Biomedical subjects

D Deligianni

Publications and source records attributed to D Deligianni.

5 recordsLinked to original sources

PubMed2001

Effectiveness of transfixation and length of instrumentation on titanium and stainless steel transpedicular spine implants.

This study compares the effectiveness of transfixation on the stiffness of two pedicle screw-rod constructs of different manufacture, implant design, and alloy, applied in one-and two-level instability. Four screws composed of either stainless steel or Titanium were assembled in pairs to two polymethylmethacrylate blocks to resemble one-and two-level corpectomy models and the construct underwent nondestructive torsional, extension, and flexion loading. In every loading test, each construct was tested using stainless steel or titanium rods of 4.9-mm diameter in two different lengths (short, 10 cm; long, 15 cm), not augmented or augmented with different transfixation devices or a pair of devices. The authors compared the stiffness of stainless steel and titanium constructs without cross-link with the stiffness of that reinforced with single or double Texas Scottish Rite Hospital (TSRH) cross-link, closed new-type cross-link (closed NTC), or open new-type cross-link (open NTC). The results showed that augmentation or no augmentation of short rods conferred significantly more stiffness than that of long rods of the same material in all three loading modes. The closed NTC provided the greatest increase of torsional, extension, and flexion stiffness, and single TSRH provided the least amount of stiffness. Torsional stiffness of short stainless steel rods augmented or not augmented was significantly greater than that of their titanium counterparts. Torsional stiffness of long titanium rods was always greater than that of their stainless steel counterparts. Extension stiffness of short nonaugmented titanium rods was superior to that of long titanium rods, whereas extension stiffness of nonaugmented short and long stainless steel rods was similar. Nonaugmented short titanium rods showed greater flexion stiffness than that of long titanium rods. Long stainless steel rods displayed significantly greater flexion stiffness than did their titanium counterparts. This nondestructive study showed that cross-links increase the torsional stiffness significantly but less so the flexion and extension stiffness of both titanium and stainless steel posterior transpedicular constructs. This increase was proportional to the cross-sectional diameter of the cross-link. Titanium constructs showed more torsional stiffness when used in two-level instability and steel showed more torsional stiffness in one-level instability, particularly when they are reinforced. Stainless steel constructs showed greater flexion stiffness when they were used in two-level and titanium showed greater flexion stiffness in one-level instability, particularly when they were reinforced with stiff cross-links. The effect of transfixation on extension forces was obvious when thick cross-links were used.

Alloys↗

PubMed2000

Factor analysis of the effectiveness of transfixation and rod characteristics on the TSRH screw-rod instrumentation.

The effects of Texas Scottish Rite Hospital (TSRH) hardware parameters (rod length and diameter and cross-link) and their interaction on the stiffness of the TSRH pedicle screw-rod construct were evaluated. Four TSRH screws were assembled in pairs to two polymethyl-methacrylate blocks to resemble a one-level or more corpectomy model and the construct underwent nondestructive torsional, extension, and flexion loading. In every loading test, each construct was tested using TSRH rods of different lengths (10, 15, and 20 cm) and diameters (4.9 and 6.5 mm) and different cross-links (TSRH and two new types made for this experiment). We compared the stiffness of the construct without cross-linking with that with single or double TSRH cross-linking, or either the closed new-type cross-link (closed NTC) or the open new-type cross-link (open NTC) using factor analysis. There was no axial slipping of one rod versus the other up to a force of 100 kg. The stiffness of the construct in all three loading modes increased as the rod length decreased, the rod diameter increased, and the construct was augmented with a cross-link. The closed NTC provided the greatest stiffness and the single TSRH provided the least stiffness. Unaugmented 10-cm-long rods showed two or three times more torsional stiffness than did that of the longer unaugmented rods independent of rod diameter. In addition, the closed NTC offered the maximal increase in flexion stiffness of the construct with thick rods and 10-, 15-, and 20-cm-long rods at a maximum of 40%, 27%, and 30%, respectively. This rigid closed NTC increased the extension stiffness of the same construct with 10- and 15-cm-long rods at 40% and 6%, respectively, whereas it had no influence on the extension stiffness of 20-cm-long rods.

Biomechanical Phenomena↗

PubMed1998

Augmentation of anterior transvertebral screws using threaded teflon anchoring.

