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3D titanium implants

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https://www.readbyqxmd.com/read/28220752/putting-3d-modelling-and-3d-printing-into-practice-virtual-surgery-and-preoperative-planning-to-reconstruct-complex-post-traumatic-skeletal-deformities-and-defects
#1
Kevin Tetsworth, Steve Block, Vaida Glatt
3D printing technology has revolutionized and gradually transformed manufacturing across a broad spectrum of industries, including healthcare. Nowhere is this more apparent than in orthopaedics with many surgeons already incorporating aspects of 3D modelling and virtual procedures into their routine clinical practice. As a more extreme application, patient-specific 3D printed titanium truss cages represent a novel approach for managing the challenge of segmental bone defects. This review illustrates the potential indications of this innovative technique using 3D printed titanium truss cages in conjunction with the Masquelet technique...
2017: SICOT-J
https://www.readbyqxmd.com/read/28196474/biodegradable-magnesium-herbert-screw-image-quality-and-artifacts-with-radiography-ct-and-mri
#2
Lena Sonnow, Sören Könneker, Peter M Vogt, Frank Wacker, Christian von Falck
BACKGROUND: Magnesium alloys have recently been rediscovered as biodegradable implants in musculoskeletal surgery. This study is an ex-vivo trial to evaluate the imaging characteristics of magnesium implants in different imaging modalities as compared to conventional metallic implants. METHODS: A CE-approved magnesium Herbert screw (MAGNEZIX®) and a titanium screw of the same dimensions (3.2x20 mm) were imaged using different modalities: digital radiography (DX), multidetector computed tomography (MDCT), high resolution flat panel CT (FPCT) and magnetic resonance imaging (MRI)...
February 14, 2017: BMC Medical Imaging
https://www.readbyqxmd.com/read/28183670/influence-of-different-grained-powders-and-pellets-made-of-niobium-and-ti-42nb-on-human-cell-viability
#3
Jana Markhoff, Markus Weinmann, Christian Schulze, Rainer Bader
Nowadays, biomaterials can be used to maintain or replace several functions of the human body if necessary. Titanium and its alloys, i.e. Ti6Al4V are the most common materials (70 to 80%) used for structural orthopedic implants due to their unique combination of good mechanical properties, corrosion resistance and biocompatibility. Addition of β-stabilizers, e.g. niobium, can improve the mechanical properties of such titanium alloys further, simultaneously offering excellent biocompatibility. In this in vitro study, human osteoblasts and fibroblasts were cultured on different niobium specimens (Nb Amperit, Nb Ampertec), Nb sheets and Ti-42Nb (sintered and 3D-printed by selective laser melting, SLM) and compared with forged Ti6Al4V specimens...
April 1, 2017: Materials Science & Engineering. C, Materials for Biological Applications
https://www.readbyqxmd.com/read/28167822/accelerating-corrosion-of-pure-magnesium-co-implanted-with-titanium-in-vivo
#4
Peng Hou, Pei Han, Changli Zhao, Hongliu Wu, Jiahua Ni, Shaoxiang Zhang, Jingyi Liu, Yuanzhuang Zhang, Haidong Xu, Pengfei Cheng, Shen Liu, Yufeng Zheng, Xiaonong Zhang, Yimin Chai
Magnesium is a type of reactive metal, and is susceptible to galvanic corrosion. In the present study, the impact of coexistence of Ti on the corrosion behavior of high purity Mg (HP Mg) was investigated both in vitro and in vivo. Increased corrosion rate of HP Mg was demonstrated when Mg and Ti discs were not in contact. The in vivo experiments further confirmed accelerating corrosion of HP Mg screws when they were co-implanted with Ti screws into Sprague-Dawley rats' femur, spacing 5 and 10 mm. Micro CT scan and 3D reconstruction revealed severe corrosion morphology of HP Mg screws...
February 7, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28126354/strain-analysis-of-9-different-abutments-for-cement-retained-crowns-on-an-internal-hexagonal-implant
#5
Louai G Salaita, Burak Yilmaz, Jeremy D Seidt, Nancy L Clelland, Hua-Hong Chien, Edwin A McGlumphy
STATEMENT OF PROBLEM: Many aftermarket abutments for cement-retained crowns are available for the tapered screw-vent implant. Aftermarket abutments vary widely, from stock to custom abutments and in materials such as zirconia, titanium, or a combination of the two. How these aftermarket abutments perform under occlusal loads with regard to strain distribution is not clear. PURPOSE: The purpose of this in vitro study was to measure and compare the different strains placed upon the bone around implants by 9 different abutments for cement-retained crowns on an implant with an internal hexagonal platform...
