Stimulation of calcium phosphate crystal formation by implant surfaces with electret properties

Oxide coatings with electret properties are investigated. The possibility of stimulation of the formation of calcium phosphate sediments near the electroactive surface is discussed. The exposure of implants with such coatings to solutions imitating blood plasma showed their high efficiency of biointegration due to activation of an exchange processes in living tissues by a negative superficial charge. The revealed effect amplifies with the growth of the thickness of the anodic oxide film

Diamond biocompatible coatings for medical implants

New carbon (diamond-like) nanocomposite coatings deposited from a C60 ionic beam can be used as a wear-resistant protective coating for implants. It was found that these coatings enhance resistance to тelectrochemical corrosion processes due to a shift of the material’s electrode potential to a zone of positive values. They also promote a complex of reparative, adaptative and compensatory reorganization that accelerates the healing processes in the vicinity of the implant

Features of medical implant passivation using anodic oxide films

The passivation ability of metals from groups IV and V of the Periodic Table is considered. Anodic treatment is able to neutralize the increase of metal hardening when comminuting grains to nanometre sizes. The deposition of metal oxide film coatings on a cobalt–chromium alloy surface results in substantial passivation of its surface and prevents cobalt and chromium accumulation in bone tissues. The decrease of surface activity of titanium implants can be achieved both by cleaning the surface during vacuum annealing before oxidation and by the increase of the anodic oxide film thickness, which limits mass and charge transfer through the implant surface. Recommended titanium implant treatment regimens are vacuum annealing at 650 °C and anodic oxidation to attain an oxide thickness less or equal to 300 nm

Properties of magnetron hydroxyapatite coatings deposited on oxidized substrates

Hydroxyapatite (HA) coating were formed on oxidized niobium surfaces by the highfrequency magnetron sputtering method using hydroxyapatite and tricalcium phosphate targets. The structure, substructure and mechanical properties of the Nb–Nb2O5–HA system were investigated by X-ray diffraction, atomic force microscopy and nanoindentation and the stress state was assessed. The synthesized hydroxyapatite film had the following characteristics: thermal expansion coefficient 10–5 K–1; modulus of elasticity 120 GPa; adhesive strength not less than 0.45 kg/mm2; density 2900 kg/m3. The stress magnitude in the metal oxide substrate was from 11 to 14 MPa after hydroxyapatite film deposition

A novel concept for the manufacture of individual sapphire-metallic hip joint endoprostheses.

At the present time, artificial joints made with metallic, ceramic, metal-polymeric or ceramicpolymeric friction pairs substituting for the natural biomechanic articulations "head of the hip joint-acetabulum" are widely used for endoprosthetic operations on hip joints. Experience gained in the course of more than 2000 operations has shown that along with the advantageous properties of modern endoprosthetic constructions made of metal, ceramics and polymers, they have certain drawbacks. Among them are insufficient biological inertness and susceptibility to excessive wear of the friction pair components. In addition, as a result of wear of the hinge friction pair, toxic and oncologically dangerous products of degradation accumulate in the different organs and tissues. This in turn results in severe complications and demands correspondingly complicated corrective intervention, often leading to worse disability than that which the original operation was designed to cure. The aim of the study reported here was the development and clinical validation of a highly effective and long-lived hip joint endoprosthesis with a sapphire head whose wear capacity is superior to all others. The endoprosthesis consists of a metallic pedicle, a dismountable articulation (metallic necklayer of supramolecular polyethylene-sapphire head) and an acetabular cup. The endoprostheses with the sapphire head proved themselves positively in clinical trials and are considered to be highly promising for future applications

Optical Scattering Measurements of Laser Induced Damage in the Intraocular Lens

This study optically determines whether the amount of light scatter due to laser-induced damage to the intraocular lens (IOL) is significant in relation to normal straylight values in the human eye. Two IOLs with laser-induced damage were extracted from two donor eyes. Each IOL had 15 pits and/or cracks. The surface area of each pit was measured using a microscope. For 6 pits per intraocular lens the point spread function (PSF) in terms of straylight was measured and the total straylight for all 15 pits was estimated. The damage in the IOLs was scored as mild/moderate. The total damaged surface areas, for a 3.5 mm pupil, in the two IOLs were 0.13% (0.0127 mm2) and 0.66% (0.064 mm2), respectively. The angular dependence of the straylight caused by the damage was similar to that of the normal PSF. The total average contribution to straylight was log(s) = −0.82 and −0.42, much less than the straylight value of the normal eye

Indications and outcome of repeat penetrating keratoplasty in India

BACKGROUND: Repeat penetrating keratoplasty is quite often required as there is high chance of failure of the primary graft particularly in the developing world. We planned a study to analyze the indications and outcome of repeat penetrating keratoplasty in a tertiary care centre in India. METHODS: A retrospective analysis of all the patients who underwent repeat penetrating keratoplasty, between January 1999 and December 2001 was performed. The parameters evaluated were indication for the primary penetrating keratoplasty, causes of failure of the previous graft, and final visual outcome and clarity of the repeat corneal grafts. RESULTS: Of fifty-three eyes of 50 patients with repeat penetrating keratoplasty (three patients underwent bilateral corneal regrafts), 37 eyes had undergone one regraft each, 14 eyes two regrafts and two eyes had three regrafts. The follow-up of the patients ranged from one to three years. The most common primary etiologic diagnosis was vascularized corneal scars (66%), of which the scars related to infection were most common (68.5%). Twenty-eight regrafts (52.8%) remained clear at a mean follow-up of 1.54 ± 0.68 years, of which 25 were single regrafts (89.3%). The commonest cause of failure of regraft was infection to the corneal graft (recurrence of herpetic infection in 9 eyes and perforated graft ulcers in 3 eyes). Three (18.6%) of the 16 eyes with multiple corneal regrafts achieved a BCVA of 6/60. Overall, only five eyes (all with single regraft) achieved a BCVA of 6/18 or better at the end of follow-up. CONCLUSION: Graft infection is the leading cause of failure of repeat keratoplasty in this part of the world. Prognosis for visual recovery and graft survival is worse in eyes undergoing multiple regrafts

Assessing the accuracy of intracameral phenylephrine preparation in cataract surgery

Purpose: Unpreserved phenylephrine is often used as an off-licence intracameral surgical adjunct during cataract surgery to assist with pupil dilation and/or stabilise the iris in floppy iris syndrome. It can be delivered as a neat 0.2 ml bolus of either 2.5 or 10% strength, or in a range of ad-hoc dilutions. We wished to assess the accuracy of intracameral phenylephrine preparation in clinical practice. Methods: Phenylephrine 0.2 ml was analysed both neat (2.5 and 10%) and in diluted form (ratio of 1:1 and 1:3). Samples were analysed using the validated spectrophotometric method. Results: A total of 36 samples were analysed. The standard curve showed linearity for phenylephrine (R2 = 0.99). Wide variability was observed across all dilution groups. There was evidence of significant differences in the percentage deviations from intended results between dilutions (p < 0.001). Mean percentage deviation for 1:3 dilution was significantly greater than neat (p = 0.003) and 1:1 dilution (p = 0.001). There was no evidence of a significant difference between 1:1 and neat (p = 0.827). Conclusions: Current ad-hoc dilution methods used to prepare intracameral phenylephrine are inaccurate and highly variable. Small volume 1 ml syringes should not be used for mixing or dilution of drug. Commercial intracameral phenylephrine products would address dosage concerns and could improve surgical outcomes in cases of poor pupil dilation and/or floppy iris syndrome