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Bahrami R, Gharibpour F, Pourhajibagher M, Bahador A. The flexural strength of orthodontic acrylic resin containing resveratrol nanoparticles as antimicrobial agent: An in vitro study. Int Orthod 2024; 22:100846. [PMID: 38340527 DOI: 10.1016/j.ortho.2024.100846] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2023] [Revised: 01/19/2024] [Accepted: 01/19/2024] [Indexed: 02/12/2024]
Abstract
OBJECTIVE This study aimed to evaluate how the addition of resveratrol nanoparticles (RNPs), which act as an antimicrobial agent, affects the strength of acrylic resin used in orthodontics. METHODS According to ISO 20795-1-2013, 76 cold cure acrylic resin samples (65×10×3.3mm) were prepared. The samples were divided into four groups (19 samples in each group) based on RN concentrations added to 1mL acrylic monomer (0 for control, 256, 512, and 1024μg/mL). Flexural strength was assessed in megapascal (MPa) using a universal testing machine. Data analysis involved nonparametric Kruskal-Wallis analysis of variance and pairwise post-hoc Dunn's test. RESULTS The flexural strength decreased as the concentration of RNPs increased, with the lowest value observed at 1024μg/mL (63.06±5.33MPa). The control group exhibited the highest mean of flexural strength (88.43±4.41MPa), followed by the groups with RNPs at the concentrations of 256μg/mL (82.69±4.41MPa) and 512μg/mL (76.02±4.59MPa). CONCLUSION In conclusion, the addition of RNs to orthodontic acrylic resin had a dose-dependent impact on its flexural strength. Based on the findings, we recommend incorporating RNs at a concentration of 256μg/mL as an antimicrobial agent in orthodontic acrylic resin. However, further research is necessary to assess the long-term effects and clinical applications of this approach.
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Affiliation(s)
- Rashin Bahrami
- Dental Sciences Research Center, Department of Orthodontics, School of Dentistry, Guilan University of Medical Sciences, Rasht, Iran
| | - Fateme Gharibpour
- Dental Sciences Research Center, Department of Orthodontics, School of Dentistry, Guilan University of Medical Sciences, Rasht, Iran
| | - Maryam Pourhajibagher
- Dental Research Center, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
| | - Abbas Bahador
- Department of Microbiology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran; Fellowship in Clinical Laboratory Sciences, BioHealth Lab, Tehran, Iran
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Kopačin V, Zubčić V, Mumlek I, Mužević D, Rončević A, Lazar AM, Pavić AK, Koruga AS, Krivdić Z, Martinović I, Koruga N. Personalized 3D-printed cranial implants for complex cranioplasty using open-source software. Surg Neurol Int 2024; 15:39. [PMID: 38468644 PMCID: PMC10927182 DOI: 10.25259/sni_906_2023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2023] [Accepted: 01/19/2024] [Indexed: 03/13/2024] Open
Abstract
Background Cranioplasty is a routine neurosurgery treatment used to correct cranial vault abnormalities. Utilization of 3D printing technology in the field of cranioplasty involving the reconstruction of cranial defects emerged as an advanced possibility of anatomical reshaping. The transformative impact of patient-specific 3D printed implants, focuses on their remarkable accuracy, customization capabilities, and enhanced biocompatibility. Methods The precise adaptation of implants to patient-specific anatomies, even in complex cases we presented, result in improved aesthetic outcomes and reduced surgical complications. The ability to create highly customized implants addresses the functional aspects of cranial defects and considers the psychological impact on patients. Results By combining technological innovation with personalized patient care, 3D printed cranioplasty emerges as a transformative avenue in cranial reconstruction, ultimately redefining the standards of success in neurosurgery. Conclusion 3D printing allows an excellent cranioplasty cosmesis achieved at a reasonable price without sacrificing patient outcomes. Wider implementation of this strategy can lead to significant healthcare cost savings.
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Affiliation(s)
- Vjekoslav Kopačin
- Department of Diagnostic and Interventional Radiology, University Hospital Center, Osijek, Croatia
- Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Croatia
| | - Vedran Zubčić
- Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Croatia
- Department of Maxillofacial and Oral Surgery, University Hospital Center, Osijek, Croatia
| | - Ivan Mumlek
- Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Croatia
- Department of Maxillofacial and Oral Surgery, University Hospital Center, Osijek, Croatia
| | - Dario Mužević
- Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Croatia
- Department of Neurosurgery, University Hospital Center, Osijek, Croatia
| | - Alen Rončević
- Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Croatia
- Department of Neurosurgery, University Hospital Center, Osijek, Croatia
| | - Ana-Maria Lazar
- Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Croatia
- Department of Maxillofacial and Oral Surgery, University Hospital Center, Osijek, Croatia
| | - Ana Kvolik Pavić
- Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Croatia
- Department of Maxillofacial and Oral Surgery, University Hospital Center, Osijek, Croatia
| | - Anamarija Soldo Koruga
- Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Croatia
- Department of Neurology, University Hospital Center, Osijek, Croatia
| | - Zdravka Krivdić
- Department of Diagnostic and Interventional Radiology, University Hospital Center, Osijek, Croatia
- Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Croatia
| | - Ivana Martinović
- Department of Information Sciences, Faculty of Humanities and Social Sciences, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
| | - Nenad Koruga
- Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Croatia
- Department of Neurosurgery, University Hospital Center, Osijek, Croatia
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Zheng Y, Duan Y, Ye Y, Zheng X, Du A, Chen E, Xu S, Guo T. Effect of polymethyl methacrylate on in situ patterning of perovskite quantum dots by inkjet printing. LUMINESCENCE 2024; 39:e4691. [PMID: 38356146 DOI: 10.1002/bio.4691] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2023] [Revised: 01/18/2024] [Accepted: 01/24/2024] [Indexed: 02/16/2024]
Abstract
The preparation of perovskite quantum dots (PQDs) using an in situ inkjet printing method is beneficial for improving the problems of aggregation and photoluminescence (PL) quenching during long-term storage. However, the stability of PQDs prepared using this method is still not ideal, and the morphology of in situ-printed patterns needs to be optimized. To address these problems, this study introduced polymethyl methacrylate (PMMA) into the process of in situ inkjet printing of PQDs and explored the effect of PMMA on the in situ patterning effect of PQDs. The results showed that using a mixed precursor solution containing a small amount of PMMA as the printing ink can slow down the shrinkage process of ink droplets and improve the uniformity of film formation. As the printing substrate, PMMA provided a suitable high-viscosity environment for the in situ growth of PQDs. This could effectively suppress the coffee ring effect. In addition, the interaction between the C=O=C group in PMMA and metal ion Pb2+ in the CsPbBr3 precursor molecules was favourable to enhancing the density of PQDs. The prepared PMMA-coated CsPbBr3 quantum dots (QDs) pattern had high stability and could maintain at 90.08% PL intensity after 1 week of exposure to air.
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Affiliation(s)
- Yaqian Zheng
- College of Physics and Information Engineering, Fuzhou University, Fuzhou, China
| | - Yanyu Duan
- College of Physics and Information Engineering, Fuzhou University, Fuzhou, China
| | - Yun Ye
- College of Physics and Information Engineering, Fuzhou University, Fuzhou, China
- Fujian Science & Technology Innovation Laboratory for Optoelectronic Information of China, Fuzhou, China
| | - Xingke Zheng
- College of Physics and Information Engineering, Fuzhou University, Fuzhou, China
- Fujian Science & Technology Innovation Laboratory for Optoelectronic Information of China, Fuzhou, China
| | - Aochen Du
- College of Physics and Information Engineering, Fuzhou University, Fuzhou, China
- Fujian Science & Technology Innovation Laboratory for Optoelectronic Information of China, Fuzhou, China
| | - Enguo Chen
- College of Physics and Information Engineering, Fuzhou University, Fuzhou, China
- Fujian Science & Technology Innovation Laboratory for Optoelectronic Information of China, Fuzhou, China
| | - Sheng Xu
- College of Physics and Information Engineering, Fuzhou University, Fuzhou, China
- Fujian Science & Technology Innovation Laboratory for Optoelectronic Information of China, Fuzhou, China
| | - Tailiang Guo
- College of Physics and Information Engineering, Fuzhou University, Fuzhou, China
- Fujian Science & Technology Innovation Laboratory for Optoelectronic Information of China, Fuzhou, China
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Bahrami R, Sodagar A, Pourhajibagher M, Mirhashemi AH. The effect of different concentration of emodin nanoparticles, as an antibacterial agent, on the flexural resistance of acrylic resin used in orthodontics: An in vitro study. Int Orthod 2023; 21:100811. [PMID: 37774500 DOI: 10.1016/j.ortho.2023.100811] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2023] [Revised: 08/22/2023] [Accepted: 08/23/2023] [Indexed: 10/01/2023]
Abstract
OBJECTIVE The aim of this study was to investigate the impact of emodin nanoparticles (n-Emo) on the flexural strength of acrylic resin used in orthodontics. METHODS A total of 24 acrylic resin discs were prepared according to ISO:20795-1 and divided into four groups (n=6): 0% n-Emo, 0.5% n-Emo, 1% n-Emo, and 2% n-Emo. The flexural strength of each group was measured using the Universal Testing Machine. One-way analysis of variance (ANOVA) and Tukey tests were used to analyse the data. RESULTS The highest flexural strength values were observed in the groups containing 0% and 0.5% concentrations of n-Emo, while the lowest mean flexural strength was recorded in the group containing 2% concentration of n-Emo. There were significant difference in flexural strength values between the groups containing 0% with those containing 1% and 2% concentrations (P=0.045, P=0.011, respectively), as well as between those containing 0.5% and 2% concentrations of n-Emo (P=0.041). CONCLUSIONS The results of the study showed that the incorporation of n-Emo had a negative impact on the flexural strength of the acrylic resin utilized in orthodontics. Nonetheless, the mean flexural strength values of all groups fell within the normal range, implying that the addition of n-Emo did not jeopardize the mechanical properties of the acrylic resin. It is therefore conceivable that the use of n-Emo as an antimicrobial agent in acrylic resin could be a promising approach to reducing enamel demineralisation and dental caries, while preserving its mechanical properties. This study was approved by the ethics committee of the Tehran University of Medical Sciences (1401-2-398-54892).
