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[用于过敏患者的涂层膝关节植入物的临床前评估]

[Preclinical evaluation of coated knee implants for allergic patients].

作者信息

Reich J, Hovy L, Lindenmaier H-L, Zeller R, Schwiesau J, Thomas P, Grupp T M

机构信息

Forschung & Entwicklung, Aesculap AG, Am Aesculap-Platz, 78532, Tuttlingen, Deutschland.

出版信息

Orthopade. 2010 May;39(5):495-502. doi: 10.1007/s00132-009-1581-9.

Abstract

BACKGROUND

10-15% of the population show allergic reactions against skin contact to metals as nickel, cobalt or chromium and have thus a risk of not tolerating implants containing those materials. The relationship between periimplantary hypersensivity reaction and given cutaneous contact allergy is currently unknown. A new developed multilayer coating system is supposed to prevent long-term allergic reactions that may result from uncoated implants.

METHODS

Stability and function (concerning bonding durability, wear and ion release to the serum) of the multilayer coating system has been examined in a test series.

RESULTS

The specific architecture of the multilayer coating system evidences a very good bonding durability. The results of the test in the simulator show a reduction of wear of approximately 60% compared to the uncoated implants. Ion concentrations within the serum of the wear tests were by magnitudes lower than those measured in reference tests on uncoated components.

CONCLUSION

The results of the preclinical evaluation prove that the durability and function of the multilayer coating system are as intended.

摘要

背景

10%至15%的人口对镍、钴或铬等金属的皮肤接触表现出过敏反应,因此有无法耐受含有这些材料的植入物的风险。目前尚不清楚种植体周围超敏反应与特定皮肤接触过敏之间的关系。一种新开发的多层涂层系统旨在预防未涂层植入物可能导致的长期过敏反应。

方法

在一系列测试中检查了多层涂层系统的稳定性和功能(涉及结合耐久性、磨损和向血清中的离子释放)。

结果

多层涂层系统的特定结构证明了非常好的结合耐久性。模拟器中的测试结果表明,与未涂层植入物相比,磨损减少了约60%。磨损测试血清中的离子浓度比未涂层部件的参考测试中测得的离子浓度低几个数量级。

结论

临床前评估结果证明多层涂层系统的耐久性和功能符合预期。

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