Titanium Implants Used in Traumatology Failed Sometime in Clinical Practice: Case Study

Article Preview

Abstract:

Tibial fractures were, still are and will be a challenge for the orthopedic surgeon. In this paper we conducted a case study on a system plate-screw made by titanium that was used in clinical practice for reduction and fixation of a tibial pilon fracture. After eight months the patient returns for the ablation of metallic implants. Clinical and strengthen the fracture callus is found radiologic hypertrophic and degradation plaque.On retrieved plate were made following investigations in order to establish the causes that lead to the failure: determining the chemical composition through spectral analysis, macrostructural analysis using stereomicroscopy, microstructure analysis using optical microscope metallographic, and fractographic analysis using scanning electron microscopy. Complex analysis of the fracture surfaces of the locking plate has led to the ultimate conclusion that the material has been made self-locking plate is inadequate chemical purity satisfactory embedding, which has led to breakage within an area of ​​non-homogeneous structure. Breaking looks fragile behaviour by transgranular cleavage with sharp facets. There were also highlighted intergranular cracks between planes of cleavage sides.

You might also be interested in these eBooks

Info:

Periodical:

Pages:

128-132

Citation:

Online since:

May 2016

Export:

Price:

Permissions CCC:

Permissions PLS:

Сopyright:

© 2016 Trans Tech Publications Ltd. All Rights Reserved

Share:

Citation:

* - Corresponding Author

[1] Popescu I., Antonescu D., Surgery Handbook, vol. X; Traumatology and orthopaedics, Publisher Editura Academiei, Bucharest (2009).

Google Scholar

[2] Purghel F., Badea R., Antoniac I., Medical notions for engineers, Publisher Printech, Bucharest (2011).

Google Scholar

[3] Miculescu F., Bojin D, Ciocan L.T., Antoniac I., Miculescu M, Miculescu N, Experimental researches on biomaterial-tissue interface interactions, JOAM, 9: 11 (2007), 3303 – 3306.

DOI: 10.4028/www.scientific.net/kem.638.14

Google Scholar

[4] Ionescu R, Mardare M, Dorobantu A, Vermesan S, Marinescu E, Saban R, Antoniac I, Ciocan D.N., Ceausu M., Correlation between materials, design and clinical issues in the case of associated use of different stainless steels as implant materials, KEM, 583 (2014).

DOI: 10.4028/www.scientific.net/kem.583.41

Google Scholar

[5] Niculescu M, Laptoiu D, Miculescu F, Antoniac I, Biomaterials view on the complications associated with hip resurfacing arthroplasty, Advanced Materials Research, 1114 (2015), 247-252.

DOI: 10.4028/www.scientific.net/amr.1114.247

Google Scholar

[6] Botez P, Sirbu P, Simion L, Munteanu F, Antoniac I, Application of a biphasic macroporous synthetic bone substitutes CERAFORM®: clinical and histological results, EJOST, 19: 6 (2009), 387– 395.

DOI: 10.1007/s00590-009-0445-7

Google Scholar

[7] Niculescu M, Laptoiu D, Miculescu F, Antoniac I, Metal allergy and other adverse reactions in patients with total hip replacement, Advanced Materials Research, 1114 (2015), 283-287.

DOI: 10.4028/www.scientific.net/amr.1114.283

Google Scholar

[8] Bunea D; Antoniac V; Trante O; Trante D; Trante C; Studies and research on the austenitic stainless seels casting and/or forging in order to provide the conditions for using like biomaterials, Materials for Medical Engineering, Publisher Wiley-VCH (2000).

DOI: 10.1002/3527606149.ch11

Google Scholar

[9] Park J.B., Bronzino J.D., Biomaterials: Principles and Applications, Publisher CRC Press, (2003), 1-22.

Google Scholar

[10] Ghiban B., Metallic Biomaterials, Publisher Printech, Bucharest (1999), 1-40.

Google Scholar

[11] Ghiban B., Mechanical and corrosion behaviour of some devices for ostheosinthesis, Advanced Materials Research, 23 (2007), 257-260.

DOI: 10.4028/www.scientific.net/amr.23.257

Google Scholar

[12] Razvan I, Iulian A, Cosmin C, Florin M, Eugeniu V, Munteanu C, Moldan D, Marius N, Potential solutions to increase the corrosion resistance of metallic surgical instruments using different types of ceramic coatings, KEM, 614 (2014), 206-211.

DOI: 10.4028/www.scientific.net/kem.614.206

Google Scholar

[13] Mihaela M.A., Brandusa G., Nicolae G., Iulian A., Corrosion behaviour in Ringer solution of Ti-Mo alloys used for orthopaedic biomedical applications, Solid State Phenomena, 188 (2012), 98-101.

DOI: 10.4028/www.scientific.net/ssp.188.98

Google Scholar

[14] Togan V; Ionita G; Antoniac I; Corrosion Behavior of Ti6Al4V Coated with SiOx by PECVD Technology, KEM, 583 (2014), 22-27.

DOI: 10.4028/www.scientific.net/kem.583.22

Google Scholar

[15] Atasiei T; Antoniac I; Laptoiu D; Failure causes in hip resurfacing arthroplasty - retrieval analysis, International Journal of Nano and Biomaterials, 3: 4 (2011), 367-381.

DOI: 10.1504/ijnbm.2011.045882

Google Scholar

[16] Antoniac I; Laptoiu D; Miculescu F; Istrate R; Trisca-Rusu C; Microscopy analysis of total knee prosthesis failure caused by polyethylene wear, European Cells and Materials, 16: S1 (2008), 54.

Google Scholar

[17] Cristescu I; Antoniac I; Vilcioiu D; Safta F; Analysis of centromedullary nailing with implant failure, KEM, 638 (2015), 130-134.

DOI: 10.4028/www.scientific.net/kem.638.130

Google Scholar

[18] Ionescu R; Cristescu I; Dinu M; Saban R; Antoniac I; Vilcioiu D; Clinical, biomechanical and biomaterials approach in the case of fracture repair using different systems type plate-screw, KEM, 583 (2014), 150-154.

DOI: 10.4028/www.scientific.net/kem.583.150

Google Scholar

[19] Bane M; Miculescu F; Blajan AI; Dinu M; Antoniac I; Failure analysis of some retrieved orthopedic implants based on materials characterization, Solid State Phenomena, 188 (2012), 114-117.

DOI: 10.4028/www.scientific.net/ssp.188.114

Google Scholar

[20] Wall E.J., Jain V., Vora V., Mehlman C.T., Crawford A.H., Complications of titanium and stainless steel elastic nail fixation of pediatric femoral fractures, J Bone Joint Surg. Am, 90: 6 (2008), 1305 -1313.

DOI: 10.2106/jbjs.g.00328

Google Scholar

[21] Teoh S.H., Fatigue of biomaterials: a review, International Journal of Fatigue, 22: 10 (2000), 825–837.

DOI: 10.1016/s0142-1123(00)00052-9

Google Scholar

[22] Collings E.G., Boyer R., Welsch G., Materials properties handbook. Titanium alloys, ASM International (1994), 483-609.

Google Scholar