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Affiliation(s)
- Rashin Bahrami
- Department of Orthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
| | - Ahmad Sodagar
- Department of Orthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
| | - Maryam Pourhajibagher
- Dental Research Center, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Amir Hossein Mirhashemi
- Department of Orthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
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Freitas A, Lobo MDO, Alves GHD, Barbosa RFC, Blanco LGR, Shimano AC. In vitro mechanical analysis of X-shaped femoroplasty with polymethyl methacrylate boundary a fall on the greater trochanter . Injury 2023; 54 Suppl 6:110747. [PMID: 38143120 DOI: 10.1016/j.injury.2023.04.034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Revised: 04/10/2023] [Accepted: 04/14/2023] [Indexed: 12/26/2023]
Abstract
To evaluate with mechanical testing (MT) using synthetic femurs, an X-shaped femoroplasty technique with polymethyl methacrylate (PMMA), analyzing the results applied to the prophylaxis of proximal femur (PF) fractures caused by low-energy trauma. MT was performed simulating a fall on the greater trochanter, using fifteen Sawbones™ models. They were divided into three experimental groups (n = 5): control (DP) group, drilled without augmentation (DWA) group, and X-shaped augmentation (DX) group. Maximum load, stiffness, absorbed energy and displacement were analyzed primarily in all groups; and secondarily then, morphology and fracture type were verified in all groups while PMMA volume, temperature and time polymerization were analyzed only in the DX group. The MT results obtained for synthetic models respectively in the DP, DWA, and DX groups were: mean maximum load (5562.0 ± 464.8) N, (4798.0 ± 121.2) N, and (7132.0 ± 206.9) N; mean stiffness values (673 ± 64.34) N/mm, (636 ± 8.7) N/mm, and (738 ± 17.13) N/mm, and mean absorbed energy values (36,203 ± 3819) N.mm, (27,617 ± 3011) N.mm, (44,762 ± 3219) N.mm; mean displacement values (13.6 ± 1.45) N, (11.1 ± 0.5) N, and (13.2 ± 0.69) N. The mean volume, temperature reached during filling in the DX group were 9.8 mL, 42.54ºC with 1' 56" of polymerization. The fracture types were similar between the DP and DWA groups, affecting the trochanteric region, as distinctly to those in the DX group, which were restricted to the femoral neck. The values obtained in MT showed statistical significance when analyzed by one-way ANOVA (5%) for maximum load, stiffness, and absorbed energy between groups. In conclusion, X-shaped PMMA augmentation presents a protective biomechanical characteristic against PF fractures generated in synthetic models by boundary a fall on the greater trochanter.
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Affiliation(s)
- Anderson Freitas
- Hospital Ortopédico e Medicina Especializada (HOME), Orthopedic Trauma Service, Hospital Regional do Gama, Brasília, DF, Brazil.
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Ko JW, Sakong J, Kang S. Cytotoxicity of dental self-curing resin for a temporary crown: an in vitro study. J Yeungnam Med Sci 2023; 40:S1-S8. [PMID: 37098682 DOI: 10.12701/jyms.2023.00080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/21/2023] [Accepted: 03/31/2023] [Indexed: 04/27/2023]
Abstract
BACKGROUND Residual monomer tests using high-performance liquid chromatography and cytotoxicity tests were performed to analyze the effect on the oral mucosa of a self-curing resin for provisional crown production. METHODS A cytotoxicity test was performed to confirm whether leaked residual monomers directly affected oral mucosal cells. The cytotoxicity of the liquid and solid resin polymers was measured using a water-soluble tetrazolium (WST) test and microplate reader. RESULTS In the WST assay using a microplate reader, 73.4% of the cells survived at a concentration of 0.2% liquid resin polymer. The cytotoxicity of the liquid resin polymer was low at ≤0.2%. For the solid resins, when 100% of the eluate was used from each specimen, the average cell viability was 91.3% for the solid resin polymer and 100% for the hand-mixed self-curing resin, which is higher than the cell viability standard of 70%. The cytotoxicity of the solid resin polymer was low. CONCLUSION Because the polymerization process of the self-curing resin may have harmful effects on the oral mucosa during the second and third stages, the solid resin should be manufactured indirectly using a dental model.
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Affiliation(s)
- Jae-Wan Ko
- Department of Dental Technology, Daegu Health College, Daegu, Korea
- Department of Public Health, Graduate School of Environment and Public Health Studies, Yeungnam University, Daegu, Korea
| | - Joon Sakong
- Department of Occupational and Environmental Medicine, Yeungnam University Hospital, Daegu, Korea
- Department of Preventive Medicine and Public Health, Yeungnam University College of Medicine, Daegu, Korea
| | - Sohee Kang
- Department of Dentistry, Yeungnam University College of Medicine, Daegu, Korea
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Fu Y, Yan YC, Ru XL, Qu HB. [Effect of acrylic bone cement mixed with calcium sulfate combined with percutaneous kyphoplasty in the treatment of osteoporotic fractures]. Zhongguo Gu Shang 2023; 36:896-900. [PMID: 37735085 DOI: 10.12200/j.issn.1003-0034.2023.09.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 09/23/2023]
Abstract
OBJECTIVE To investigate the clinical efficacy of acrylic cement (PMMA) mixed with calcium sulfate combined with percutaneous kyphoplasty (PKP) in the treatment of osteoporotic fracture (OVCF). METHODS The clinical data of 191 patients with OVCF treated with PKP from January 2020 to March 2021 were retrospectively analyzed. Among them, 82 patients with 94 vertebral bodies were treated with PMMA mixed with calcium sulfate as the observation group, and 109 patients with 125 vertebral bodies were treated with pure PMMA as the control group. Among the 82 patients in the observation group, there were 16 males and 66 females, with a mean age of (75.35±11.22) years old, including 36 thoracic vertebrae and 58 lumbar vertebrae. In the control group, there were 109 patients, 22 males and 87 females, with an average age of (74.51±9.21) years old, including 63 thoracic vertebrae and 62 lumbar vertebrae. The visual analog scale (VAS) before operation and 1 day, 3 months and 1 year after operation were calculated. The Oswestry disability index (ODI), Cobb's angle, vertebral body height and the probability of postoperative bone cement leakage were used to analyze the efficacy of the two groups. RESULTS All the patients were followed up for more than one year. Compared with the control group, there was no significant difference in operation time, bleeding volume and bone cement injection volume between the two groups(P>0.05), while the leakage rate of bone cement was significantly lower in the observation group (P<0.05). In addition, there was no significant difference in VAS, ODI, Cobb angle, and vertebral body height between the two groups before operation, and 1 day, 3 months, and 1 year after operation (P>0.05), but each index was improved compared with that before operation (P<0.05). CONCLUSION PMMA mixed with calcium sulfate has equivalent efficacy in treating OVCF than PMMA alone, but can effectively reduce the probability of cement leakage.
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Affiliation(s)
- Yang Fu
- Department of Orthopaedics, Zhejiang Hospital, Hangzhou 310000, Zhejiang, China
| | - Ying-Chao Yan
- Department of Orthopaedics, Zhejiang Hospital, Hangzhou 310000, Zhejiang, China
| | - Xuan-Liang Ru
- Department of Orthopaedics, Zhejiang Hospital, Hangzhou 310000, Zhejiang, China
| | - Hang-Bo Qu
- Department of Orthopaedics, Zhejiang Hospital, Hangzhou 310000, Zhejiang, China
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Torabi R, Carnevale JA, Abdulrazeq H, Anderson M, Jayaraman M, Oyelese A, Gokaslan Z, Moldovan K. Minimizing blood loss with direct percutaneous polymethylmethacrylate embolization before corpectomy for vascular spinal tumors. Surg Neurol Int 2023; 14:280. [PMID: 37680921 PMCID: PMC10481792 DOI: 10.25259/sni_604_2023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2023] [Accepted: 07/26/2023] [Indexed: 09/09/2023] Open
Abstract
Background Standard surgical treatment for vascular spinal tumors, including renal cell carcinomas and hemangiomas, may result in significant blood loss despite preoperative arterial tumor embolization. Methods This is a retrospective review of 12 patients who underwent direct percutaneous polymethylmethacrylate embolization (DPPE) with or without feeding artery embolization before partial or complete corpectomy for the resection of vascular spinal tumors (2013-2018). Estimated blood loss (EBL) was compared to the blood loss reported in the literature and to patients receiving standard arterial embolization before surgery. Results The mean EBL for 12 patients was 1030 mL; three of 12 patients required blood transfusions. For the single level corpectomies, the EBL ranged from 100 mL to 3900 mL (mean 640 mL). This mean blood loss was not increased in patients receiving only DPPE preoperatively versus those patients receiving preoperative arterial embolization in addition to DPPE (1005 vs. 1416 mL); in fact, the EBL was significantly reduced for those undergoing DPPE alone. Conclusion In this initial study, nine patients treated with DPPE embolization alone before spinal tumor resection demonstrated reduction of intraoperative blood loss compared to three patients having arterial embolization with DDPE.
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Affiliation(s)
- Radmehr Torabi
- Department of Neurosurgery, Rhode Island Hospital, Providence, Rhode Island, United States
| | - Joseph Anthony Carnevale
- Department of Neurosurgery, New York Presbyterian Hospital, New York, New York State, United States
| | - Hael Abdulrazeq
- Department of Neurosurgery, Rhode Island Hospital, Providence, Rhode Island, United States
| | - Matthew Anderson
- Department of Neurosurgery, Rhode Island Hospital, Providence, Rhode Island, United States
| | - Mahesh Jayaraman
- Department of Neurosurgery, Rhode Island Hospital, Providence, Rhode Island, United States
| | - Adetokunbo Oyelese
- Department of Neurosurgery, Rhode Island Hospital, Providence, Rhode Island, United States
| | - Ziya Gokaslan
- Department of Neurosurgery, Rhode Island Hospital, Providence, Rhode Island, United States
| | - Krisztina Moldovan
- Department of Neurosurgery, Rhode Island Hospital, Providence, Rhode Island, United States
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Quan Q, Gongping X, Ruisi N, Shiwen L. New Research Progress of Modified Bone Cement Applied to Vertebroplasty. World Neurosurg 2023; 176:10-18. [PMID: 37087028 DOI: 10.1016/j.wneu.2023.04.048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2023] [Revised: 04/10/2023] [Accepted: 04/11/2023] [Indexed: 04/24/2023]
Abstract
Percutaneous vertebroplasty and percutaneous kyphoplasty are effective methods to treat acute osteoporotic vertebral compression fractures that can quickly provide patients with pain relief, prevent further height loss of the vertebral body, and help correct kyphosis. Many clinical studies have investigated the characteristics of bone cement. Bone cement is a biomaterial injected into the vertebral body that must have good biocompatibility and biosafety. The optimization of the characteristics of bone cement has become of great interest. Bone cement can be mainly divided into 3 types: polymethyl methacrylate, calcium phosphate cement, and calcium sulfate cement. Each type of cement has its own advantages and disadvantages. In the past 10 years, the performance of bone cement has been greatly improved via different methods. The aim of our review is to provide an overview of the current progress in the types of modified bone cement and summarize the key clinical findings.
