Presentation of Gamma-Irradiated-in-Air Polyethylene Wear in the Form of a Synovial Cyst

2003 ◽  
Vol 13 (5) ◽  
pp. 413-418
Author(s):  
Bryan T. Edwards ◽  
Patrick B. Leach ◽  
R. Scott Corpe ◽  
Robert D. Zura ◽  
Timothy R. Young
2003 ◽  
Vol 13 (2_suppl) ◽  
pp. 17-27 ◽  
Author(s):  
E. Ingham ◽  
J. Fisher ◽  
M.H. Stone

Polyethylene wear debris induced osteolysis is a major cause of failure in artificial hip joints. Sub micrometre size particles are taken up by macrophages which are stimulated to release osteolytic cytokines such as TNFα. This leads to bone resorption, loosening and failure. In vitro cell culture studies have shown particles in the size range 0.1 to 1 micrometre to be at least six times more reactive than larger particles. Studies of historically used gamma irradiated in air polyethylene show increased wear rate with damaged femoral heads and with aged and oxidised polyethylene. The aged and oxidised polyethylene also produced a greater percentage of smaller particles leading to increased osteolytic potential. Combined tribological and biological simulation models have been developed for pre-clinical assessment of osteolytic potential of artificial hip joints.


2003 ◽  
Vol 13 (2_suppl) ◽  
pp. 31-35 ◽  
Author(s):  
J. Fisher ◽  
E. Ingham ◽  
M.H. Stone

There is now considerable clinical concern about the effect of polyethylene wear debris induced osteolysis in long term failure of hip replacements. This paper compares the wear of stabilised and crosslinked polyethylene to alternative hard on hard bearings. The volumetric wear rates of stabilised and moderately crosslinked polyethylene 50 to 35 mm3/million cycles were less than previously reported for historical gamma irradiated in air polyethylene, but still of a level that in the long term could cause osteolysis. The moderately crosslinked polyethylene produced less wear than non-crosslinked polyethylene, but particles were smaller and more reactive resulting in little change in the osteolytic potential. Alumina ceramic on ceramic produced substantially less wear and osteolytic potential. Metal on metal also produced less wear than polyethylene but the particles adversely influence cell viability.


2002 ◽  
Vol 12 (4) ◽  
pp. 394-396 ◽  
Author(s):  
W.J. Farrington ◽  
P. Lewis ◽  
A.G. MacEachern

Long-term follow-up of total hip replacements (THR) is essential for accurate recording of complications associated with this procedure, in particular the occurrence of wear and aseptic loosening which may warrant revision surgery. A significant proportion of patients with aseptic loosening are asymptomatic and radiological signs may be subtle and easily missed. Occasionally a synovial cyst can develop as a result of polyethylene wear debris and aseptic loosening. These cysts are usually small but can expand and become symptomatic. We describe a case where a large cyst caused sufficient extrinsic compression of the femoral vein as to occlude it. This was a potentially life-threatening complication. We emphasize the importance of clinical examination for leg swelling and groin mass in routine surveillance of total hip replacement.


2008 ◽  
Vol 58 (5) ◽  
pp. 529
Author(s):  
Hyeon Seon Park ◽  
Sang Ho Lee ◽  
Ho Yeon Lee ◽  
Byung June Jo ◽  
Wei Chiang Lie ◽  
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2019 ◽  
Vol 9 (02) ◽  
Author(s):  
Amal Kamil Abdul Sada ◽  
Amany Mohamed Al-Kaysi

This is an experimental trial to prepare a vaccine from gamma-irradiated Giardia lamblia which is evaluated in experimental animals. The study was conducted from December 2015 to April 2016. The field survey of the parasite was conducted from those patients attending the laboratories of the Alawi Children's Hospital in Rusafa and the Al-Yarmouk Teaching Hospital in Karkh, through which 1250 stool samples of different age groups were examined. Five groups of mice were used in the study; the first was injected with normal saline and considered as a negative control group, the second was injected with cystic form of non-irradiated Giardia lamblia and considered as a positive control group, whereas the other three groups were injected with gamma irradiated Giardia lamblia at three different doses 10, 15 and 25 rad respectively. Giardia lamblia was primarily cultivated in liver infusion agar for ten days to obtain the active phase. On the sixth day, the cystic phase was purified and standardized to be used in the infection of mice with or without the exposure of gamma rays. Mice showed high sensitivity to parasitic infestation, in the gamma non-irradiated and the irradiated with gamma 10 rad, and 15 rad irradiated groups which was 100%. The results expressed an excystation process of the depleted phases and the release of the feeder phases. The results of the three irradiated groups consisted of histopathological changes of the small, and the rectum by dissection after two weeks of infection, with intestine amputation lesions, as well as ulceration and inflammation of the inflammatory cells represented in small numbers of neutrophil, lymphocytes, and eosinophils. The presence of ulceration and fall of epithelial cells in the intestinal cavity has been shown, and different forms of the parasite have been observed. Mice which was injected with irradiated G lamblia at high dose (25 rad), not show and sensitivity to the challenge infection and no excystation of thy parasite had been done. After 2 wreaks, a comparison was achieved between all study groups in which no histopathological changes were noticed in the mice irradiated with dose of25 rad. After another two weeks, a challenge dose was given (un-attenuated G lamblia) and mice were dissected after another two weeks, no changes on the level of histopathology of intestinal tissue were noticed the results suggested that mice acquire an immunity against the parasite infection.


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