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体内颅骨绵羊模型中未经和经热处理的 WE43Mg 合金骨内植入物的组织形态学特征。

Histo-morphologic characteristics of intra-osseous implants of WE43 Mg alloys with and without heat treatment in an in vivo cranial bone sheep model.

机构信息

Hansjörg Wyss Department of Plastic Surgery, New York University School of Medicine, New York, NY 10010, USA.

Composite Materials and Mechanics Laboratory, Mechanical and Aerospace Engineering Department, New York University, Tandon School of Engineering, 6 MetroTech Center, Brooklyn, NY 11201, USA.

出版信息

J Craniomaxillofac Surg. 2018 Mar;46(3):473-478. doi: 10.1016/j.jcms.2017.12.028. Epub 2018 Jan 4.

Abstract

WE43 Mg alloy, composed of Mg, Yttrium, Rare Earth elements, and Zirconium, has proved to be a suitable candidate for production of resorbable osteosynthesis implants in both clinical and experimental settings. In a previous study we tested biocompatibility and degradation properties of untreated (as-cast) and artificially aged (T-5) WE43 Mg-alloys as subperiosteal implants on a maxillofacial sheep model. Both the alloy compositions showed excellent biocompatibility, however, with respect to degradation rate, the as-cast form showed increased degradability compared with the T-5. In the present study, we tested the same alloy composition (i.e. as-cast and T-5) to assess their biological behavior and degradation pattern when implanted as endosteal implants on a calvarial bone sheep model. Six implants in form of cylindrical discs were tested in 6 sheep, one per composition of each disc was placed in two monocortical cranial defect created with high speed trephine bur in the parietal bone. After euthanasia at 6 weeks histomorphological analysis of the bone/implant specimens was performed. WE43-as cast showed higher degradation rate, increased bone remodeling, gas pockets formation and osteolysis compared with the T5 alloy. WE43-T5 showed greater bone/implant interface stability, and seemed to be more suitable for fabrication of endosteal bone screws.

摘要

WE43 镁合金由镁、钇、稀土元素和锆组成,已被证明是临床和实验环境中生产可吸收骨内固定植入物的合适候选材料。在之前的研究中,我们测试了未经处理(铸态)和人工时效(T-5)WE43 镁合金作为骨膜下植入物在绵羊颌面模型中的生物相容性和降解性能。两种合金成分均表现出优异的生物相容性,但就降解率而言,铸态形式的降解能力比 T-5 高。在本研究中,我们测试了相同的合金成分(即铸态和 T-5),以评估它们作为皮质骨内植入物在绵羊颅骨模型中的生物行为和降解模式。以圆柱形圆盘形式测试了 6 个植入物,每个圆盘的一种成分各放置在两个用高速环钻在顶骨上创建的单皮质颅骨缺损中。在 6 周时安乐死后,对骨/植入物标本进行了组织形态学分析。与 T5 合金相比,WE43 铸态表现出更高的降解率、增加的骨重塑、气腔形成和骨溶解。WE43-T5 表现出更大的骨/植入物界面稳定性,似乎更适合制造皮质骨内螺钉。

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