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Affiliation(s)
- Qi Quan
- Department of Spine Surgery, First Affiliated Hospital of Harbin Medical University, Harbin, China
| | - Xu Gongping
- Department of Spine Surgery, First Affiliated Hospital of Harbin Medical University, Harbin, China
| | - Na Ruisi
- Department of Gastrointestinal Oncology, Harbin Medical University Cancer Hospital, Harbin, China
| | - Li Shiwen
- Department of Spine Surgery, First Affiliated Hospital of Harbin Medical University, Harbin, China.
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Boedecker-Lips SC, Batzke K, Klimpke P, Holtz S, Kraus D, Weinmann-Menke J. Case Report of Anti-Thrombogenicity. Blood Purif 2023:1-3. [PMID: 37331351 DOI: 10.1159/000530850] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Accepted: 04/16/2023] [Indexed: 06/20/2023]
Abstract
BACKGROUND The Toray Filtryzer™-NF is a new polymethyl methacrylate filter with improved hemocompatibility and reduced impact on platelet counts. OBJECTIVES This suggests that, if necessary, a reduction in anticoagulation may be possible when dialysis is performed with the Toray Filtryzer™-NF. METHODS In the following, we dialyzed 5 hemodialysis patients who had a contraindication to full anticoagulation postoperatively or after renal biopsy with the Filtryzer™-NF. RESULTS A significant reduction in heparin administration was achieved, and in 1 patient, heparin substitution was completely omitted. Despite the significantly reduced heparin doses, no thrombosis of the system occurred during the hemodialysis. CONCLUSION In conclusion, hemodialysis using the Toray Filtryzer™-NF is an effective alternative for patients at significantly increased risk of bleeding.
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Affiliation(s)
- Simone C Boedecker-Lips
- Department of Nephrology, University Medical Centre Mainz, Johannes Gutenberg University Mainz, Mainz, Germany
| | | | - Pascal Klimpke
- Department of Nephrology, University Medical Centre Mainz, Johannes Gutenberg University Mainz, Mainz, Germany
| | - Stefan Holtz
- Department of Nephrology, University Medical Centre Mainz, Johannes Gutenberg University Mainz, Mainz, Germany
| | - Daniel Kraus
- Department of Nephrology, University Medical Centre Mainz, Johannes Gutenberg University Mainz, Mainz, Germany
| | - Julia Weinmann-Menke
- Department of Nephrology, University Medical Centre Mainz, Johannes Gutenberg University Mainz, Mainz, Germany
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Arndt-Fink A, Jost-Brinkmann PG. Investigation of the cleaning performance of commercial orthodontic cleaning tablets regarding biofilm removal on PMMA test specimens : An ex vivo study. J Orofac Orthop 2023:10.1007/s00056-023-00474-2. [PMID: 37266911 DOI: 10.1007/s00056-023-00474-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2022] [Accepted: 04/18/2023] [Indexed: 06/03/2023]
Abstract
PURPOSE The purpose of this ex vivo study was to compare the cleaning performance of three commercially available orthodontic cleaners on polymethyl methacrylate (PMMA) test specimens covered with biofilm. METHODS Twenty subjects wore an individually manufactured vacuum-formed maxillary splint with four integrated PMMA test specimens for 7 days. The four test specimens were located on the buccal surfaces of the maxillary molars. After a 7-day wearing period, the PMMA test specimens colonized by biofilm were divided into two halves. One half was placed in 150 ml of tap water or in 150 ml of cleaning solution of the cleaners Retainer Brite® (Dentsply International Raintree Essix, Sarasota, FL, USA), Kukis® Xpress (Reckitt Benckiser, Heidelberg, Germany) or Dontodent (Propack, Heidelberg, Germany) while the other half remained uncleaned. The modified o‑phthaldialdehyde (OPA) method was used to determine the amount of protein on both halves of the test specimens. The difference was tested for significance as a measure of the cleaning effect using a paired sample t‑test. RESULTS The cleaning performance of the three orthodontic cleaners was higher than the cleaning performance of tap water (mean 25.9 ± 6.5%). While Retainer Brite® (mean 54.5 ± 7.1%) removed significantly more biofilm than Dontodent (mean 41.5 ± 9.2%, p < 0.001) and Kukis® Xpress (mean 39.9 ± 11.5%, p < 0.001), there was no significant difference in the cleaning performance between Kukis® Xpress and Dontodent (p = 1). CONCLUSION Seven-day-old biofilm is only removed partially by the investigated orthodontic cleaners, so that they are not suitable as the only measure for removing established biofilms.
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Affiliation(s)
- A Arndt-Fink
- CharitéCenter 3 for Oral Health Sciences (CC 3), Department of Orthodontics and Dentofacial Orthopedics, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Aßmannshauser Str. 4-6, 14197, Berlin, Germany.
| | - P-G Jost-Brinkmann
- CharitéCenter 3 for Oral Health Sciences (CC 3), Department of Orthodontics and Dentofacial Orthopedics, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Aßmannshauser Str. 4-6, 14197, Berlin, Germany
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Meng X, Yip Y, Valiyaveettil S. Understanding the aggregation, consumption, distribution and accumulation of nanoparticles of polyvinyl chloride and polymethyl methacrylate in Ruditapes philippinarum. Sci Total Environ 2023; 871:161955. [PMID: 36737013 DOI: 10.1016/j.scitotenv.2023.161955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/22/2022] [Revised: 01/27/2023] [Accepted: 01/28/2023] [Indexed: 06/18/2023]
Abstract
Plastic products have become an integral part of our life. A widespread usage, high stability, uncontrolled disposal and slow degradation of plastics in the environment led to the generation and accumulation of nanoparticles of polymers (NPs) in the marine environment. However, little is known about the aggregation, consumption and distribution of NPs from common polymers such as polyvinyl chloride (NP-PVC) and polymethyl methacrylate (NP-PMMA) inside marine animal physiologies. In the current study, two types of polymers (PVC and PMMA) × four exposure concentrations (1, 5, 15 and 25 mg/L) × four times (4, 8, 12 and 24 h) exposure studies were conducted to understand the consumption and distribution of luminescent NP-PVC (98.6 ± 17.6 nm) and NP-PMMA (111.9 ± 37.1 nm) in R. philippinarum. Under laboratory conditions, NP-PVC showed a higher aggregation rate than NP-PMMA in seawater within a period of 24 h. Aggregations of NPs increased with an increase in initial NP concentrations, leading to significant settling of nanoparticles within 24 h exposure. Such aggregation and settling of particles enhanced the consumption of NPs by benthic filter-feeding R. philippinarum at all exposure concentrations during 4 h exposure. More interestingly, NP-PVC and NP-PMMA were observed in large amounts in both liver and gills (22.6 % - 29.1 %) of the clams. Furthermore, NP-PVC was detected in most organs of R. philippinarum as compared to NP-PMMA. This study demonstrates that different polymers distribute and accumulate differently in the same biological model under laboratory exposure conditions based on their chemical nature.
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Affiliation(s)
- Xingliang Meng
- Department of Chemistry, National University of Singapore, 3 Science Drive 3, Singapore 117543, Singapore
| | - Yongjie Yip
- Department of Chemistry, National University of Singapore, 3 Science Drive 3, Singapore 117543, Singapore
| | - Suresh Valiyaveettil
- Department of Chemistry, National University of Singapore, 3 Science Drive 3, Singapore 117543, Singapore.
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Franzin R, Stasi A, Caggiano G, Squiccimarro E, Losappio V, Fiorentino M, Alfieri C, Stallone G, Gesualdo L, Castellano G. Enhancing Immune Protection in Hemodialysis Patients: Role of the Polymethyl Methacrylate Membrane. Blood Purif 2023:1-13. [PMID: 37075738 DOI: 10.1159/000529971] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2022] [Accepted: 02/07/2023] [Indexed: 04/21/2023]
Abstract
End-stage renal disease (ESRD) is characterized by deep disorders in both innate and adaptive immune systems that imply unbalance deactivation and immunosuppression. The central, widely recognized factors responsible for this immune dysregulation are uremia, uremic toxin retention, hemodialysis membrane biocompatibility, and related cardiovascular complications. Recently, several studies strengthened the concept that dialysis membranes are not considered as a simple diffusive/adsorptive device but as a platform to personalize a dialysis approach to improve the quality of life of ESRD patients. Therefore, understanding of the molecules associated with altered immune response is crucial and could lead to therapeutically intervention or adaptation of the dialysis procedure itself for the management of immunological dysfunction of ESRD patients. The polymethyl methacrylate (PMMA)-based membrane is characterized by a symmetrical structure with large-sized pores, providing a better hydrophobic and cationic adsorption capacity compared to the other synthetic membranes. Together with hydrophobic interactions, the high adsorption rate of cytokines (i.e., IL-6) can also be enhanced by the size of nano-pores placed on the membrane surface. PMMA membranes exhibit adsorptive properties for a large amount of uremic toxins including p-cresol and indoxyl sulfate, as well as β2-microglobulin characterized by higher molecular weight, maintaining the diffusive clearance of small molecules like urea with a great biocompatibility. Besides exerting a strong anti-inflammatory effects in line with the improvement of immune responses in patients undergoing dialysis, PMMA also plays a role in modulating adaptive immune response, i.e., can clear blood from soluble CD40, a natural antagonist of the CD40/CD40L signaling that acts inhibiting immunoglobulin production by B cells. This review provides an overview of the main concepts and current understanding of immune dysfunction in hemodialysis and summarizes the recent findings regarding PMMA-based dialysis as potential strategy to restore immune balance in ESRD patients.