This is a biomechanical study to investigate the effect of augmentation of single anterior transvertebral screws. Two subsequent experiments (pullout and caudal loading) were performed in 78 porcine vertebral bodies of equal bone mineral density using 6.5-mm transvertebral screws augmented or not with specially designed Teflon anchoring. Three different types of 35- and 45-mm unaugmented screws (Kaneda, TSRH, and Zielke) were inserted at 90 degrees laterally in the vertebral body and were tested for pullout force. The pullout load to loosen the three different unaugmented screws did not significantly differ. The pullout force to loosen the 35- and 45-mm Zielke screws was 507 +/- 22 and 860 +/- 50 N, respectively. The corresponding pullout load to loosen the construct Zielke screw-Teflon anchoring was 1,005 +/- 148 N and 1,306 +/- 135 N for the 35- and 45-mm screws, respectively. When comparing the pullout force needed for unaugmented versus the augmented Zielke screw of the same length, there was a statistically significant (p < 0.0001) difference. During the caudal loading test, the unaugmented 45-mm Zielke screw showed that a uniform slope up to the yield point occurred at 0.35 +/- 0.12 mm of displacement, with an average tilting force for the tested screw of 1,362 +/- 151 N, when the screw became loose. The caudal loading test for the augmented Zielke screw was interrupted at 2,000 N because the load applied exceeded the load capacity of the testing machine, and thus no loosening occurred. The findings of this in vitro study showed that the Teflon anchoring provides superior anchorage and stability of single transvertebral Zielke screws. However, further biomechanical and clinical studies are required before using this device or its modification.

Animals↗

PubMed1995

Test methodology for characterizing in vitro biodegradation.

In this paper mechanical tests for the characterization of the time-dependent behaviour of absorbable osteosynthetic materials are described. The tensile test is performed according to International Standard Organization (ISO) 3268/1978 and provides Young's modulus, tensile strength, elongation at tensile strength, and rupture force. The bending test is performed according to ISO 178/1975 and gives the flexural stress at various deflections, the force and deflection at break and the initial bending modulus. The torsional test is carried out according to ISO 458-1 and gives torsional load. The bending and torsional stress relaxation are measured. Relaxation modulus and the creep compliance are then determined. The parameters to be recorded in a cyclic bending test include the number of cycles or, in the case of sample survival, the remaining force at break at a bending test. The cyclic torsion test is carried out according to ISO 537/1989. The parameters to be recorded are the number of cycles or, in case of sample survival, the remaining force at a torsional test at 45 deg. Simulation tests provide a comparative assessment of the degradation phenomena under cyclic mechanical loading in bending or in torsion at elevated temperatures.

Biodegradation, Environmental↗

PubMedDate not supplied

Adhesion strength of individual human bone marrow cells to fibronectin. Integrin beta1-mediated adhesion.

The purpose of this work was to study the adhesion strength of individual bone marrow cells, using a micropipette aspiration technique. The adhesion strength of the primary human bone marrow cells to fibronectin-coated substrate, by blocking the beta1 integrin with and without antibodies, was also determined. Human bone marrow stromal cells of the second passage were seeded at a density of 500 cells/cm2 on two different substrates: plastic culture dish (PCD) and PCD coated with fibronectin. In short adhesion times (15-180 min) the cells attached without spreading and remained almost spherical. A negative pressure of about 3500 Pa was applied, through the micropipette, on individual bone marrow cells and the detach process was recorded. The tip of the micropipette was bent at an 130 degrees angle to the corpus of the pipette and it was manipulated to be on the upper side of the cell and vertically to the bottom of the plate. It was observed from the experiments that the cells exhibited smaller adhesion strength at early adhesion times (30-85 min). After 85 min the adhesion strength increased abruptly and remained relatively constant for the adhesion period from 85 to 180 min for all substrates. Monoclonal antibodies against integrin subunit beta1 were used for integrin blocking experiments. The data suggested that the attachment of osteoblasts to a plastic culture dish without fibronectin coating occurred earlier than to the one coated with fibronectin PCD. In longer adhesion time the coating with fibronectin increased the adhesion strength at 107%. Blocking of integrin beta1 with monoclonal antibody resulted in decrease of the adhesion strength at 49%.

Journal Article↗