January 23, 2017: Journal of Prosthetic Dentistry
https://www.readbyqxmd.com/read/28120579/sacral-reconstruction-with-a-3d-printed-implant-after-hemisacrectomy-in-a-patient-with-sacral-osteosarcoma-1-year-follow-up-result
#6
Doyoung Kim, Jun Young Lim, Kyu Won Shim, Jung Woo Han, Seong Yi, Do Heum Yoon, Keung Nyun Kim, Yoon Ha, Gyu Yeul Ji, Dong Ah Shin
Pelvic reconstruction after sacral resection is challenging in terms of anatomical complexity, excessive loadbearing, and wide defects. Nevertheless, the technological development of 3D-printed implants enables us to overcome these difficulties. Here, we present a case of sacral osteosarcoma surgically treated with hemisacrectomy and sacral reconstruction using a 3D-printed implant. The implant was printed as a customized titanium prosthesis from a 3D real-sized reconstruction of a patient's CT images. It consisted mostly of a porous mesh and incorporated a dense strut...
March 2017: Yonsei Medical Journal
https://www.readbyqxmd.com/read/28120065/skull-bone-defects-reconstruction-with-custom-made-titanium-graft-shaped-with-electron-beam-melting-technology-preliminary-experience-in-a-series-of-ten-patients
#7
Natale Francaviglia, Rosario Maugeri, Antonino Odierna Contino, Francesco Meli, Vito Fiorenza, Gabriele Costantino, Roberto Giuseppe Giammalva, Domenico Gerardo Iacopino
BACKGROUND: Cranioplasty represents a challenge in neurosurgery. Its goal is not only plastic reconstruction of the skull but also to restore and preserve cranial function, to improve cerebral hemodynamics, and to provide mechanical protection of the neural structures. The ideal material for the reconstructive procedures and the surgical timing are still controversial. Many alloplastic materials are available for performing cranioplasty and among these, titanium still represents a widely proven and accepted choice...
2017: Acta Neurochirurgica. Supplement
https://www.readbyqxmd.com/read/28106524/the-utility-of-3d-printing-for-surgical-planning-and-patient-specific-implant-design-for-complex-spinal-pathologies-case-report
#8
Ralph J Mobbs, Marc Coughlan, Robert Thompson, Chester E Sutterlin, Kevin Phan
OBJECTIVE There has been a recent renewed interest in the use and potential applications of 3D printing in the assistance of surgical planning and the development of personalized prostheses. There have been few reports on the use of 3D printing for implants designed to be used in complex spinal surgery. METHODS The authors report 2 cases in which 3D printing was used for surgical planning as a preoperative mold, and for a custom-designed titanium prosthesis: one patient with a C-1/C-2 chordoma who underwent tumor resection and vertebral reconstruction, and another patient with a custom-designed titanium anterior fusion cage for an unusual congenital spinal deformity...
January 20, 2017: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/28090442/can-mri-accurately-detect-pilon-articular-malreduction-a-quantitative-comparison-between-ct-and-3t-mri-bone-models
#9
Shairah Radzi, Constantin Edmond Dlaska, Gary Cowin, Mark Robinson, Jit Pratap, Michael Andreas Schuetz, Sanjay Mishra, Beat Schmutz
BACKGROUND: Pilon fracture reduction is a challenging surgery. Radiographs are commonly used to assess the quality of reduction, but are limited in revealing the remaining bone incongruities. The study aimed to develop a method in quantifying articular malreductions using 3D computed tomography (CT) and magnetic resonance imaging (MRI) models. METHODS: CT and MRI data were acquired using three pairs of human cadaveric ankle specimens. Common tibial pilon fractures were simulated by performing osteotomies to the ankle specimens...
December 2016: Quantitative Imaging in Medicine and Surgery
https://www.readbyqxmd.com/read/28071596/3d-bioprinting-of-gelma-scaffolds-triggers-mineral-deposition-by-primary-human-osteoblasts
#10
Christine McBeth, Jasmin Lauer, Michael Ottersbach, Jennifer Campbell, Andre Sharon, Alexis F Sauer-Budge
Due to its relatively low level of antigenicity and high durability, titanium has successfully been used as the major material for biological implants. However, because the typical interface between titanium and tissue precludes adequate transmission of load into the surrounding bone, over time, load-bearing implants tend to loosen and revision surgeries are required. Osseointegration of titanium implants requires presentation of both biological and mechanical cues that promote attachment of and trigger mineral deposition by osteoblasts...
