scholarly journals Infections @ Trauma/Orthopedic Implants: Recent Advances on Materials, Methods, and Microbes—A Mini-Review

Materials ◽  
2021 ◽  
Vol 14 (19) ◽  
pp. 5834
Author(s):  
Britt Wildemann ◽  
Klaus D. Jandt
Keyword(s):  
Surface Modification ◽  
Animal Studies ◽  
Orthopedic Implants ◽  
Implant Design ◽  
Bacterial Survival ◽  
Implant Surface ◽  
Antimicrobial Surfaces ◽  
Pubmed Search ◽  
Implant Coating ◽  
Antibiotic Release

Implants and materials are indispensable in trauma and orthopedic surgery. The continuous improvements of implant design have resulted in an optimized mechanical function that supports tissue healing and restoration of function. One of the still unsolved problems with using implants and materials is infection. Trauma and material implantation change the local inflammatory situation and enable bacterial survival and material colonization. The main pathogen in orthopedic infections is Staphylococcus aureus. The research efforts to optimize antimicrobial surfaces and to develop new anti-infective strategies are enormous. This mini-review focuses on the publications from 2021 with the keywords S. aureus AND (surface modification OR drug delivery) AND (orthopedics OR trauma) AND (implants OR nails OR devices). The PubMed search yielded 16 original publications and two reviews. The original papers reported the development and testing of anti-infective surfaces and materials: five studies described an implant surface modification, three developed an implant coating for local antibiotic release, the combination of both is reported in three papers, while five publications are on antibacterial materials but not metallic implants. One review is a systematic review on the prevention of stainless-steel implant-associated infections, the other addressed the possibilities of mixed oxide nanotubes. The complexity of the approaches differs and six of them showed efficacy in animal studies.

scholarly journals Implant Coating Manufactured by Micro-Arc Oxidation and Dip Coating in Resorbable Polylactide for Antimicrobial Applications in Orthopedics

Coatings ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. 284 ◽  
Author(s):  
Xiao-Yan Cao ◽  
Na Tian ◽  
Xiang Dong ◽  
Cheng-Kung Cheng
Keyword(s):  
Release Rate ◽  
Adhesive Strength ◽  
Titanium Substrate ◽  
Orthopedic Implants ◽  
Dip Coating ◽  
Risk Of Infection ◽  
Micro Arc Oxidation ◽  
Implant Coating ◽  
Antibiotic Release ◽  
Post Implantation

Prophylaxis and the treatment of implant-related infections has become a key focus area for research into improving the outcome of orthopedic implants. Functional resorbable coatings have been developed to provide an antimicrobial surface on the implant and reduce the risk of infection. However, resorbable coatings developed to date still suffer from low adhesive strength and an inadequate release rate of antibiotics. This study presents a novel double-coating of micro-arc oxidation and resorbable polylactide copolymer on a Ti-6Al-4V implant with the aim of reducing the risk of infection post-implantation. The adhesive strength, rate of coating degradation, and antibiotic release rate were investigated. A key finding was that the micro-arc oxidation coating with the addition of antibiotics increased the adhesive strength of the poly-l-lactide-co-ε-caprolactone (PLC) coatings. The adhesive strength was influenced by the concentration of the PLC solution, the surface structure of the titanium substrate, and the composition of the coatings. The antibiotics blended into the PLC coating had a release cycle of approximately 10 days, which would be long enough to reduce the risk of developing an infection after implantation. The double coatings presented in this study have an excellent potential for reducing the incidence and severity of implants-related early infections.

scholarly journals Osseointegration Improvement of Co-Cr-Mo Alloy Produced by Additive Manufacturing

Pharmaceutics ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 724
Author(s):  
Amilton Iatecola ◽  
Guilherme Arthur Longhitano ◽  
Luiz Henrique Martinez Antunes ◽  
André Luiz Jardini ◽  
Emilio de Castro Miguel ◽  
...  
Keyword(s):  
Surface Modification ◽  
Additive Manufacturing ◽  
Bone Ingrowth ◽  
Orthopedic Implants ◽  
Coated Sample ◽  
High Mechanical Strength ◽  
Coated Surface ◽  
Surface Modification Techniques ◽  
Almost All ◽  
Cobalt Base

