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Hydroxyapatite-coated hip prostheses.

T1 - Preparation of hydroxyapatite/zirconia bioceramic nanocomposites for orthopaedic and dental prosthesis applications

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High revision rate of hydroxyapatite-coated ABG-I prosthesis.

Modular stems with adjustable necks and offsets and lengths allow for primary fixation using porous and hydroxyapatite coating and screw fixation if necessary.Revision hip surgery is also performed because of dislocation of the components, subluxation or dislocation of the liner from the acetabular shell, deep infection, surrounding fracture of bone, prosthetic fracture and subsidence of the femoral stem.The majority of patients present with pain in the region of the hip which often radiates down the thigh into the knee and occasionally into the upper region of the lower leg.

Fixation of hip prostheses by hydroxyapatite ceramic coatings.

Hydroxyapatite bioceramic was used for the manufacture of an orbital floor prosthesis from spiral CT data acquired transaxially at 1-mm beam collimation, pitch of 1, and 0.2-mm reconstruction intervals. CT data were converted to vector file format for subsequent prosthesis manufacture on a stereolithography machine. The orbital floor prosthesis was engrafted onto an acrylic model of the orbit as a qualitative indication of its overall accuracy. High anatomic accuracy was achieved, as determined by visual inspection. Cross-hatching of the vector file data allowed a porous internal architecture of the prosthesis. Refinements in chemical structure of the hydroxyapatite bioceramic are expected to enhance mechanical properties.

Furlong Hydroxyapatite-Coated Hip Prosthesis vs ..

HYDROXYAPATITE COATING OF AN ACETABULAR PROSTHESIS …

A 61-year-old woman fitted with a hydroxyapatite (HA)-coated macrotexture all-purpose hip prosthesis died three weeks after implantation. The retrieved femoral and acetabular components were examined using contact roentgenograms, the backscattered mode of the scanning electron microscope, and light microscopy. Newly formed bone was observed in the marrow spaces and along the morselized autograft bone chips, which had been surgically placed in the medullary canal at the time of implantation. New bone was observed along 10% of the HA surface of the femoral component and 20% of the acetabular component. Some bone was also observed connecting the surrounding bone chips to the HA coating. Light microscopy showed the presence of osteoid on 20% of the femoral component and on 40% of the acetabular component. HA coating on total hip prostheses appears to enhance early skeletal attachment, which may be attributed to the osteoconductive properties of the composite.

N2 - This study determined the effects of a plasma-sprayed hydroxyapatite/tricalcium phosphate (HA/TCP) coating on osseointegration of plasma-sprayed titanium alloy implants in a lapine, distal femoral intramedullary model. The effects of the HA/TCP coating were assessed at 1, 3, and 6 months after implant placement. The HA/TCP coating significantly increased new bone apposition onto the implant surfaces at all time points. The ceramic coating also stimulated intramedullary bone formation at the middle and distal levels of the implants. Fluorescent bone labeling indicated that new bone formation occurred primarily during the first 3 months after implantation, with comparatively little activity detected in the latter stages of the study. There was no associated increase in pullout strength at either 3 or 6 months; however, post-pullout evaluation of the implants indicated that the HA/TCP coating itself was not the primary site of construct failure. Rather, failure was most commonly observed through the periprosthetic osseous struts that bridged the medullary cavity. The demonstrated osteoconductive activity of HA/TCP coating on plasma-sprayed titanium alloy implant surfaces may have considerable clinical relevance to early host-implant interactions, by accelerating the establishment of a stable prosthesis-bone interface.