January 10, 2017: Biofabrication
https://www.readbyqxmd.com/read/28046340/su-g-tep2-10-feasibility-of-newly-designed-applicator-for-high-dose-rate-brachytherapy-treatment-of-patients-with-vaginal-vault-recurrence
#11
V Lee, X Huang, M Wong, M Chan, E Chui, S Cheung, R Leung, K Lee, G Law, K Leung, S Tung, D Kwong
PURPOSE: To compare the dose of an in-house 3D-printed gynecology applicator (TMHGA) for vaginal vault recurrence of corpus cancer patients after operation for high dose rate brachytherapy treatment with commercially available applicators. METHODS: A newly designed applicator is made from 3D-printing methods using ABSM30i. The isodose of the applicator is compared with Elekta multi-channel (MC) applicator and titanium Rotterdam applicator with coupling central tube and vaginal cylinder (RC)...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28005765/functional-reconstruction-in-mandibular-avulsion-injuries
#12
Yoav Leiser, Dekel Shilo, Amir Wolff, Adi Rachmiel
The present report describes the planning and surgery as well as pitfalls and management of a patient with a near total mandibular avulsion injury that was rehabilitated using three-dimensional (3D) laser printing of a titanium lower jaw. Laser-sintering involves zapping layers of powdered metal to recreate a 3D implantable skeletal defect. The process involves using either mirror imaging of the unaffected side or using archival image database of healthy individuals. A 25-year-old man presented with a gunshot injury that left him with a near total avulsed mandible...
November 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27995137/biomechanical-consequences-of-the-elastic-properties-of-dental-implant-alloys-on-the-supporting-bone-finite-element-analysis
#13
Esteban Pérez-Pevida, Aritza Brizuela-Velasco, David Chávarri-Prado, Antonio Jiménez-Garrudo, Fernando Sánchez-Lasheras, Eneko Solaberrieta-Méndez, Markel Diéguez-Pereira, Felipe J Fernández-González, Borja Dehesa-Ibarra, Francesca Monticelli
The objective of the present study is to evaluate how the elastic properties of the fabrication material of dental implants influence peri-implant bone load transfer in terms of the magnitude and distribution of stress and deformation. A three-dimensional (3D) finite element analysis was performed; the model used was a section of mandibular bone with a single implant containing a cemented ceramic-metal crown on a titanium abutment. The following three alloys were compared: rigid (Y-TZP), conventional (Ti-6Al-4V), and hyperelastic (Ti-Nb-Zr)...
2016: BioMed Research International
https://www.readbyqxmd.com/read/27986443/3d-printed-simulation-device-for-orbital-surgery
#14
Juergen Thomas Lichtenstein, Alexander Nicolai Zeller, Juliana Lemound, Thorsten Enno Lichtenstein, Majeed Rana, Nils-Claudius Gellrich, Maximilian Eberhard Wagner
OBJECTIVES: Orbital surgery is a challenging procedure because of its complex anatomy. Training could especially benefit from dedicated study models. The currently available devices lack sufficient anatomical representation and realistic soft tissue properties. Hence, we developed a 3D-printed simulation device for orbital surgery with tactual (haptic) correct simulation of all relevant anatomical structures. DESIGN, SETTING, AND PARTICIPANTS: Based on computed tomography scans collected from patients treated in a third referral center, the hard and soft tissue were segmented and virtually processed to generate a 3D-model of the orbit...
January 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/27973346/3d-bioprinting-of-gelma-scaffolds-triggers-mineral-deposition-by-primary-human-osteoblasts
#15
Christine McBeth, Jasmin Lauer, Michael Ottersbach, Jennifer Campbell, Andre Sharon, Alexis Sauer-Budge
Due to its relatively low level of antigenicity and high durability, titanium has successfully been used as the major material for biological implants. However, because the typical interface between titanium and tissue precludes adequate transmission of load into the surrounding bone, over time, load-bearing implants tend to loosen and revision surgeries are required. Osseointegration of titanium implants requires presentation of both biological and mechanical cues that promote attachment of and trigger mineral deposition by osteoblasts...