Cobalt-base alloys (Co-Cr-Mo) are widely employed in dentistry and orthopedic implants due to their biocompatibility, high mechanical strength and wear resistance. The osseointegration of implants can be improved by surface modification techniques. However, complex geometries obtained by additive manufacturing (AM) limits the efficiency of mechanical-based surface modification techniques. Therefore, plasma immersion ion implantation (PIII) is the best alternative, creating nanotopography even in complex structures. In the present study, we report the osseointegration results in three conditions of the additively manufactured Co-Cr-Mo alloy: (i) as-built, (ii) after PIII, and (iii) coated with titanium (Ti) followed by PIII. The metallic samples were designed with a solid half and a porous half to observe the bone ingrowth in different surfaces. Our results revealed that all conditions presented cortical bone formation. The titanium-coated sample exhibited the best biomechanical results, which was attributed to the higher bone ingrowth percentage with almost all medullary canals filled with neoformed bone and the pores of the implant filled and surrounded by bone ingrowth. It was concluded that the metal alloys produced for AM are biocompatible and stimulate bone neoformation, especially when the Co-28Cr-6Mo alloy with a Ti-coated surface, nanostructured and anodized by PIII is used, whose technology has been shown to increase the osseointegration capacity of this implant.

Porous alumina for free-standing implants. Part I: Implant design and in vivo animal studies

1988 ◽  
Vol 59 (6) ◽  
pp. 689-695 ◽  
Author(s):  
Akiyoshi Yamagami ◽  
Shuhei Kotera ◽  
Yuji Ehara ◽  
Youichi Nishio
Keyword(s):  
Animal Studies ◽  
Porous Alumina ◽  
Implant Design ◽  
Free Standing

scholarly journals Biomechanics in dental implants

2021 ◽  
Vol 7 (3) ◽  
pp. 131-136
Author(s):  
Poonam Prakash ◽  
Ambika Narayanan
Keyword(s):  
Dental Implants ◽  
Fibrous Tissue ◽  
Primary Stability ◽  
Biological Tissues ◽  
Implant Design ◽  
Implant Fixation ◽  
Implant Surface ◽  
Bone Apposition ◽  
Functional Connection ◽  
Secondary Stage

Achieving primary stability in dental implants is crucial factor for accomplishing successful osteointegration with bone. Micro-motions higher than the threshold of 50 to 100 μm can lead to formation of fibrous tissue at the bone-to-implant interface. Therefore, osteointegration may be vitiated due to insufficient primary stability. Osseointegration is defined as a direct and functional connection between the implant biomaterial and the surrounding bone tissue. Osseointegration development requires an initial rigid implant fixation into the bone at the time of surgery and a secondary stage of new bone apposition directly onto the implant surface. Dental implants function to transfer the load to the surrounding biological tissues. Due to the absence of a periodontal ligament, its firm anchorage to bone, various forces acting on it and the presence of prosthetic components, they share a complex biomechanical relationship. The longevity of these osseointegrated implants depend on optimizing these complex interactions. Hence, the knowledge of forces acting on implant, design considerations of implant and bone mechanics is essential to fabricate an optimized implant supported prosthesis.

Nanotechnology Enabled In Situ Orthopaedic Sensors for Personalized Medicine

2012 ◽  
Vol 86 ◽  
pp. 40-50
Author(s):  
Sirinrath Sirivisoot ◽  
Thomas J. Webster
Keyword(s):  
Bone Growth ◽  
Electrochemical Sensors ◽  
Electrochemical Analysis ◽  
Matrix Proteins ◽  
Implant Design ◽  
Implant Surface ◽  
Cellular Events ◽  
Bone Deposition ◽  
Made In

Although improvements have been made in implant design to increase bone formation and promote successful osseointegration using nanotechnology, the clinical diagnosis of early bone growth surrounding implants remains problematic. The development of a device allowing doctors to monitor the healing cascade and to diagnose potential infection or inflammation is necessary. Biological detection can be examined by the electrochemical analysis of electron transfer (or redox) reactions of extracellular matrix proteins involved in bone deposition and resorption. The use of nanomaterials as signal amplifiers in electrochemical sensors has greatly improved the sensitivity of detection. Nanotechnology-enabled electrochemical sensors that can be placed on the implant surface itself show promise as self-diagnosing devices in situ, possibly to detect new bone growth surrounding the implant and other cellular events to ensure implant success.

