Biodegradation phenomena observed in vivo and in vitro spinal instrumentation systems.
Explore the source record for details and available documents.
Animals↗
Biomedical subjects
J E Lemons
Publications and source records attributed to J E Lemons.
Quantitative stereological investigations of porous alumina implant biomaterials.
We made several conclusions from this study on a candidate porous alumina bioceramic. First, the volume fraction of porosity varied from 64 to 79%, whereas Archimedes density shows 62% porosity. Second, the mean lineal intercept and tangent diameter varied from 0.048 to 0.058 cm and 0.034 to 0.040 cm, respectively, and did not provide a good concept of the minimum pore size neck dimensions for the specimen. Third, the pore-size dimension varied from 0.0185 to 0.1157 cm which indicated a minimum pore neck size large enough for tissue ingrowth and ossification if located in bone. Fourth, the pore structure was totally interconnected with considerable side branching and multi-interconnections. Fifth, the serial sectioning of the porous alumina ceramic biomaterial provides considerable insight into the critical features of the material as a candidate for a surgical implant material and a better understanding of the relationships between two-dimensional and three-dimensional structural components.
Aluminum↗
The effects of graft rotation on attachment site separation distances in anterior cruciate ligament reconstruction.
We created a model to see if twisting the graft in an anterior cruciate ligament reconstruction affected the distance separating the femoral and tibial attachments of the perimeter fibers of a patellar tendon graft. Graft bone plugs were simulated by two 12.5-mm diameter Delrin cylinders. Holes, 1 mm in diameter, were placed at the four corners of a centralized rectangle measuring 5 by 10 mm. Graft ligament fibers were represented by color-coded sutures passed through the holes in the modeled bone plugs. This graft model was fixed in tunnels reamed under arthroscopic guidance at the anterior cruciate ligament attachment sites of the femur and tibia in six fresh-frozen knee specimens. Spring gauges were used to measure indirectly the changes in distance of separation during knee flexion between the femoral and tibial attachments relative to a zero defined at 90 degrees of knee flexion. The tibial cylinder was rotated at 45 degrees increments from 90 degrees external to 180 degrees internal rotation relative to the femoral cylinder and measurements were repeated after each incremental rotation. External rotation resulted in a statistically significant higher mean separation distance (4.5 mm) for peripheral graft attachments than internal rotation (2.8 mm) (P = 0.05).
Anterior Cruciate Ligament↗
Cleaning and heat-treatment effects on unalloyed titanium implant surfaces.
This study tested the following hypotheses: (1) acid-cleaned and passivated unalloyed titanium implants have higher surface energies (which are considered desirable for bone implants) than ethanol-cleaned titanium; (2) higher temperatures of heat treatment of unalloyed titanium result in higher surface energies; and (3) these changes can be related to changes in surface composition and roughness. Thus, unalloyed titanium specimens were either acid-cleaned and passivated (CP) or ethanol-cleaned (Et). Each set was then divided into 3 groups and heat-treated for 1 hour at 316 degrees C (600 degrees F), 427 degrees C (800 degrees F), and 538 degrees C (1,000 degrees F), respectively. Surface roughness values for each of these groups were determined using atomic force microscopy, while surface compositions were determined using Auger electron, x-ray photoelectron, and Raman spectroscopic techniques. Surface energies were estimated using a 2-liquid geometric mean technique and correlated with surface roughness, elemental composition, and elemental thickness. The CP surfaces were slightly rougher than the Et specimens, which had greater oxide thickness and hydrocarbon presence. The surface oxides were composed of TiO2, Ti2O3, and possibly titanium peroxide; those heat-treated at 427 degrees C or above were crystalline. The CP specimens had carbonaceous coverage that was of a different composition from that on Et specimens. The CP specimens had significantly higher surface energies, which showed statistically significant correlations with oxide thickness and carbonaceous presence. In conclusion, ethanol cleaning of unalloyed titanium dental implants may not provide optimal surface properties when compared to cleaning with phosphoric acid followed by nitric acid passivation.
Analysis of Variance↗
Bone response to titanium alloy implants placed in diabetic rats.