December 14, 2016: Biofabrication
https://www.readbyqxmd.com/read/27930868/laser-surface-pattering-of-titanium-for-improving-the-biological-performance-of-dental-implants
#16
Christoph Zwahr, Denise Günther, Tina Brinkmann, Nikolai Gulow, Steffen Oswald, Marzellus Grosse Holthaus, Andrés Fabián Lasagni
Direct laser interference patterning (DLIP) is used to produce periodic line-like patterns on titanium surfaces. An Nd:YAG laser operating at 532 nm wavelength with a pulse duration of 8 ns is used for the laser patterning process. The generated periodic patterns with spatial periods of 5, 10, and 20 µm are produced with energy densities between 0.44 and 2.6 J cm(-)(2) with a single laser pulse. With variation of energy density, different shapes of the arising topography are observed due to the development of the solidification front of the molten material at the maxima positions...
December 8, 2016: Advanced Healthcare Materials
https://www.readbyqxmd.com/read/27928834/fast-fourier-based-simulation-of-off-resonance-artifacts-in-steady-state-gradient-echo-mri-applied-to-metal-object-localization
#17
Frank Zijlstra, Job G Bouwman, Ieva Braškutė, Max A Viergever, Peter R Seevinck
PURPOSE: To accelerate simulation of off-resonance artifacts in steady-state gradient echo MRI by using fast Fourier transforms and demonstrate its applicability to metal object localization. THEORY AND METHODS: By exploiting the repetitive nature of steady-state pulse sequences it is possible to use fast Fourier transforms to calculate the MR signal. Based on this principle, a method for fast simulation of off-resonance artifacts was designed. The method was validated against Bloch simulations and MRI scans...
December 7, 2016: Magnetic Resonance in Medicine: Official Journal of the Society of Magnetic Resonance in Medicine
https://www.readbyqxmd.com/read/27925441/anodized-3d-printed-titanium-implants-with-dual-micro-and-nano-scale-topography-promote-interaction-with-human-osteoblasts-and-osteocyte-like-cells
#18
Karan Gulati, Matthew Prideaux, Masakazu Kogawa, Luis Lima-Marques, Gerald J Atkins, David M Findlay, Dusan Losic
The success of implantation of materials into bone is governed by effective osseointegration, requiring biocompatibility of the material and the attachment and differentiation of osteoblastic cells. To enhance cellular function in response to the implant surface, micro- and nano-scale topography have been suggested as essential. In this study, we present bone implants based on 3D-printed titanium alloy (Ti6Al4V), with a unique dual topography composed of micron-sized spherical particles and vertically aligned titania nanotubes...
December 7, 2016: Journal of Tissue Engineering and Regenerative Medicine
https://www.readbyqxmd.com/read/27890357/effect-of-cement-space-on-stress-distribution-in-y-tzp-based-crowns
#19
Carlos Eduardo Edwards Rezende, Ana Flávia Sanches Borges, Carla Castiglia Gonzaga, Yuanyuan Duan, José Henrique Rubo, Jason Alan Griggs
OBJECTIVE: To evaluate the stress distribution in bi-layered Y-TZP based crowns, according to the occlusal internal spacing between coping and abutment. METHODS: Twelve premolar shaped Y-TZP copings were made by a CAD/CAM system and seated on an abutment to evaluate the internal fit at the occlusal third using micro-CT images. Considering the fitting range obtained experimentally, two 3D finite element models, consisting on bone tissue, a titanium implant, a zirconia abutment, cement layer and a bi-layered Y-TZP ceramic crown were constructed based on the micro-CT images, one corresponding to the thinnest cement space and other representing the specimen with the thickest cement space obtained experimentally...
November 24, 2016: Dental Materials: Official Publication of the Academy of Dental Materials
https://www.readbyqxmd.com/read/27885781/cellular-response-of-osteoblasts-to-low-modulus-ti-24nb-4zr-8sn-alloy-mesh-structure
#20
K C Nune, R D K Misra, S J Li, Y L Hao, R Yang
Titanium alloys (Ti-6Al-4V and Ti-6Al-7Nb) are widely used for implants, which are characterized by high elastic modulus (∼110 GPa) with (α + β) structure and that may induce undesirable stress shielding effect and immune responses associated with the presence of toxic elements. In this regard, we have combined the attributes of a new alloy design and the concept of additive manufacturing to fabricate 3D scaffolds with an interconnected porous structure. The new alloy is a β-type Ti-24Nb-4Zr-8Sn (Ti2448) alloy with significantly reduced modulus...
March 2017: Journal of Biomedical Materials Research. Part A
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