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Affiliation(s)
- Rossana Franzin
- Nephrology, Dialysis and Transplantation Unit, Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), University of Bari "Aldo Moro", Bari, Italy
| | - Alessandra Stasi
- Nephrology, Dialysis and Transplantation Unit, Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), University of Bari "Aldo Moro", Bari, Italy
| | - Gianvito Caggiano
- Nephrology, Dialysis and Transplantation Unit, Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), University of Bari "Aldo Moro", Bari, Italy
| | - Elena Squiccimarro
- Nephrology, Dialysis and Transplantation Unit, Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), University of Bari "Aldo Moro", Bari, Italy
| | - Vincenzo Losappio
- Nephrology, Dialysis and Transplantation Unit, Department of Medical and Surgical Science, University of Foggia, Foggia, Italy
| | - Marco Fiorentino
- Nephrology, Dialysis and Transplantation Unit, Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), University of Bari "Aldo Moro", Bari, Italy
| | - Carlo Alfieri
- Unit of Nephrology, Dialysis and Renal Transplantation, Fondazione IRCCS Ca'Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy
| | - Giovanni Stallone
- Nephrology, Dialysis and Transplantation Unit, Department of Medical and Surgical Science, University of Foggia, Foggia, Italy
| | - Loreto Gesualdo
- Nephrology, Dialysis and Transplantation Unit, Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), University of Bari "Aldo Moro", Bari, Italy
| | - Giuseppe Castellano
- Unit of Nephrology, Dialysis and Renal Transplantation, Fondazione IRCCS Ca'Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy
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Ozfidan-Konakci C, Yildiztugay E, Arikan B, Alp-Turgut FN, Turan M, Cavusoglu H, Sakalak H. Responses of individual and combined polystyrene and polymethyl methacrylate nanoplastics on hormonal content, fluorescence/photochemistry of chlorophylls and ROS scavenging capacity in Lemna minor under arsenic-induced oxidative stress. Free Radic Biol Med 2023; 196:93-107. [PMID: 36657731 DOI: 10.1016/j.freeradbiomed.2023.01.015] [Citation(s) in RCA: 10] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/14/2022] [Revised: 12/12/2022] [Accepted: 01/12/2023] [Indexed: 01/18/2023]
Abstract
Nanoplastics alter the adverse impacts of hazardous contaminants such as heavy metals by changing their adsorption and accumulation. Few findings are available on the interaction between nanoplastic and heavy metals in plants. However, there is no report on the mechanisms for removing metal stress-mediated oxidative damage by the combination treatments of nanoplastics. To address this lack of information, polystyrene nanoplastic (PS, 100 mg L-1) and polymethyl methacrylate (PMMA, 100 mg L-1) were hydroponically applied to Lemna minor exposed to arsenate (As, 100 μM) for 7 days. PS or PMMA caused a reduction in the contents of N, P, K, Ca, Mg and Mn, but the improved contents were detected in the presence of PS or PMMA plus As stress. The hormone contents (auxin, gibberellic acid, cytokinin, salicylic acid and jasmonic acid) reduced by stress were re-arranged through PS or PMMA applications. Based on chlorophyll efficiency, fluorescence kinetics and performance of PSII, the impaired photosynthesis by As stress was improved via PS or PMMA applications. This alleviation did not continue under the combined form of PS and PMMA in As-applied plants. All analyzed antioxidant activity (superoxide dismutase (SOD), catalase (CAT), peroxidase (POX), ascorbate peroxidase (APX), glutathione reductase (GR), glutathione S-transferase (GST), glutathione peroxidase (GPX), monodehydroascorbate reductase (MDHAR) and dehydroascorbate reductase (DHAR)) decreased or unchanged under As, PS or PMMA. Due to the inactivation of the defense system, L. minor had high levels of hydrogen peroxide (H2O2) and thiobarbituric acid reactive substances (TBARS), showing lipid peroxidation. After As toxicity, induvial applications of PS or PMMA indicated the activated enzyme capacity (SOD, POX, GST and GPX) and upregulated AsA/DHA, GSH/GSSG and redox state of GSH, which facilitated the removal of radical accumulation. The efficiency of the antioxidant system in As + PS + PMMA-applied L. minor was not enough to remove damage induced by As stress; hereby, TBARS and H2O2 contents were similar to the As-treated group. Our findings from alone or combined application of PS and PMMA provide new information to advance the tolerance mechanism against As exposure in L. minor.
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Affiliation(s)
- Ceyda Ozfidan-Konakci
- Department of Molecular Biology and Genetics, Faculty of Science, Necmettin Erbakan University, Meram, 42090, Konya, Turkey.
| | - Evren Yildiztugay
- Department of Biotechnology, Faculty of Science, Selcuk University, Selcuklu, 42130, Konya, Turkey.
| | - Busra Arikan
- Department of Biotechnology, Faculty of Science, Selcuk University, Selcuklu, 42130, Konya, Turkey.
| | - Fatma Nur Alp-Turgut
- Department of Biotechnology, Faculty of Science, Selcuk University, Selcuklu, 42130, Konya, Turkey.
| | - Metin Turan
- Department of Agricultural Trade and Management, Faculty of Economy and Administrative Sciences, Yeditepe University, 34755, Istanbul, Turkey.
| | - Halit Cavusoglu
- Department of Physics, Faculty of Science, Selcuk University, Selcuklu, 42130, Konya, Turkey.
| | - Huseyin Sakalak
- Graduate School of Natural and Applied Sciences, Nanotechnology and Advanced Materials, Selcuk University, Selcuklu, 42130, Konya, Turkey.
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Ortiz-Magdaleno M, Sánchez-Vargas L, Gardea-Contreras D, Campos-Ibarra V, Pozos-Guillén A, Márquez-Preciado R. Antibiofilm properties of silver nanoparticles incorporated into polymethyl methacrylate used for dental applications. Biomed Mater Eng 2023:BME222513. [PMID: 36744329 DOI: 10.3233/bme-222513] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND Acrylic resins used in dental and biomedical applications do not have antimicrobial properties, their surface is susceptible to colonization of microorganisms. OBJECTIVE The aim of this study was to evaluate the antibiofilm properties of silver nanoparticles (AgNPs) deposited in a polymethyl methacrylate (PMMA) surface against a Staphylococcus aureus biofilm. METHODS The PMMA was impregnated with AgNPs by using the in-situ polymerization method. To determine the solubility of the incorporated silver (Ag+) atomic absorption spectrophotometry was used (AAS) at 24 h, 48 h, 7 days, and 30 days. Thirty specimens of PMMA with AgNPs and without NP (control group) were assembled in the CDC Biofilm Bioreactor system with a cell suspension of S. aureus. The specimens were removed at 6, 12, 24, 48, and 72 h to determine the viability profile and quantify the Arbitrary Fluorescence Units (AFU). RESULTS The AgNPs showed an irregular and quasispherical shape with an average size of 25 nm. AAS analysis demonstrated a low solubility of Ag+. The formation of the S. aureus biofilm increased as the evaluation periods continued up to 72 h. The experimental group showed poor growth, and a decrease in the intensity of the fluorescence demonstrated a statistically significant inhibition of the formation of the biofilm (P < 0.05) in relation to the control group at 6, 12, 24, 48, and 72 h. CONCLUSION AgNPs incorporated into PMMA decreased the growth and maturation of S. aureus biofilm.
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Affiliation(s)
- Marine Ortiz-Magdaleno
- Basic Science Laboratory, Faculty of Stomatology, San Luis Potosí University, San Luis Potosi, Mexico
| | - Luis Sánchez-Vargas
- Biochemical and Microbiology Laboratory, Faculty of Stomatology, San Luis Potosí University, San Luis Potosi, Mexico
| | - Delia Gardea-Contreras
- Paediatric Dentistry Postgraduate Program, Faculty of Stomatology, San Luis Potosí University, San Luis Potosi, Mexico
| | | | - Amaury Pozos-Guillén
- Basic Science Laboratory, Faculty of Stomatology, San Luis Potosí University, San Luis Potosi, Mexico
| | - Raúl Márquez-Preciado
- Paediatric Dentistry Postgraduate Program, Faculty of Stomatology, San Luis Potosí University, San Luis Potosi, Mexico
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Masakane I, Ito M, Tanida H, Nawano T. Patient-Centered Care Could Improve Quality of Life and Survival of Dialysis Patients: Dialysis Prescription and Daily Practice. Blood Purif 2023; 52:1-12. [PMID: 36702112 PMCID: PMC10210077 DOI: 10.1159/000526995] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Accepted: 07/15/2022] [Indexed: 01/28/2023]
Abstract
We now face a paradigm shift in clinical practice and research of dialysis from evidence-based medicine outcomes to patient-reported outcomes (PROs). It is imperative to establish a daily practice pattern based on the PROs, namely "patient-centered dialysis care." In 2005, we introduced the concept of "patient-oriented dialysis," which includes two fundamental components; adjustment of the dialysis prescription according to the PROs and nutritional intervention based on the global nutritional assessment. Routine examinations and team meetings were held to monitor the status of PROs and nutrition, and intervention plans were reevaluated. We found that the total score of the PROs was closely related to the survival rate of dialysis patients, and some of those were identified as independent mortality risk factors. These results might have shown that patient-centered dialysis care may improve the quality of life and the survival rate of dialysis patients. Polymethyl methacrylate (PMMA) is a unique synthetic membrane for a dialyzer with protein adsorption property and biocompatibility. Several clinical advantages of PMMA were reported as ameliorating inflammatory status, nutritional status, skin itchiness, and dialysis-related fatigue. PMMA is a fundamental and major choice for improving PROs in patient-centered dialysis care.
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Affiliation(s)
| | - Minoru Ito
- Nephrology, Yabuki Hospital, Yamagata, Japan
| | | | - Takaaki Nawano
- The 1st Department of Internal Medicine, Yamagata University School of Medicine, Yamagata, Japan
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17
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Cannon RD, Lyons KM, Chong K, Newsham-West K, Niimi K, Holmes AR. Adhesion of Yeast and Bacteria to Oral Surfaces. Methods Mol Biol 2023; 2588:131-56. [PMID: 36418686 DOI: 10.1007/978-1-0716-2780-8_9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Colonization of surfaces in the human body by microorganisms is an early, essential, step in the initiation of infectious disease. We have developed in vitro assays to investigate interactions between yeast or bacterial cells and human tissues, fluids, or prostheses. Such assays can be used to identify the adhesins, ligands, and receptors involved in these interactions, for example, by determining which components of the microbe or human tissue/fluid interfere with adherence in the assay. The assays can also be applied to find ways of preventing adhesion, and subsequent disease, by investigating the effects of different conditions and added compounds on adherence in the in vitro assays. Here we describe assays for measuring adhesion of the oral yeast Candida albicans, a common commensal and opportunistic pathogen, or the bacterium Staphylococcus epidermidis, which is not normally pathogenic but is known to form biofilms on medical prostheses. The assays described belong to two approaches to investigating adhesion and biofilm formation: (i) retention at a fixed time point following liquid washes, and (ii) retention against a continuous flow of medium.