Although dental implants continue to provide consistent and predictable treatment options for most patients, some people with uncontrolled systemic disease may be denied implant treatment. Diabetes is one such disease. According to the U.S. Centers for Disease Control and Prevention, diabetes is a leading cause of blindness, kidney failure, and amputations of the lower extremities. These complications result from microvascular disturbances associated with diabetes. The effect of diabetes on the healing of titanium implants has not been well established. In this study of 32 rats, diabetes was induced in 16 animals by injection of streptozotocin (65 mg/kg); the remaining 16 animals served as controls. Titanium alloy implants were placed in the tibiae of all 32 rats using standard surgical techniques. Implants healed for 14 days. Blood samples were obtained for serum glucose, osteocalcin, and alkaline phosphatase analyses. Implants were retrieved and processed for histomorphometric analyses. Three quantities were measured using light microscopy, video capture, and computer analysis: percent osseointegration (i.e., linear bone interface), associated bone volume percent, and contact frequency. Diabetic animals demonstrated significantly less osseointegration than controls. However, bone volume percent in diabetic animals was about 4 times greater than controls. Biochemical analyses were mixed; diabetic animals demonstrated increased serum osteocalcin levels compared to controls but decreased alkaline phosphatase. Based on the results of this study, it was concluded that the bone response associated with titanium alloy implants in the tibiae of diabetic rats is uniquely different from controls.
Alkaline Phosphatase↗
Analysis of Ti-6Al-4V implants placed with fibroblast growth factor 1 in rat tibiae.
Titanium-aluminum-vanadium (Ti-6Al-4V) implants were placed in the tibiae of 32 rats (male Sprague-Dawley, 350 g) to examine healing and bone response. Half of the implants were treated with fibroblast growth factor 1 (FGF-1) delivered in an activated fibrinogen matrix. Animals were injected with a radiopharmaceutical imaging agent, technetium-99m-methylene diphosphonate (Tc-99m-MDP), which concentrates in bone, especially in areas of higher osteoblastic activity. Binding of Tc-99m-MDP to the implant was detected in vivo by Anger gamma camera imaging. Fourteen days after implant surgery, specimens were recovered and prepared for histomorphometric analysis. Histologic examination revealed that samples treated with FGF-1 demonstrated significantly greater amounts of bone-to-implant contact (P < .05) compared to controls. Also, FGF-1-treated samples showed significantly greater amounts of bone (percent volume) adjacent to implants (P < .005). These findings were supported by analyses of the non-invasive Tc-99m-MDP images, which demonstrated significantly greater uptake of Tc-99m-MDP adjacent to FGF-1-treated implants (P < .05). Results of the experiments supported the hypothesis that FGF-1 could increase bone production around implants in a rat model.
Alloys↗
Surface characterization of radio-frequency glow discharged and autoclaved titanium surfaces.
To characterize titanium surfaces treated with radio-frequency glow discharge (RFGD) after media exposure, surface chemical analyses were performed using x-ray photoelectron spectroscopy. Auger electron spectroscopy, and Fourier transform infrared-reflection absorption spectroscopy (FTIR-RAS). The RFGD treatments resulted in a cleaner surface as compared to as-sputtered or as-autoclaved titanium specimens. The oxide thickness of RFGD-treated titanium specimens was not statistically different from the as-autoclaved and as-sputter cleaned titanium specimens. Exposure to a phosphate-buffered saline solution revealed a greater deposition of calcium and phosphorous on the RFGD-treated surfaces. Auger electron spectroscopy depth profiles showed that calcium and phosphorous ions diffused into the titanium oxide layer. The calcium and phosphorous deposits were identified as amorphous calcium phosphate compounds using FTIR-RAS. These results suggest that RFGD treatments of titanium enhance calcium and/or phosphate affinity because of an increase in elemental interactions at the surface, thereby resulting in the formation of amorphous calcium phosphate compounds.
Buffers↗
Investigation of video techniques for dynamic measurements of relative vertebral-body motion in vitro.
The precision and accuracy of techniques for analysis of lumbar spinal-segment motions were evaluated using a specially designed orthogonal axis fixture and video image processing. Triplicate validation tests were performed by monitoring precisely controlled motions of the triaxial measurement device. The errors of the overall measurements were found to be less than 0.5 mm for axial and 1 degree for rotational displacements. The system accuracy was within 0.230 mm based on the calculation of the points on a calibration frame. The geometry of the calibration frame was designed with the capability to analyze the 3-D motion properties of a swine lumbar spine. Statistical analyses of the validation test data showed that the precision and accuracy of this motion-analysis system offer new opportunities for the measurement of total-length spinal-motion profiles. The system was then applied utilizing fresh thawed swine spines to test the limits of relative-motion measurements for the centers of adjacent vertebrae in a coupled unit. Lateral-medial and anterior-posterior video images of spines and the triaxial measurement devices were made simultaneously while applying cyclic axial and torsional loads. The distribution of data from six spines illustrated biological variability of relative displacements for adjacent coupled vertebrae.
Animals↗