Papers by Keyword: Percutaneous Device

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Authors: W.C. Chen, C.Y. Bao, Y.L. Jeyachandran, Guo Min Ou, Hong Song Fan, Yun Mao Liao, Xing Dong Zhang
Abstract: Circumambient tissues infection is a common complication of implanted percutaneous and permucosal devices (PDs). In order to counter the infection, the titanium abutment surface of PDs was modified to achieve antibacterial and antiadhesive activities. Titanium discs were immersed into hydroxyapatite (HA) sol containing different mass fraction silver and thermally treated to get modified discs. The modified discs become more smoother and get crystal HA coatings containing silver. Silver ion release test demonstrate the release rate is very slow and the coating is a reservoir of silver. The antibacterial and antiadhesive effects of modified discs on Staphylococcus aureus and Porphyromonas gingivalis were evaluated. Modified titanium discs with silver significantly inhibited the growth of these two bacteria compared with both the polished titanium discs control and modified titanium discs without silver. And titanium discs modified with more silver have higher antibacterial activity and less bacteria adhesion in this study. These findings indicate that titanium surface modified with the HA sol-gel containing silver could achieve antibacterial and antiadhesive activities, and the abutments of PDs are promising to be modified by this method.
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Authors: Ayako Oyane, Yuusuke Ishikawa, Yu Sogo, Atsushi Yamazaki, Katsuko S. Furukawa, Takashi Ushida, Atsuo Ito
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Authors: L. Zheng, T. Yuan, Y.M. Jiang, J.M. Luo, Xing Dong Zhang
Abstract: Biological sealing is a key factor for successful development of percutaneous device (PD). A new device with arc-perforated flange as subcutaneous part and groove-shaped percutaneous part, was intended to improve integration of soft tissue and implant. Material and surface properties are known to have great impact on tissue-implant integration. To understand how a material and its surface property can influence tissue reaction, and to find the appropriate material for PD fabrication, five different kinds of materials were prepared for in vivo animal tests with corresponding histological evaluation. Results revealed that a more stable junction was formed between the soft tissue and HA coated titanium implant than other combinations.
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Authors: J.M. Luo, L. Zheng, X.H. Shi, Yao Wu, Xing Dong Zhang
Abstract: Stress concentration is one of the main mechanical problems leading to the failure of clinical application for osteointegrated implant of percutaneous osteointegrated prosthesis, which is especially marked for higher amputated leg prosthesis. Traditionally design was composed of only the distal part. To improve the biomechanical safety, a new design with the lag part similar to the lag screw was introduced. Based on CT scan data, relatively accurate model of femur for finite element analysis (FEA) were obtained. The FEA results with the new implant demonstrated that compared to traditional design, the declination of bone stress peak ranged from 15.68% to 28.67%, perpendicular deformation from 34.73% to 72.16%, and maximal stress of implant from 14.51% to 23.36% with the increasing of loads from 3750N to 2000N. So the new design of osteointegrated implant would be more secure mechanically, in the case of higher amputated leg attachment.
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