Mechanical, biological, material and clinical aspects of performance of joint prostheses

At the Research department at the Valdoltra Orthopaedic Hospital the surgeons and researchers are joined in an interdisciplinary team which performs research work and activities directed to the understanding of prosthesis performance from several aspects including mechanical, biological, material and clinical aspects. Studies are largely based on the hospital’s Arthroplasty Register which represents a valuable source of information for data-based analysis of arthroplasty treatments. Our register is special in that it includes the implant retrieval program for explanted prosthetic components and periprosthetic tissue samples. Research is versatile and interdisciplinary, and is a challenge for young researchers searching for new knowledge and scientific results

Pathophysiological mechanisms of joint implant loosening

Overthe past half-century, there have been many advances in the design, construction, and implantation of joint prostheses, resulting in a high percentage of successful long-term outcomes. One of the most common concerns of both patients and physicians is the problem of joint replacements becoming loose over time. Causes of failure include infections, aseptic loosening, dislocations, and fracture of the prosthesis or bone. Multidisciplinary research team studies are needed for an improvement in understanding in pathophysiological mechanisms of joint implant loosening and failure, which is the key point to improve implant survival and to minimize revisions

Biomedical application of electroporation: electrochemotherapy and electrogene therapy

Electroporation refers to exposure of cells to external electric field thatresults in transiently or permanently increased permeability of cell membranes. Cancer treatment, where local application of electroporation to tumor nodules is combined with chemotherapeutic drugs bleomycin or cisplatin is called electrochemotherapy. The antitumor effectiveness of electrochemotherapy is primarily based on direct killing of tumor cells due to the increased chemotherapeutic drug uptake, but other mechanisms, such as vascular disrupting action was also demonstrated. Our group is involved in elucidating the underlying mechanism of vascular disrupting action by studying the changes in cytoskeletal proteins after electrochemotherapy in endothelial cells by immunocytochemistry. In addition, metastatic potential and global changes in gene expression of melanoma cells that survived electrochemotherapy were also studied, demonstrating that metastatic potential of cells is not changed and that a very low percentage of genes are down or up regulated after electrochemotherapy, which further supports its safe use in the clinical setting. Another application of electroporation is delivery of plasmid DNA into the cells for gene therapy. Our group is involved in preparation of plasmid DNA with tissue specific promoters and without genes for antibiotic resistance, thus enabling safe use of gene therapy in line with USA Food and Drug Administration (FDA) and European medicines Agency (EMA) recommendations

Real-time PCR applications in clinical research and diagnostics

Polymerase chain reaction (PCR) has enabled enormous progress in the field of molecular biology in the last twenty-five years. It became popular due to its high sensitivity and specificity and was introduced to numerous scientific fields. Today many different variants of PCR exist, with real-time PCR being the most common. This method is being successfully used at our institution for a variety of different applications, among which gene expression analyzes and development of protocols for clinical diagnostics currently dominate. But the extreme flexibility and customizability of real-time PCR, coupled with our team’s expertise, ensures efficient application of this technique to various new research projects