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18
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Alzahrani KM, Alrabiah M, AlAali KA, Vohra F, Abduljabbar T. Fracture strength of Er,Yag laser treated PMMA denture-based polymer (DBP) colonized with C. albicans, S. aureus, S.mutans, and E.coli. Photodiagnosis Photodyn Ther 2022; 40:103074. [PMID: 36028171 DOI: 10.1016/j.pdpdt.2022.103074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2022] [Revised: 08/17/2022] [Accepted: 08/22/2022] [Indexed: 12/14/2022]
Abstract
AIM To assess and equate the efficacy of different disinfection protocols autoclave, chlorhexidine (CHX), PDT utilizing Rose Bengal (RB), chitosan, and Er, Yag laser and their effect on fracture strength of PMMA denture-based polymer (DBP) colonized with C. Albicans, S. aureus, S.mutans, and E.coli. MATERIAL AND METHODS A total of 50 (n = 10) PMMA DBP were manufactured and adulterated with the American Type Culture Collection (ATCC) of diverse microbial colonies inhabited by C. Albicans, S. aureus, S.mutans, and E.coli. The specimens were subjected to different denture disinfection approaches by randomly distributing in into five groups i.e., Er, Yag laser, RB, autoclave, CHX, and Chitosan, respectively for appraising antimicrobial effectiveness. PMMA fracture load was also assessed and statistical analysis was performed for CFU/mL (log10) of exposed C. Albicans, S. aureus, S.mutans, and E.coli by one-way ANOVA and Tukey's multiple comparison test at a significance level of p < 0.05. RESULTS Intergroup comparison disclosed that denture disinfection with Er, Yag laser, autoclave, Chitosan, and CHX (control) validated comparable antimicrobial efficacy to denture against all inspected CFU/mL (log10) (p>0.05). The intragroup comparison revealed that DBP sanitization with Er, Yag laser, autoclave, Chitosan, RB, and CHX substantiated equivalent effective antimicrobial efficacy in plummeting CFU/mL (log10) of S. mutans and E. coli (p>0.05) but in consideration to S.aureus and C.albicans, all groups resulted in declining their count except 5µm RB activated by PDT(p < 0.05). No significant difference was perceived in fracture load of PMMA denture base among Er, Yag laser, RB, chitosan, and CHX (control) (p > 0.05) except autoclave decontamination procedure that indicated the least fracture strength of DBP when disinfected (p < 0.05). CONCLUSION Er, Yag laser, and Chitosan activated by PDT have the potential to be used as an alternative to chlorhexidine for disinfecting Polymethyl methacrylate denture base as they demonstrated the highest antimicrobial efficacy against E. coli, C. Albicans, S aureus, and S. mutans with optimal fracture load.
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Affiliation(s)
- Khaled M Alzahrani
- Department of Prosthetic Dental Sciences, Prince Sattam Bin Abdulaziz University, Al Kharj 11942, Saudi Arabia
| | - Mohammed Alrabiah
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, P. O. Box 60169, Riyadh 11545, Saudi Arabia
| | - Khulud A AlAali
- Department Of Clinical Dental Sciences, College of Dentistry, Princess Nourah Bint Abdulrahman University, Saudi Arabia
| | - Fahim Vohra
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, P. O. Box 60169, Riyadh 11545, Saudi Arabia
| | - Tariq Abduljabbar
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, P. O. Box 60169, Riyadh 11545, Saudi Arabia.
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Shaheen S, Khan RRM, Ahmad A, Luque R, Pervaiz M, Saeed Z, Adnan A. Investigation on the role of graphene-based composites for in photocatalytic degradation of phenol-based compounds in wastewater: a review. Environ Sci Pollut Res Int 2022; 29:73718-73740. [PMID: 36087178 DOI: 10.1007/s11356-022-21975-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Accepted: 07/08/2022] [Indexed: 06/15/2023]
Abstract
The ineptitude of conventional water management systems to eradicate noxious compounds leads to the development of advanced treatment systems. The disclosure of graphene-based photocatalytic degradation for the eradication of phenolic compounds has become the "apple of the eye" for many researchers. This review article describes the advanced research progress during the period of 2008-2021 in graphene-based nanocomposites and discusses their different synthesis methods. We will also talk about the applications of nanocomposite in water splitting, dye degradation, solar fuel generations, and organic transformations. Multicomponent heterojunction structure, co-catalyst cohering, and noble metal coupling have been inspected to enhance the photocatalytic performance of graphene-based composite by increasing charge separation and stability. The photocatalytic system's remarkable stability has been described in terms of facile recyclability. The adsorption ability of phenolic compounds has been addressed in the form of Langmuir and Freundlich adsorption isotherm with various factors (pH, concentration, the intensity of light, the effect of catalyst, the effect of time, etc.). The purpose of this review is to survey mechanisms and processes that enlist graphene-based composite in terms of efficacy and dose of catalyst required to attain 99% degradation. Nanoparticles may cause toxicity and a pretext for their toxicity has been mentioned. Finally, it is anticipated that this article could allocate consequential knowledge to fabricating graphene-based composites that are in crucial demand of being discussed in future research.
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Affiliation(s)
- Shumila Shaheen
- Department of Chemistry, Government College University, Lahore, Pakistan
| | | | - Awais Ahmad
- Departamento de Quimica Organica, Universidad de Cordoba, Ctra Nnal IV-A, Edificio Marie Curie (C-3)Km 396, 14014, Cordoba, Spain
| | - Rafael Luque
- Departamento de Quimica Organica, Universidad de Cordoba, Ctra Nnal IV-A, Edificio Marie Curie (C-3)Km 396, 14014, Cordoba, Spain
- Peoples Friendship University of Russia (RUDN University), Moscow, 6 Miklukho Maklaya str., 117198, Russian Federation
| | - Muhammad Pervaiz
- Department of Chemistry, Government College University, Lahore, Pakistan
| | - Zohaib Saeed
- Department of Chemistry, Government College University, Lahore, Pakistan
| | - Ahmad Adnan
- Department of Chemistry, Government College University, Lahore, Pakistan
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20
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Yildiztugay E, Ozfidan-Konakci C, Arikan B, Alp FN, Elbasan F, Zengin G, Cavusoglu H, Sakalak H. The hormetic dose-risks of polymethyl methacrylate nanoplastics on chlorophyll a fluorescence transient, lipid composition and antioxidant system in Lactuca sativa. Environ Pollut 2022; 308:119651. [PMID: 35752396 DOI: 10.1016/j.envpol.2022.119651] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Revised: 04/27/2022] [Accepted: 06/14/2022] [Indexed: 06/15/2023]
Abstract
Nanoplastic pollution has become an increasing problem due to over-consumption and degradation in ecosystems. A little is known about ecological toxicity and the potential risks of nanoplastics on plants. To better comprehend the hormetic effects of nanoplastics, the experimental design was conducted on the impacts of polymethyl methacrylate (PMMA) on water status, growth, gas exchange, chlorophyll a fluorescence transient, reactive oxygen species (ROS) content (both content and fluorescence visualization), lipid peroxidation and antioxidant capacity (comparatively between leaves and roots). For this purpose, PMMA (10, 20, 50 and 100 mg L-1) was hydroponically applied to Lactuca sativa for 15 days(d). PMMA exposure resulted a decline in the growth, water content and osmotic potential. As based on assimilation rate (A), stomatal conductance (gs), and intercellular CO2 concentrations (Ci), the decreased stomatal limitation (Ls) and, A/Ci and increased intrinsic mesophyll efficiency proved low carboxylation efficiency showing impaired photosynthesis as a non-stomatal limitation. PMMA toxicity increased the trapping fluxes and absorption with a decrease in electron transport fluxes caused the disruption in reaction centers of photosystems. The leaves and roots had a similar effect against PMMA toxicity, with increased superoxide dismutase (SOD) activity. Although, catalase (CAT) and peroxidase (POX) of leaves increased under 10 mg L-1 PMMA, these defense activities failed to prevent radicals from attacking. Compared to the leaves, the lettuce roots showed an intriguing result for AsA-GSH cycle against PMMA exposure. In the roots, the lowest PMMA application provided the high ascorbate/dehydroascorbate (AsA/DHA), GSH/GSSG and the pool of AsA/glutathione (GSH) and non-suppressed GSH redox state. Also, 10 mg L-1 PMMA helped remove high hydrogen peroxide (H2O2) by both glutathione peroxidase (GPX) and glutathione S-transferase (GST). Since this improvement in the antioxidant system could not be continued in roots after higher applications than 20 mg L-1 PMMA, TBARS (Thiobarbituric acid-reactive substances), indicating the level of lipid peroxidation, and H2O2 increased. Our findings obtained from PMMA-applied lettuce provide new information to advance the tolerance mechanism against nanoplastic pollution.
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Affiliation(s)
- Evren Yildiztugay
- Department of Biotechnology, Faculty of Science, Selcuk University, Selcuklu, 42130, Konya, Turkey.
| | - Ceyda Ozfidan-Konakci
- Department of Molecular Biology and Genetics, Faculty of Science, Necmettin Erbakan University, Meram, 42090, Konya, Turkey.
| | - Busra Arikan
- Department of Biotechnology, Faculty of Science, Selcuk University, Selcuklu, 42130, Konya, Turkey.
| | - Fatma Nur Alp
- Department of Biotechnology, Faculty of Science, Selcuk University, Selcuklu, 42130, Konya, Turkey.
| | - Fevzi Elbasan
- Department of Biotechnology, Faculty of Science, Selcuk University, Selcuklu, 42130, Konya, Turkey.
| | - Gokhan Zengin
- Department of Biology, Faculty of Science, Selcuk University, Selcuklu, 42130, Konya, Turkey.
| | - Halit Cavusoglu
- Department of Physics, Faculty of Science, Selcuk University, Selcuklu, 42130, Konya, Turkey.
| | - Huseyin Sakalak
- Graduate School of Natural and Applied Sciences, Nanotechnology and Advanced Materials, Selcuk University, Selcuklu, 42130, Konya, Turkey.
