Biocompatibility Evaluation of PEO-treated Magnesium Alloy Implants Placed in Rabbit Femur Condyle Notches and Paravertebral Muscles (original) (raw)
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Biodegradable magnesium implants for orthopedic applications
The clinical application of degradable ortho-pedic magnesium implants is a tangible vision in medical science. This interdisciplinary review discusses many different aspects of magnesium alloys comprising the manufacturing process and the latest research. We present the challenges of the manufacturing process of magnesium implants with the risk of contamination with impurities and its effect on corrosion. Furthermore, this paper provides a summary of the current examination methods used in in vitro and in vivo research of magnesium alloys. The influence of various parameters (most importantly the effect of the corrosive media) in in vitro studies and an overview about the current in vivo research is given.
Acta Biomaterialia, 2012
This study investigates the bone and tissue response to degrading magnesium pin implants in the growing rat skeleton by continuous in vivo microfocus computed tomography (lCT) monitoring over the entire pin degradation period, with special focus on bone remodeling after implant dissolution. The influence of gas release on tissue performance upon degradation of the magnesium implant is also addressed. Two different magnesium alloys -one fast degrading (ZX50) and one slowly degrading (WZ21) -were used for evaluating the bone response in 32 male Sprague-Dawley rats. After femoral pin implantation lCTs were performed every 4 weeks over the 24 weeks of the study period. ZX50 pins exhibited early degradation and released large hydrogen gas volumes. While considerable callus formation occurred, the bone function was not permanently harmed and the bone recovered unexpectedly quickly after complete pin degradation. WZ21 pins kept their integrity for more than 4 weeks and showed good osteoconductive properties by enhancing bone accumulation at the pin surface. Despite excessive gas formation, the magnesium pins did not harm bone regeneration. At smaller degradation rates, gas evolution remained unproblematic and the magnesium implants showed good biocompatibility. Online lCT monitoring is shown to be suitable for evaluating materials degradation and bone response in vivo, providing continuous information on the implant and tissue performance in the same living animal.
Emerging magnesium-based biomaterials for orthopedic implantation
Emerging Materials Research, 2019
Orthopedic implants, such as those made of stainless steel, cobalt (Co)-based alloys and titanium (Ti) alloys, are commonly used to stabilize, protect, improve, replace or regenerate damaged musculoskeletal tissues both anatomically and functionally in millions of bone injury patients. The biggest drawback of these metallic biomaterials is their non-degradability in the body environment. Magnesium (Mg) and magnesium-based alloys are a new generation of degradable implant materials that have attracted great attention in the past 10 years. There are several advantages of magnesium-based alloys for orthopedic application over other metallic biomaterials. First, magnesium is an essential element for many biological activities, including enzymatic reactions, the formation of apatite and bone cell adsorption. Second, their mechanical properties, including density, elastic modulus and compressive yield strength, are much closer to those of natural bone, and, therefore, they can avoid the stress-shielding effect. Third, magnesium alloys can eliminate the necessity of a second surgery to remove permanent bone implants. Recent results show that alloying of magnesium with aluminum (Al), zinc (Zn), calcium (Ca), zirconium (Zr), yttrium (Y) and rare-earth elements can significantly improve its corrosion resistance and mechanical strength. This paper reviews and compares the mechanical properties, corrosion resistance and biocompatibility of currently researched magnesium-based alloys for use in medical implant applications.
Bone formation within the vicinity of biodegradable magnesium alloy implant in a rat femur model
Metals and Materials International, 2012
The purposes of this preliminary study were to investigate the effect of increased Ca contents (5-10 wt% Ca) in Mg-Ca alloy on the mechanical properties and osseous healing rate in a standard rat defect model. Mechanical tests were performed using a compression system followed by qualitative histological analysis using the hemotoxylin and eosin (H&E) staining method and quantitative reverse transcriptase polymerase chain reaction (reverse transcriptase PCR). Mg-Ca alloy degraded fast in vivo while displaying a high level of the bone formation markersOC and ALP. Favorablemechanical strength properties were displayed as Ca content increased from 5 wt% to 10 wt% to show its potential to be considered as a load bearing implant material. The resultfrom this study suggests that the developed Mg-Ca alloy has the potential to serve as a biocompatible load bearing implant material that is degradable and possibly osteoconductive.