scholarly journals Surface Modification of Biomedical Titanium Alloy: Micromorphology, Microstructure Evolution and Biomedical Applications

Coatings ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. 249 ◽  
Author(s):  
Wei Liu ◽  
Shifeng Liu ◽  
Liqiang Wang
Keyword(s):  
Mechanical Properties ◽  
Titanium Alloy ◽  
Surface Modification ◽  
Microstructure Evolution ◽  
Biomedical Applications ◽  
Cellular Level ◽  
Implant Surface ◽  
Potential Applications ◽  
Biomedical Titanium Alloy ◽  
Increasing Demand

With the increasing demand for bone implant therapy, titanium alloy has been widely used in the biomedical field. However, various potential applications of titanium alloy implants are easily hampered by their biological inertia. In fact, the interaction of the implant with tissue is critical to the success of the implant. Thus, the implant surface is modified before implantation frequently, which can not only improve the mechanical properties of the implant, but also polish up bioactivity and osseoconductivity on a cellular level. This paper aims at reviewing titanium surface modification techniques for biomedical applications. Additionally, several other significant aspects are described in detail in this article, for example, micromorphology, microstructure evolution that determines mechanical properties, as well as a number of issues concerning about practical application of biomedical implants.

Electrically-Controlled Penicillin/Streptomycin Release from Nanostructured Polypyrrole Coated on Titanium for Orthopedic Implants

2009 ◽  
Vol 151 ◽  
pp. 197-202 ◽  
Author(s):  
Sirinrath Sirivisoot ◽  
Rajesh A. Pareta ◽  
Thomas J. Webster
Keyword(s):  
Photoelectron Spectroscopy ◽  
Orthopedic Implants ◽  
Nanometer Scale ◽  
Force Microscopy ◽  
Atomic Force ◽  
Osteoblast Adhesion ◽  
Antibiotic Release ◽  
Orthopedic Applications ◽  
Scale Roughness

Implant infection leading to revision surgery can be avoided by incorporating controllable antibiotic release from titanium (Ti) implant surfaces. In this study, penicillin/streptomycin (P/S) and dexamethasone (Dex) were successfully immobilized via electropolymerization within polypyrrole membranes coated on the surface of Ti, which is widely used in orthopedic applications. In vitro results showed that greater numbers of osteoblasts adhered on these polymer-coated substrates than on currently-used unmodified Ti. X-ray photoelectron spectroscopy was used to monitor and compare the reaction effectiveness and the yield of electropolymerization. Polypyrrole membranes conjugated with P/S and Dex, and then coated with PLGA, all possessed nanometer scale roughness, as analyzed by atomic force microscopy. In summary, this study demonstrated that drugs incorporated within electroactive polypyrrole membranes, whose release was controlled by applying voltages, supported osteoblast adhesion and could potentially fight bacterial infection.

Implant Surface Modification and Osseointegration-Past, Present and Future

2014 ◽  
Vol 8 (2) ◽  
pp. 113-118 ◽  
Author(s):  
A Kumar ◽  
V Kumar ◽  
M Goel ◽  
R Mehta ◽  
G Bhayana ◽  
...  
Keyword(s):  
Surface Modification ◽  
Surface Properties ◽  
Dental Implant ◽  
Research Evidence ◽  
Surface Modifications ◽  
Biological Fixation ◽  
Implant Surface ◽  
Jaw Bones

ABSTRACT Biological fixation between the dental implant surfaces and jaw bones should be considered a prerequisite for the long-term success of implant-supported prostheses. The implant surface modifications gained an important and decisive place in implant research over the last years. Nowadays, a large number of implant types with a great variety of surface properties and other features are commercially available and have to be treated with caution. Although surface modifications have been shown to enhance osseointegration at early implantation times, for example, the clinician should look for research evidence before selecting a dental implant for a specific use.

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