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Shamhoot IA, Rezk EM, Elkholy AR. Transoral vertebroplasty for the treatment of C2 painful metastatic lesions; evaluation and outcome. Clin Neurol Neurosurg 2022; 221:107410. [PMID: 35985095 DOI: 10.1016/j.clineuro.2022.107410] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2022] [Revised: 08/04/2022] [Accepted: 08/09/2022] [Indexed: 11/03/2022]
Abstract
OBJECTIVE A small number of studies supports vertebroplasty at the C2 vertebral body due to the documented technical challenges, the rarity of C2 osteolytic metastatic lesions, and the existence of potentially serious consequences linked to this particular anatomical area. Vertebroplasty, in such a situation, can be performed through a transoral, an anterolateral, or an open approach. All are supported by a limited number of studies with absence of a significant clinical trial assessing the efficacy, safety, and feasibility of vertebroplasty for the C2 vertebral body. We, herein, summarize a single-institution experience on C2 transoral vertebroplasty. PATIENTS AND METHODS This is a retrospective analysis of the records of a single tertiary institute hospital and the clinical visits of nine patients with C2 osteolytic metastatic lesions treated by transoral fluoroscopically guided vertebroplasty between May 2016 and May 2021. RESULTS The median period of the last clinical follow-up was 23 months (range, 9-60 months). The intraoperative amount of polymethyl methacrylate (PMMA) injected and recorded in the surgical report was 2 mL (1.5-2.5 mL). Postoperative immediate imaging showed that the cement filling percentage in relation to the C2 mass was 70% (40-85%). The PMMA leakage through the needle track and into the paravertebral spaces was observed in only one patient (11.1%), without significant vascular and neurological consequences. Stability was maintained during the follow-up period. The postoperative median pain rating scale (PRS) score was 1 (0-2) immediately after the end of the operation and 0 (0-2) at the last visit. The recorded postoperative Pain Rating Scale (PRS) score was correlated with the cement filling percentage (rs= -0.9, p = 0.0008; Spearman correlation). CONCLUSION Transoral vertebroplasty is considered feasible and efficient technique in the treatment of secondary osteolytic lesions in the C2 vertebra. Further long-term and larger comparative randomized studies are required to perform a more comprehensive analysis of this technique.
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Affiliation(s)
- Ibrahim A Shamhoot
- Department of Neurosurgery, Faculty of Medicine, Tanta University, Tanta, Egypt
| | - Essam M Rezk
- Department of Neurosurgery, Faculty of Medicine, Tanta University, Tanta, Egypt.
| | - Ahmed R Elkholy
- Department of Neurosurgery, Faculty of Medicine, Tanta University, Tanta, Egypt
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22
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Jung S, Kim JH, Tsang YF, Song H, Kwon EE. Valorizing plastic toy wastes to flammable gases through CO 2-mediated pyrolysis with a Co-based catalyst. J Hazard Mater 2022; 434:128850. [PMID: 35405610 DOI: 10.1016/j.jhazmat.2022.128850] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/10/2022] [Revised: 03/30/2022] [Accepted: 04/01/2022] [Indexed: 06/14/2023]
Abstract
Toys are discarded due to their short life cycle. Unfortunately, development of sustainable disposal platform for toy has not gained particular concern. To establish a reliable disposal platform, this study employed a pyrolysis platform to valorize plastics into value-added fuels. To confer more environmentally resilient process, CO2 was used as a feedstock to enhance the process efficiency from a perspective of the yield of flammable gases. To this end, waste toy brick (WTB) was used as a model compound. The exact types of plastics (polyacrylonitrile, polybutadiene, polystyrene, and polymethyl methacrylate) in WTB were experimentally determined. In pyrolysis of WTB, the complicated mixture of benzene derivatives was inevitably generated. To detoxify them by means of syngas (H2/CO) production, catalytic pyrolysis was performed. Co catalyst effectively induced chemical bond scissions, leading to substantially enhanced H2 formation. Also, the gas phase reactions (GPRs) between CO2 and volatile compounds over Co catalyst expedited the production rate of CO, and such CO enhancement effectively offered a chance to mitigate toxic chemical generations. The synergistic contribution of CO2 and Co catalyst enhanced syngas formation more than 25 times in reference to pyrolysis of WTB without Co catalyst. The GPRs also greatly prevented catalyst deactivation.
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Affiliation(s)
- Sungyup Jung
- Department of Earth Resources and Environmental Engineering, Hanyang University, Seoul 04763, Republic of Korea
| | - Jung-Hun Kim
- Department of Earth Resources and Environmental Engineering, Hanyang University, Seoul 04763, Republic of Korea
| | - Yiu Fai Tsang
- Department of Science and Environmental Studies and State Key Laboratory in Marine Pollution (SKLMP), The Education University of Hong Kong, Tai Po, New Territories 999077, Hong Kong Special Administrative Region of China
| | - Hocheol Song
- Department of Environment and Energy, Sejong University, Seoul 05006, Republic of Korea.
| | - Eilhann E Kwon
- Department of Earth Resources and Environmental Engineering, Hanyang University, Seoul 04763, Republic of Korea.
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23
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Lee CU, Urban MW, Lee Miller A, Uthamaraj S, Jakub JW, Hesley GK, Wood BG, Brinkman NJ, Herrick JL, Larson NB, Yaszemski MJ, Greenleaf JF. Twinkling-guided ultrasound detection of polymethyl methacrylate as a potential breast biopsy marker: a comparative investigation. Eur Radiol Exp 2022; 6:26. [PMID: 35711010 PMCID: PMC9203632 DOI: 10.1186/s41747-022-00283-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2022] [Accepted: 04/22/2022] [Indexed: 11/10/2022] Open
Abstract
Since its first description 25 years ago, color Doppler twinkling has been a compelling ultrasound feature in diagnosing urinary stones. While the fundamental cause of twinkling remains elusive, the distinctive twinkling signature is diagnostically valuable in clinical practice. It can be inferred that if an entity twinkles, it empirically has certain physical features. This work investigates a manipulable polymeric material, polymethyl methacrylate (PMMA), which twinkles and has measurable surface roughness and porosity that likely contribute to twinkling. Comparative investigation of these structural properties and of the twinkling signatures of breast biopsy markers made from PMMA and selected commercially available markers showed how twinkling can improve ultrasound detection of devices intentionally designed to twinkle. While this specific application of detecting breast biopsy markers by twinkling may provide a way to approach an unmet need in the care of patients with breast cancer, this work ultimately provides a platform from which the keys to unlocking the fundamental physics of twinkling can be rigorously explored.
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Affiliation(s)
- Christine U Lee
- Department of Radiology, Division of Breast Imaging and Intervention, Mayo Clinic, 200 First St, SW, Rochester, MN, 55905, USA.
| | - Matthew W Urban
- Department of Radiology, Division of Radiology Research, Mayo Clinic, 200 First St, SW, Rochester, MN, 55905, USA.,Department of Physiology and Biomedical Engineering, Mayo Clinic, 200 First St, SW, Rochester, MN, 55905, USA
| | - A Lee Miller
- Department of Orthopedic Surgery, Mayo Clinic, 200 First St, SW, Rochester, MN, 55905, USA
| | - Susheil Uthamaraj
- Division of Engineering, Mayo Clinic, 200 First St, SW, Rochester, MN, 55905, USA
| | - James W Jakub
- Department of Surgery, Division of Surgical Oncology, Mayo Clinic, 4500 San Pablo Rd, Jacksonville, FL, 32224, USA
| | - Gina K Hesley
- Department of Radiology, Division of Breast Imaging and Intervention, Mayo Clinic, 200 First St, SW, Rochester, MN, 55905, USA
| | - Benjamin G Wood
- Mayo Graduate School of Biomedical Sciences, Mayo Clinic, 200 First St, SW, Rochester, MN, 55905, USA
| | - Nathan J Brinkman
- Department of Pharmacy, Mayo Clinic, 200 First St, SW, Rochester, MN, 55905, USA
| | - James L Herrick
- Department of Orthopedic Surgery, Mayo Clinic, 200 First St, SW, Rochester, MN, 55905, USA
| | - Nicholas B Larson
- Department of Quantitative Health Sciences, Division of Clinical Trials and Biostatistics, Mayo Clinic, 200 First St, SW, Rochester, MN, 55905, USA
| | - Michael J Yaszemski
- Department of Orthopedic Surgery, Mayo Clinic, 200 First St, SW, Rochester, MN, 55905, USA
| | - James F Greenleaf
- Department of Physiology and Biomedical Engineering, Mayo Clinic, 200 First St, SW, Rochester, MN, 55905, USA
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24
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Wu QP, Gan XQ, Pei HY. [Research progress on health hazards and occupational protection of prolymethylmethacrylate bone cement in the operating room]. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi 2022; 40:396-400. [PMID: 35680589 DOI: 10.3760/cma.j.cn121094-20210128-00052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
There are many occupational risk factors in operating room work. Polymethyl methacrylate (PMMA) , as a kind of common bone filling and repairing material, is widely used in the fixation of artificial joints, oral braces and orthopedic prosthesis. However, PMMA will release methyl methacrylate (MMA) monomer when it is implanted into human tissues and polymerized to harden, which is toxic to the body. This paper analyzes harmful factors in using PMMA bone cement, and then explores corresponding occupational protection knowledge, in order to reduce the occurrence of occupational hazards related to PMMA bone cement and enhance the self-protection ability of the operation room medical staff.
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Affiliation(s)
- Q P Wu
- Department of Cardiology, Second Hospital Affiliated to Army Medical University, Chongqing 400037, China
| | - X Q Gan
- Department of Anesthesiology, Daping Hospital, Army Medical University, Chongqing 400042, China
| | - H Y Pei
- Department of Anesthesiology, Daping Hospital, Army Medical University, Chongqing 400042, China
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25
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Gueorguiev B, Lenz M. [Cement augmentation and bone graft substitutes-Materials and biomechanics]. Unfallchirurg 2022; 125:430-435. [PMID: 35486124 DOI: 10.1007/s00113-022-01182-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/06/2022] [Indexed: 10/18/2022]
Abstract
BACKGROUND Materials with different characteristics are used for cement augmentation and as bone graft substitutes. OBJECTIVE Cement augmentation and bone graft substitutes are the subject of current research. The evaluation of new knowledge allows its specific application. MATERIAL AND METHODS Selective literature search and outline of experimental research results on cement augmentation and bone graft substitutes. RESULTS Augmentation and bone graft substitutes are essential components of current trauma surgical procedures. Despite intensive research all materials have specific disadvantages. Cement augmentation of implants enhances not only the anchorage but also influences the failure mode. CONCLUSION Cement augmentation has large potential especially in osteoporotic bone. In load-bearing regions acrylic-based cements remain the standard of choice. Ceramic cements are preferred in non-load-bearing areas. Their combination with resorbable metals offers still largely unexplored potential. Virtual biomechanics can help improve the targeted application of cement augmentation.