Extrusion of hydroxyapatite ossicular prosthesis

In Vitro Wear Testing of a CoCr-UHMWPE Finger Prosthesis with Hydroxyapatite Coated CoCr Stems

N2 - A 61-year-old woman fitted with a hydroxyapatite (HA)-coated macrotexture all-purpose hip prosthesis died three weeks after implantation. The retrieved femoral and acetabular components were examined using contact roentgenograms, the backscattered mode of the scanning electron microscope, and light microscopy. Newly formed bone was observed in the marrow spaces and along the morselized autograft bone chips, which had been surgically placed in the medullary canal at the time of implantation. New bone was observed along 10% of the HA surface of the femoral component and 20% of the acetabular component. Some bone was also observed connecting the surrounding bone chips to the HA coating. Light microscopy showed the presence of osteoid on 20% of the femoral component and on 40% of the acetabular component. HA coating on total hip prostheses appears to enhance early skeletal attachment, which may be attributed to the osteoconductive properties of the composite.

N2 - Hydroxyapatite bioceramic was used for the manufacture of an orbital floor prosthesis from spiral CT data acquired transaxially at 1-mm beam collimation, pitch of 1, and 0.2-mm reconstruction intervals. CT data were converted to vector file format for subsequent prosthesis manufacture on a stereolithography machine. The orbital floor prosthesis was engrafted onto an acrylic model of the orbit as a qualitative indication of its overall accuracy. High anatomic accuracy was achieved, as determined by visual inspection. Cross-hatching of the vector file data allowed a porous internal architecture of the prosthesis. Refinements in chemical structure of the hydroxyapatite bioceramic are expected to enhance mechanical properties.

Retrieval analysis of a hydroxyapatite-coated hip prosthesis
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Surgical Technology International

AB - A 61-year-old woman fitted with a hydroxyapatite (HA)-coated macrotexture all-purpose hip prosthesis died three weeks after implantation. The retrieved femoral and acetabular components were examined using contact roentgenograms, the backscattered mode of the scanning electron microscope, and light microscopy. Newly formed bone was observed in the marrow spaces and along the morselized autograft bone chips, which had been surgically placed in the medullary canal at the time of implantation. New bone was observed along 10% of the HA surface of the femoral component and 20% of the acetabular component. Some bone was also observed connecting the surrounding bone chips to the HA coating. Light microscopy showed the presence of osteoid on 20% of the femoral component and on 40% of the acetabular component. HA coating on total hip prostheses appears to enhance early skeletal attachment, which may be attributed to the osteoconductive properties of the composite.

TheList_search - MRI Safety Home

AB - Hydroxyapatite bioceramic was used for the manufacture of an orbital floor prosthesis from spiral CT data acquired transaxially at 1-mm beam collimation, pitch of 1, and 0.2-mm reconstruction intervals. CT data were converted to vector file format for subsequent prosthesis manufacture on a stereolithography machine. The orbital floor prosthesis was engrafted onto an acrylic model of the orbit as a qualitative indication of its overall accuracy. High anatomic accuracy was achieved, as determined by visual inspection. Cross-hatching of the vector file data allowed a porous internal architecture of the prosthesis. Refinements in chemical structure of the hydroxyapatite bioceramic are expected to enhance mechanical properties.

FH Orthopedics | LP ESP prosthetic lumbar disc

This study determined the effects of a plasma-sprayed hydroxyapatite/tricalcium phosphate (HA/TCP) coating on osseointegration of plasma-sprayed titanium alloy implants in a lapine, distal femoral intramedullary model. The effects of the HA/TCP coating were assessed at 1, 3, and 6 months after implant placement. The HA/TCP coating significantly increased new bone apposition onto the implant surfaces at all time points. The ceramic coating also stimulated intramedullary bone formation at the middle and distal levels of the implants. Fluorescent bone labeling indicated that new bone formation occurred primarily during the first 3 months after implantation, with comparatively little activity detected in the latter stages of the study. There was no associated increase in pullout strength at either 3 or 6 months; however, post-pullout evaluation of the implants indicated that the HA/TCP coating itself was not the primary site of construct failure. Rather, failure was most commonly observed through the periprosthetic osseous struts that bridged the medullary cavity. The demonstrated osteoconductive activity of HA/TCP coating on plasma-sprayed titanium alloy implant surfaces may have considerable clinical relevance to early host-implant interactions, by accelerating the establishment of a stable prosthesis-bone interface.

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