanium and ZnO-Al2O3, so total Duralumin deformation (elasticity) was higher than Titanium and ZnO-Al2O3.


2020 ◽  
Vol 10 ◽  
pp. 259-261
Author(s):  
Sumedh Deshpande ◽  
Susmita Bala Shenoi ◽  
Rohan Hattarki

An operator often finds it hard to assess the ideal timing to start angulating the driver while placing infrazygomatic crest screws. Thus, we have designed a simple system to guide the operator to know exactly when the angulation of the driver should be started for the ideal placement of the IZC screw. The components of the system include the calculation of the amount of tissue that needs to be pierced perpendicularly and the fabrication of an indicator device over the implant driver with a stainless steel wire. Hence, using this system, the proper timing for angulation can be obtained, thus improving the accuracy of placement.


2021 ◽  
Vol 17 (5) ◽  
pp. 504-513
Author(s):  
Norhasiza Mat Jusoh ◽  
Arif Faddilah Mohd Noor ◽  
Suffian Mohamad Tajudin ◽  
Mohd Hadizie Din ◽  
Mohd Ezane Aziz ◽  
...  

Stainless steel and titanium alloys are common materials for orthopaedic implants. However there is a lack of information and studies on magnetic remanence of  implants used in clinical practice. The aims of this study are to investigate the composition and the presence of magnetic remanence for these two orthopaedic implant materials. These two factors may cause implant instability and heat problems as well as degradation of the images quality if the patients undergo magnetic resonance imaging (MRI) examination. The magnetic hysteresis loop and remanence status of stainless steel and titanium alloy orthopaedic implants were investigated with a vibrating sample magnetometer (VSM). Both samples of stainless steel and titanium alloy had been exposed to external magnetic fields up to 1 T (10000 G) and 1.4 T (14000 G), respectively. The compositions of these two orthopaedic implant materials were studied using a scanning electron microscope with energy dispersive X-ray analysis (SEM-EDX). The results of the study demonstrated that ferrous and nickel compositions in stainless steel alloy orthopaedic implants contributed to the residual magnetism, as shown in the hysteresis loop. The titanium alloy orthopaedic implant sample does not contain any ferromagnetic elements. After exposure to a magnetic field, the stainless steel values of retentivity, coercivity and magnetisation are significantly higher compared to those of the titanium alloy. The stainless steel orthopaedic implant sample demonstrates a typical hysteresis loop that suggests the existence of magnetic remanence. In contrast, the titanium alloy orthopaedic implant sample showed no significant remanence phenomenon. By considering the existence of magnetic remanence in the implant is important as potential effect on the MRI image quality.


2021 ◽  
Vol 6 (1) ◽  
pp. 6-11
Author(s):  
Irhamni IRHAMNI ◽  
Ireka SALSABILA ◽  
Fauzi FAUZI ◽  
Zulfalina ZULFALINA ◽  
Zulkarnain JALIL

ABSTRACT The use of hydroxyapatite (HAp) based on Aceh's bovine bone has been studied as a candidate for thecoating dental implant materials. In this study, the effect of sintering temperature and viscosity on the thickness ofthe hydroxyapatite layer on the 316L stainless steel plaque was observed. The hydroxyapatite was synthesized frombovine bone and then coated on the plate using the dip-coating method. Then, the plate surface was dried at 110 ºCfor 30 minutes and sintered with various temperatures of 500, 600, 700, and 800 ºC for 1 hour. The plate that hasbeen coated with hydroxyapatite was characterized using a thickness meter to measure the thicknesses of the layer.The water composition of 10 grams/L had a better effect on the thickness of the implant material coated with HApbeef bone compared to the water composition of 4, 6, and 8 (gram/L) (p0.05). On the other hand, the temperaturefactor did not affect changes in the thickness of the implant material (p0.05). The higher water composition (10grams/L) resulted in a decrease in the thickness of the implant material coated with beef bone HAp. KEYWORDS: Hydroxyapatite, sintering temperature, viscosity, dip-coating, thickness, coating dental implant


2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Abdo Bachoura ◽  
Ruriko Yoshida ◽  
Christian Lattermann ◽  
Srinath Kamineni

A retrospective review of 21 patients that underwent bone screw removal from the elbow was studied in relation to the type of metal, duration of implantation, and the location of the screws about the elbow. Screw failure during extraction was the dependent variable. Five of 21 patients experienced hardware failure during extraction. Fourteen patients had titanium alloy implants. In four cases, titanium screws broke during extraction. Compared to stainless steel, titanium screw failure during removal was not statistically significant (P=0.61). Screw removal 12 months after surgery was more likely to result in broken, retained screws in general (P=0.046) and specifically for titanium alloy (P=0.003). Bone screws removed from the distal humerus or proximal ulna had an equal chance of fracturing (P=0.28). There appears to be a time-related association of titanium alloy bone screw failure during hardware removal cases from the elbow. This may be explained by titanium’s properties and osseointegration.


Author(s):  
L.E. Murr ◽  
J.S. Dunning ◽  
S. Shankar

Aluminum additions to conventional 18Cr-8Ni austenitic stainless steel compositions impart excellent resistance to high sulfur environments. However, problems are typically encountered with aluminum additions above about 1% due to embrittlement caused by aluminum in solid solution and the precipitation of NiAl. Consequently, little use has been made of aluminum alloy additions to stainless steels for use in sulfur or H2S environments in the chemical industry, energy conversion or generation, and mineral processing, for example.A research program at the Albany Research Center has concentrated on the development of a wrought alloy composition with as low a chromium content as possible, with the idea of developing a low-chromium substitute for 310 stainless steel (25Cr-20Ni) which is often used in high-sulfur environments. On the basis of workability and microstructural studies involving optical metallography on 100g button ingots soaked at 700°C and air-cooled, a low-alloy composition Fe-12Cr-5Ni-4Al (in wt %) was selected for scale up and property evaluation.


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