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Affiliation(s)
- Boyko Gueorguiev
- AO Forschungsinstitut Davos, Clavadelerstraße 8, 7270, Davos, Schweiz.
| | - Mark Lenz
- AO Forschungsinstitut Davos, Clavadelerstraße 8, 7270, Davos, Schweiz.,Klinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Jena, Friedrich-Schiller-Universität Jena, 07747, Jena, Deutschland
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26
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Kishikawa T, Fujieda H, Sakaguchi H. Comprehensive analysis of cytokine adsorption properties of polymethyl methacrylate (PMMA) membrane material. J Artif Organs 2022. [PMID: 35301606 DOI: 10.1007/s10047-022-01323-6] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2021] [Accepted: 02/25/2022] [Indexed: 11/23/2022]
Abstract
In acute kidney injury caused by sepsis (septic AKI), excessive production of inflammatory mediators is believed to be involved in deterioration of the disease. Renal replacement therapy using a polymethyl methacrylate (PMMA) membrane hemofilter improves the pathological condition of septic AKI by adsorbing and removing inflammatory cytokines. However, the adsorption properties of the PMMA membrane are unclear. In this study, we comprehensively analyzed the adsorption of 48 different cytokines in human plasma to PMMA and polysulfone (PS) membranes. Seventy-nine percent (38/48) of the cytokines were adsorbed more efficiently to the PMMA membrane than the PS membrane, which indicates that the PMMA membrane has high cytokine adsorption ability. The adsorption rate tended to be higher for the cytokines with lower molecular weight, and there was a significant correlation between the molecular weight of the cytokines and the adsorption rates. Electron microscopy showed that the PMMA hollow fiber membrane had a uniform internal structure from the inner to the outer layers of the membrane and had nano-pores inside the membrane that may have contributed to the adsorption of proteins with a specific molecular weight range. The clinical efficacy of a PMMA membrane hemofilter with cytokine adsorption properties against septic AKI needs further investigation including the evaluation of filtration performance of the hemofilters.
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27
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Çınaroğlu S, Keleş H. A new technique for preparing cadavers using PMMA: Rat and mouse example. Ann Anat 2022; 242:151919. [PMID: 35278657 DOI: 10.1016/j.aanat.2022.151919] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Revised: 02/03/2022] [Accepted: 02/22/2022] [Indexed: 11/27/2022]
Abstract
BACKGROUND Polymethyl methacrylate is a member of the acrylic polymer family with superior optical properties. It is used in dentistry, hospital incubators, lenses, and various surgical fields, especially orthopedics. In this preliminary study, we aimed to prepare cadavers using the industrial form of polymethyl methacrylate. METHODS The new technique consists of fixation, washing, purification, impregnation, and polymerization. For the study, two whole rat bodies, two rat front legs and two rat hind legs, one half rat body, two whole mouse bodies, and all internal organs were used. Wistar albino rats and BALB/c mice were used. After the cadaver samples were fixed and washed, they were passed through an alcohol series starting from 50%, completing the purification process. In the next step, a solution was prepared by mixing 100 ml of Thinner into 1000 ml of a mixture containing styrene, methyl methacrylate, and Co(II)2-ethyl hexanoate. The samples were immersed in the solution under negative pressure (from 10 mmHg to 400 mmHg), allowing the samples to absorb the solution thoroughly. They were then treated with methyl ethyl ketone peroxide and the polymerization step was terminated. RESULTS The cadaver samples obtained using polymer were hard, they maintained the given shape, and showed a relatively transparent quality. The production of these materials took 35 days, excluding fixation. The tissue samples were odorless in the process after polymerization. Also, there was no decay in the samples after the production stage and they could be stored under room conditions. CONCLUSION This study determined that cadavers could be prepared using polymethyl methacrylate and methyl ethyl ketone peroxide. The polymer used here cost about $5. The cadavers can be safely exhibited in room conditions for five years without requiring special conditions like pools or cold storage. Further research should compare this technique with the plastination technique in terms of texture, color, weight, application time, and cost.
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Affiliation(s)
- Selim Çınaroğlu
- Department of Anatomy, Faculty of Medicine, Niğde Ömer Halisdemir University, TR-51240 Niğde, Turkey.
| | - Hacı Keleş
- Department of Anatomy, Faculty of Medicine, Niğde Ömer Halisdemir University, TR-51240 Niğde, Turkey.
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28
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Shiraki A, Sakimoto S, Oie Y, Soma T, Miki A, Usui S, Sato S, Matsushita K, Sakaguchi H, Nishida K. Inferior Removal of Dislocated Polymethyl Methacrylate Intraocular Lens and Scleral Refixation in Glaucomatous Eyes. Ophthalmol Ther 2022. [PMID: 35190966 DOI: 10.1007/s40123-022-00477-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Accepted: 02/01/2022] [Indexed: 12/01/2022] Open
Abstract
Introduction The aim of this study was to report a technique for the removal of dislocated polymethyl methacrylate (PMMA) intraocular lenses (IOLs) in glaucomatous eyes. Methods Dislocated PMMA IOLs were removed from the inferior sclerocorneal incision, and sutureless intrascleral fixation of each IOL was performed to preserve the intact superior conjunctiva and sclera for future trabeculectomy or to maintain a functional filtering bleb of trabeculectomy.
Results In two cases, the condition of the bleb did not change, while the intraocular pressure improved or did not change after the procedures. IOL fixation was stable with no complications, such as tilt, decentration, or extrication of the IOL haptics. Conclusion This procedure of preserving the superior conjunctiva and sclera can maintain the function of the bleb, superior cornea and sclera and may contribute to the success of future trabeculectomy. Supplementary Information The online version contains supplementary material available at 10.1007/s40123-022-00477-z.
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Zhang J, Wang G, Zhang N. A meta-analysis of complications associated with the use of cement-augmented pedicle screws in osteoporosis of spine. Orthop Traumatol Surg Res 2021; 107:102791. [PMID: 33338677 DOI: 10.1016/j.otsr.2020.102791] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/25/2020] [Revised: 07/30/2020] [Accepted: 08/20/2020] [Indexed: 02/03/2023]
Abstract
PURPOSE Our study aimed to provide updated and comprehensive evidence on the complications associated with the use of cement-augmented pedicle screws (CAPS) in osteoporosis patients undergoing spinal instrumentation. METHODS Databases of PubMed, Embase, Ovoid, and Google Scholar were screened from January 2000-February 2020 for studies reporting complications of CAPS in osteoporosis patients. Pooled estimates (with 95% confidence intervals) were calculated. RESULTS Twenty studies were included. The pooled risk of screw loosening, screw breakage and screw migration was 2.0% (0.2%-4.9%), 0.6% (0%-2.0%) and 0.2% (0%-1.2%) respectively. On pooling of data from 1277 patients, we found the risk of all cement leakage to be 21.8% (6%-43.1%). However, data from 1654 patients indicated the risk of symptomatic cement leakage was 1.2% (0.6%-1.9%). The incidence of pulmonary embolism was 3.0% (0.5%-6.8%) while the risk of symptomatic pulmonary embolism was 0.8% (0.2%-1.5%). Pooled risk of neurovascular complications was 1.6% (0.3%-3.6%), adjacent compression fracture was 3.3% (1.2%-6.2%) and infectious complications was 3.1% (1.1%-5.7%). There were high heterogeneity and variability in the study outcomes. CONCLUSION The incidence of screw-related complications like loosening, breakage, and migration with the use of CAPS in spinal instrumentation of osteoporotic patients is low. The risk of cement leakage is high and variable but the incidence of symptomatic cement leakage and related neurovascular or pulmonary complications is low. Further studies using homogenous methods of reporting are needed to strengthen current evidence. LEVEL OF EVIDENCE II, Systematic Review and Meta-analysis.
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Affiliation(s)
- Jinlong Zhang
- Department of Orthopedics, Shengli Oilfield Central Hospital, No.31, Jinan Road, 257000 Dongying City, Shandong Province, China
| | - Guohua Wang
- Department of Orthopedics, Shengli Oilfield Central Hospital, No.31, Jinan Road, 257000 Dongying City, Shandong Province, China.
| | - Nannan Zhang
- Department of Orthopedics, Shengli Oilfield Central Hospital, No.31, Jinan Road, 257000 Dongying City, Shandong Province, China
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Wang Z, Yuh SJ, Renaud-Charest E, Tarabay B, Gennari A, Shedid D, Boubez G, Truong VT. Cervical Spine Reconstruction with Chest Tube Technique After Metastasis Resection: A Single-Center Experience. World Neurosurg 2021; 157:e49-e56. [PMID: 34583005 DOI: 10.1016/j.wneu.2021.09.088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Revised: 09/17/2021] [Accepted: 09/18/2021] [Indexed: 11/25/2022]
Abstract
BACKGROUND The silastic tube technique, in which a chest tube is placed into the vertebral body defect and impregnated with polymethyl methacrylate, showed good results in patients with lumbar and thoracic neoplastic diseases. There has been only 1 study about the effectiveness and safety of this technique in patients with cervical metastases. We aimed to report our experience in using this technique to reconstruct the spine after corpectomy for cervical metastasis. METHODS All patients with cervical spinal metastasis who underwent surgical treatment using a chest tube impregnated with polymethyl methacrylate in conjunction with anterior cervical plate stabilization were retrospectively recruited. Demographics, tumor histology, revised Tokuhashi score, preoperative and postoperative American Spinal Injury Association score, preoperative and postoperative ambulatory status, perioperative complications, and survival time were collected. RESULTS This study included 16 patients. The most common primary tumor site was the lung (6 patients; 37.5%). The mean (SD) survival time was 408 (401) days (range, 1-2797 days), and the median survival time was 72 days (95% confidence interval 28-116 days). Four patients (25%) died within 30 postoperative days. There was no surgical site infection or instrument failure after the surgery. Five patients (31.2%) lived >180 days, and 3 patients (18.8%) lived >360 days. One patient (6.2%) was still alive at the end of the study. CONCLUSIONS The silastic tube technique in conjunction with anterior cervical plate stabilization might be safe, effective, and cost-effective for patients with cervical spine metastasis.
