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O E Pohler

Publications and source records attributed to O E Pohler.

4 recordsLinked to original sources

Unalloyed titanium for implants in bone surgery.

Commercially pure (c.p.) titanium has proven its suitability as an implant material in bone surgery over many years in the fields of osteosynthesis, oral implantology, and in certain applications in joint prosthetics. Excellent biocompatibility and corrosion resistance are outstanding features. Furthermore, c.p. titanium is known for not causing allergic reactions. The different grades of c.p. titanium and their minimum mechanical properties are specified in ISO and ASTM standards for implant materials. Typical mechanical properties are given for AO ASIF implant applications. The properties and clinical performance of c.p. titanium are discussed and compared to those of implant stainless steel and titanium alloys. In brief some specific features relating to c.p. titanium implant material are treated, including biocompatibility and soft tissue and bone response and taking into account the effects of implant surface configurations at the same time. In addition, issues are addressed which arise from frequent inquiries from clinics.

Alloys↗

Evaluation of soft tissue reactions at the interface of titanium limited contact dynamic compression plate implants with different surface treatments: an experimental sheep study.

Five types of limited contact dynamic compression plates (LC-DCPs) of pure titanium with different surface treatments and an electropolished stainless steel LC-DCP were tested. The surface roughness parameters and chemical surface conditions were determined and checked for probable surface contamination. After an implantation period of 3 months on long bones of sheep, the soft tissue adjacent to the plates was evaluated histomorphometrically. The difference in roughness parameters was statistically significant for most surface conditions. A correlation was found between the surface roughness of the implants and the thickness of the adjacent soft tissue layer. The thinnest soft tissue reaction layer with a good adhesion to the implant surface was observed for the titanium anodized plates with coarse surface. Smooth implants, in particular the electropolished stainless steel plates, induced statistically significant thicker soft tissue layers. Profilometer roughness measurements combined with scanning electron microscopy techniques were useful methods to characterize the surface morphology.

Animals↗

Fracture-associated sarcoma in the dog.

Seven fracture-associated sarcomas developed in large-breed dogs after stabilization of comminuted long bone fractures with stainless steel plates and screws. In most cases, the healing pattern of the fractures was disturbed. The mean interval between fracture occurrence and tumor diagnosis was 5.5 years. Radiographically, the sarcomas were typified by smooth-bordered subperiosteal proliferation and soft tissue mineralization. Cortical destruction was variable. Several histologic subtypes of osteosarcoma were seen. Four sarcomas had a marked inflammatory cell component and 5 of the dogs had clinical evidence of chronic infection. These findings were similar to those in 35 previously reported fracture-associated sarcomas, even though many types of fixation devices in addition to plates, as well as no fixation at all, were represented in these cases. Fracture-associated sarcomas most frequently were found to be diaphyseal, and the femur accounted for almost half of the sarcomas reported.

Animals↗