Sunday, March 03, 2019 5:45:38 PM
The medical-care system continues to promote the idea that you can cut out body parts and insert metal or plastic at will. Why? It’s a huge and big-bucks industry worth in the aggregate hundreds of billions of dollars. However, there is a problem called wear debris, and no matter how you design these implants, wear will occur. In addition, if you continue to advertise these devices to be used in younger and healthier patients who are more active, more wear will happen. Hence, more wear equals more particles, and more particles equals more bad stuff floating around in patients!
How medical device harm is concealed
Everything You Need to Know About the Implant Files
Infections in Orthopedics, a growing problem
No single implant material tested is able to reduce bacterial adherence of all of the pathogens tested.
Metals, Inflammation, & Autoimmunity
AUTOIMMUNE DISEASES AND METAL IMPLANTS AND DEVICES
Titanium
Time-dependent Enhanced Corrosion of Ti6Al4V in the Presence of H2O2, Albumin, & porous Titanium
Heavy metal: Titanium implant safety under scrutiny
The Distribution and Pro-Inflammatory Impact of Titanium Debris Accumulation in the Peri-Implant Enviornment
Serum titanium, niobium, and aluminum levels after instrumented spinal arthrodesis in children.
Titanium implants and silent inflammation in jawbone—a critical interplay of dissolved titanium particles and cytokines TNF-a and RANTES/CCL5 on overall health?
Analysis of samples revealed a significant increase in hair and nail titanium levels
Roughening surface of Titanium implants leads to increase corrosion and biofilm formation
Local Cellular Responses to Titanium Dioxide from Orthopedic Implants
The Potential Liver, Brain, and Embryo Toxicity of Titanium Dioxide Nanoparticles on Mice.
PEEK
Dr. Khoi Than, said, "Hundreds of thousands of PEEK implants are placed in patients' necks every year, and our work verifies my suspicion that many of them are not healing.
Pseudarthrosis following single-level ACDF is five times more likely when a PEEK interbody device is used
In the PEEK group, vertebral osteolysis was noted in 60 % of the cases with nonunion
The degree of peri-implant osteolysis induced by PEEK, CoCrMo, and HXLPE wear particles: a study based on a porous Ti6Al4V implant in a rabbit model
The absence of posterior fixation in combination with lower stiffness and the hydrophobic characteristics of PEEK probably lead to insufficient initial stability, creating suboptimal conditions for bony bridging, and thus solid fusion.
PEEK Cages in Lumbar Fusion: Mid-term Clinical Outcome and Radiologic Fusion - Depuy Spacer
Are Periprosthetic Tissue Reactions Observed After Revision of Total Disc Replacement Comparable to the Reactions Observed After Total Hip or Knee Revision Surgery?
ZTA
Characterisation and Biological Impact of Wear Particles from Composite Ceramic Hip Replacements
Mechanistic Study of the Wear of Ceramic Heads by Metallic Stems in Modular Implants
Zirconia phase transformation in retrieved, wear simulated, and artificially aged ceramic femoral heads
Ceramic prosthesis surfaces induce an inflammatory cell response and fibrotic tissue changes
Toxic Effects of Alumina Nanoparticles in Rat Cerebrums and Kidneys
Zirconia Nanoparticles-Induced Toxic Effects in Osteoblast-Like 3T3-E1 Cells - TiO2 NP exhibited similar toxic effect
Cobalt Toxicity, An overlooked Cause of Hypothyroidism - patient with Ceramic-on-Ceramic right Hip Implant and a large amount of metal debris
Cobalt-Chromium
Stephen Tower - Wear & Corrosion of Chrome-Cobalt Hip Implants
PET Brain Imaging in Cobalt Induced Chronic Toxic Encephalopathy Associated With Chromium Cobalt Hip Implants
Investigation of metal deposition in organs after joint replacement
Metallosis after metal-on-polyethylene total hip arthroplasty
Systemic and local toxicity of metal debris released from hip prostheses: A review of experimental approaches
The Bleeding Edge: behind the terrifying new Netflix documentary
Silicon Nitride Biomaterial, the Future
List of current/potential Si3N4 based products by market application:
List of 5 human studies utilizing Silicon Nitride Spinal Implants
Reciprocity between Si3N4 and living cells
Human osteoblasts grow transitional Si/N apatite in quickly osteointegrated Si3N4 cervical insert.
Biological and therapeutic effects of ortho-silicic acid and some ortho-silicic acid-releasing compounds: New perspectives for therapy
Silicon Nitride - Antimicrobial
AMEDICA ANNOUNCES FILING OF KEY PATENT APPLICATION RELATING TO THE ANTI-VIRAL EFFECT OF ITS SILICON NITRIDE - Study has yet to be published
Development of a SiYAlON glaze for improved osteoconductivity of implantable medical devices.
Wear debris generated from SiNx coatings was round in shape, with a mean size of 40 nm, and ranged between 10 and 500 nm. Model particles, similar in size and shape as the wear debris, were soluble in simulated body fluid. The dissolution rate was higher than the expected rate of debris generation.
Dissolution behaviour of silicon nitride coatings for joint replacements
Incorporating Si3N4 into PEEK to Produce Antibacterial, Osteocondutive, and Radiolucent Spinal Implants
Bioceramics are Not Bioinert: The Role of Oxide and Non-Oxide Bioceramics on the Oxidation of UHMWPE Components in Artificial Joints
A pictures worth a thousand words
Reactions to Metals
The effects on bone cells of metal ions released from orthopaedic implants. A review
Reaction to Silica released/scavenged from Si3N4 implant surfaces
Silicon: The evolution of its use in biomaterials
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