Degradation behaviour and mechanical properties of magnesium implants in rabbit tibiae
Journal of Materials Science, 2009
To investigate the initial mechanical strength and the degradation behaviour with the associated changes in mechanical properties of magnesium-based osteosynthesis implants, 30 rabbits were implanted with cylindrical pins of the alloys MgCa0.8 (magnesium with 0.8 wt% calcium), LAE442 (magnesium with 4 wt% lithium, 4 wt% aluminium and 2 wt% rare earths) and WE43 (magnesium with 4 wt% yttrium and 3 wt% rare earths). The implants were inserted into the medullary cavity of both tibiae. After 3 and 6 months, each half of the animals was euthanized, respectively, and the implants were taken out. A determination of volume, three-point bending tests, scanning electron microscopy (SEM) and energy dispersive X-ray analyses as well as metallographic and l-computed tomography examinations were accomplished. All implants were clinically well tolerated. MgCa-implants showed the least initial strength and the highest loss in volume after 6 months. SEM-and l-computed tomography examinations revealed a pronounced pitting corrosion. Therefore, their use as degradable implant material seems to be limited. LAE442 has the best initial strength which seems to be sufficient for an application in weight-bearing bones. The degradation behaviour is very constant. However, possible unknown side effects of the rare earths have to be excluded in further investigations on biocompatibility. Considering all results of WE43, its application as osteosynthesis material for fracture repair is ineligible due to its heterogeneous and unpredictable degradation behaviour.
Materials Science and Engineering: C, 2013
The aim of this study is to compare the biocompatibility of the two magnesium based alloys LAE442 and LANd442 with that of titanium. For this purpose, cylindrical implants were introduced into the medullary cavity of rabbit's tibiae for 4 and 8 weeks. Animals without any implant served as a control. In the follow-up, clinical, X-ray and μCT-investigations were performed to evaluate the reactions of the bone towards the implanted materials. After euthanasia, ex vivo μCTand histological investigations were performed to verify the results of the in vivo tests. It could be shown that all materials induce changes in the bone. Whereas LANd442 caused the most pronounced reactions, such as increasing bone volume and bone porosity and decreasing bone density, titanium showed the most bone-implant contact by forming trabeculae. The tibiae of rabbits without implants also reacted by forming cavities, it is therefore assumed that the surgery method itself influences the bone.
In Vivo Safety of New Coating for Biodegradable Magnesium Implants
Materials
Biodegradable Magnesium (Mg) implants are promising alternatives to permanent metallic prosthesis. To improve the biocompatibility and with the aim of degradation control, we provided Plasma Electrolytic Oxidation (PEO) of pure Mg implant in silicate-based solution with NaOH (S1 250 V) and Ca(OH)2 (S2 300 V). Despite the well-structured surface, S1 250 V implants induced enormous innate immunity reaction with the prevalence of neutrophils (MPO+) and M1-macrophages (CD68+), causing secondary alteration and massive necrosis in the peri-implant area in a week. This reaction was also accompanied by systemic changes in visceral organs affecting animals’ survival after seven days of the experiment. In contrast, S2 300 V implantation was associated with focal lymphohistiocytic infiltration and granulation tissue formation, defining a more favorable outcome. This reaction was associated with the prevalence of M2-macrophages (CD163+) and high density of αSMA+ myofibroblasts, implying a resol...
A Evaluation of Pure Mg and Mg-Zn ALLOYS as a Biomaterial in Bone Remodelling-A Review
Due to hectic life schedule and adulthood results in degradation of organic elements at a faster rate. This shows various health problems like knee joint pain, back joint pain, cartilage tearing and degradation of bones, etc. To reduce these effects, there is need replacement and implantation. Currently, some implant, materials are being used such as Ti and its alloys, SS and Cr-Co alloys. But testing shows some issues like constantly enduring remodeling and modification after implantation. Therefore, a new bio-compatible material Mg and its alloys show diagnostic positive results in muscles and bone tissues. During testing, the mechanical properties of Mg are similar to natural bone, which shows beneficial bio-compatibility of the material for the improvement of implant materials. Different Mg alloys are also tested such as Mg-Zn, Mg-Zn-Ti etc.... But all of Mg alloys having problems like: High toxicity, High corrosion rate and repeated surgeries so overall results are still negati...
Current Research Studies of Mg–Ca–Zn Biodegradable Alloys Used as Orthopedic Implants—Review
Crystals
Biodegradable alloys and especially magnesium-based alloys are considered by many researchers as materials to be used in medicine due to their biocompatibility and excellent mechanical properties. Biodegradable magnesium-based materials have applications in the medical field and in particular in obtaining implants for small bones of the feet and hands, ankles, or small joints. Studies have shown that Mg, Zn, and Ca are found in significant amounts in the human body and contribute effectively and efficiently to the healing process of bone tissue. Due to its biodegradability, magnesium alloys, including Mg–Ca–Zn alloys used in the manufacture of implants, do not require a second surgery, thus minimizing the trauma caused to the patient. Other studies have performed Mg–Ca–Zn system alloys with zinc variation between 0 and 8 wt.% and calcium variation up to 5 wt.%, showing high biocompatibility, adequate mechanical properties, and Mg2Ca and Mg6Ca2Zn compounds in microstructure. Biocompa...