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Affiliation(s)
- Zhi Wang
- Division of Orthopedics, Centre Hospitalier de l'Université de Montréal, University of Montreal, Montreal, Quebec, Canada
| | - Sung-Joo Yuh
- Division of Neurosurgery, Centre Hospitalier de l'Université de Montréal, University of Montreal, Montreal, Quebec, Canada
| | - Emilie Renaud-Charest
- Division of Orthopedics, Centre Hospitalier de l'Université de Montréal, University of Montreal, Montreal, Quebec, Canada
| | - Bilal Tarabay
- Division of Neurosurgery, Centre Hospitalier de l'Université de Montréal, University of Montreal, Montreal, Quebec, Canada
| | - Antoine Gennari
- Division of Neurosurgery, Centre Hospitalier de l'Université de Montréal, University of Montreal, Montreal, Quebec, Canada
| | - Daniel Shedid
- Division of Neurosurgery, Centre Hospitalier de l'Université de Montréal, University of Montreal, Montreal, Quebec, Canada
| | - Ghassan Boubez
- Division of Orthopedics, Centre Hospitalier de l'Université de Montréal, University of Montreal, Montreal, Quebec, Canada
| | - Van Tri Truong
- Division of Orthopedics, Centre Hospitalier de l'Université de Montréal, University of Montreal, Montreal, Quebec, Canada.
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Li GH, Chen S, Grymak A, Waddell JN, Kim JJ, Choi JJE. Fibre-reinforced and repaired PMMA denture base resin: Effect of placement on the flexural strength and load-bearing capacity. J Mech Behav Biomed Mater 2021; 124:104828. [PMID: 34530303 DOI: 10.1016/j.jmbbm.2021.104828] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2021] [Revised: 09/03/2021] [Accepted: 09/07/2021] [Indexed: 11/26/2022]
Abstract
OBJECTIVES To measure the effect of placement of glass fibre mesh on the flexural strength and load bearing capacity of repaired polymethylmethacrylate (PMMA) denture base resin. MATERIALS AND METHODS A total of 150 heat-polymerised acrylic resin specimens were fabricated with dimensions of 5 × 30 × 50 mm for flexural strength testing. Specimens were divided into 5 groups according to repair width and placement of the fibre mesh. Three groups (n = 90) had a repair width of 20 mm (including the control group), and two groups (n = 60) had a narrower repair width of 16 mm. Fibre mesh was either embedded at the neutral (bottom of the repair area) or tension (top of the repair area) zone of the specimen when subjected to flexural strength testing. Half of the specimens from each group were subjected to artificial ageing by thermocycling (5 °C and 55 °C, 30s dwell time) for 10,000 cycles to stimulate 12 months in vivo. All the specimens were stored in distilled water at 37 °C for 24 h prior to testing. The flexural strength of the specimen was obtained by three-point bend testing, and data were statistically analysed using ANOVA and post-hoc analysis (SPSS; significance level p < 0.05). Probability of failure was calculated using Weibull analysis. Scanning electron microscopy analysis was used to identify the mode of failure. RESULTS Specimens repaired with the 20 mm fibre mesh placed in the tension zone showed the highest mean flexural strength (101.33 ± 12.66 MPa) with statistical significance (p = 0.05) to the other groups except for the specimens repaired with the 16 mm fibre mesh placed in the tension zone (p = 0.072). The highest Weibull modulus was found in the thermal cycling group of the specimens with 20 mm repair width repaired with the fibre mesh embedded at the neutral zone (10.01). The lowest Weibull modulus was found in the non-thermal cycling group of the control group (3.15). CONCLUSION Placing fibre mesh in the tension zone of a PMMA specimen significantly improved the flexural strength of the repair. Placing the fibre mesh in the neutral zone or the fibre mesh width was short of the lower support rollers resulted in no significant increase in flexural strength compared to the non-reinforced control group. Ageing via thermal cycling resulted in a decrease in flexural strength across all sample groups. This study highlights the importance of recognising the valid repair region and to have the mesh embedded in certain dimensions, otherwise it will have no significant contribution towards the repair and increase of flexural strength of the denture.
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Affiliation(s)
- Gray Hun Li
- Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, New Zealand
| | - Shiyao Chen
- Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, New Zealand
| | - Anastasiia Grymak
- Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, New Zealand
| | - John Neil Waddell
- Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, New Zealand
| | | | - Joanne Jung Eun Choi
- Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, New Zealand.
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Gibreel M, Perea-Lowery L, Vallittu PK, Lassila L. Characterization of occlusal splint materials: CAD-CAM versus conventional resins. J Mech Behav Biomed Mater 2021; 124:104813. [PMID: 34530298 DOI: 10.1016/j.jmbbm.2021.104813] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2021] [Revised: 08/16/2021] [Accepted: 09/03/2021] [Indexed: 11/15/2022]
Abstract
AIM The aim of this in vitro study was to assess the mechanical properties of five commercially available subtractive computer-aided design and computer-aided manufacturing (CAD-CAM) milled splint materials, as well as to compare them with conventional heat-polymerized and autopolymerizing resins used in the construction of conventional splints. MATERIAL AND METHODS Five CAD-CAM milled (ProArt CAD Splint, Therapon Transpa, Temp Premium Flexible Transpa, Cast, and Aqua), one autopolymerizing (Palapress), and one heat-polymerized (Paladon 65) resin materials were evaluated. Flexural strength, E-modulus, Vickers hardness, fracture toughness, fracture work, water sorption, and water solubility were measured. Samples were evaluated after dry and water storage for 30 days at 37 °C. Data were collected and statistically analyzed. RESULTS Under both storage circumstances, the flexural strength values of Paladon 65, Therapon Transpa, Temp Premium Flexible Transpa, and Aqua were statistically non-significant (P=0.055). The polycarbonate-based CAD-CAM material Temp Premium Flexible Transpa had the highest statistically significant values of the fracture toughness and fracture work (P<0.001). Moreover, it exhibited the lowest percentages of water sorption and water solubility among the investigated materials (P<0.001). All of the CAD-CAM materials exhibited dry elastic moduli greater than Palapress and lower than Paladon 65. One of the CAD-CAM materials, Cast, had the highest dry Vickers hardness value, which was non-significant when compared to Therapon Transpa (P=0.762). CONCLUSION CAD-CAM polycarbonate-based splint materials exhibit higher fracture toughness and fracture work as well as lower water sorption and solubility than polymethyl methacrylate-based ones. The mechanical characteristics of the assessed CAD-CAM milled splint materials were not typically superior to those of the conventional heat-polymerized resin. However, some of them outperformed the autopolymerizing acrylic resin in terms of flexural strength, surface microhardness, water sorption, and water solubility.
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Affiliation(s)
- Mona Gibreel
- Department of Biomaterials Science and Turku Clinical Biomaterials Centre-TCBC, Institute of Dentistry, University of Turku, Turku, Finland.
| | - Leila Perea-Lowery
- Department of Biomaterials Science, Turku Clinical Biomaterials Centre-TCBC, Institute of Dentistry, University of Turku, Turku, Finland
| | - Pekka K Vallittu
- Professor and Chair of Biomaterials Science Department, University of Turku, Welfare Division, Turku, Finland
| | - Lippo Lassila
- Turku Clinical Biomaterials Centre-TCBC, Institute of Dentistry, University of Turku, Turku, Finland
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Munive-Olarte A, Hidalgo-Moyle JJ, Velasquillo C, Juarez-Moreno K, Mota-Morales JD. Boosting cell proliferation in three-dimensional polyacrylates/nanohydroxyapatite scaffolds synthesized by deep eutectic solvent-based emulsion templating. J Colloid Interface Sci 2021; 607:298-311. [PMID: 34509107 DOI: 10.1016/j.jcis.2021.08.149] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2020] [Revised: 08/18/2021] [Accepted: 08/23/2021] [Indexed: 11/28/2022]
Abstract
Among three-dimensional (3D) scaffold fabrication methods, porous polymers templated using high internal phase emulsions (HIPEs) have emerged as an attractive method due to the facile generation of interconnected porosity through a variety of synthetic routes. These include a bottom-up approach to selectively incorporate nanomaterials onto the inner walls in a nonaqueous environment. In this work, novel nonaqueous HIPEs made of different (meth)acrylate monomers and a deep eutectic solvent (DES) were formulated with nonfunctionalized nanohydroxyapatite (NHA), which also played the role of cosurfactant. Free radical polymerization of HIPEs yielded free-standing nanocomposites with 3D interconnected macroporosity and nonfunctionalized NHA selectively decorating the scaffolds' inner surface. The influence of different polymer functionalities, acrylate or methacrylate, their alkyl tail length, and the presence of NHA on MC3T3-E1 preosteoblast cell proliferation in vitro, reactive oxygen species (ROS) production and alkaline phosphatase (ALP) activity were evaluated. All materials presented promising biocompatibility, non-hemolytic activity, negligible inflammatory response along to remarkably enhanced cell proliferation (e.g., up to 160-fold cell proliferation increase compared with polystyrene plate) in vitro, which open the path for the development of scaffolds in regenerative medicine. It is noteworthy that polyHIPEs studied here were obtained using a green synthetic protocol where nonfunctionalized nanoparticles can be selectively incorporated into a scaffolds' inner walls. This versatile technique allows for the simple construction of 3D bioactive nanocomposite scaffolds with varied compositions for cell culture.
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Affiliation(s)
- Areli Munive-Olarte
- Centro de Nanociencias y Nanotecnología (CNyN), Universidad Nacional Autónoma de México (UNAM), Ensenada B.C. 22860, Mexico; Posgrado en Nanociencias, Centro de Investigación Científica y de Educación Superior de Ensenada (CICESE), Ensenada B.C. 22860, Mexico
| | - Joseline J Hidalgo-Moyle
- Posgrado en Ciencias Biológicas, Universidad Nacional Autónoma de México (UNAM), Ciudad Universitaria, CDMX 04510, Mexico
| | - Cristina Velasquillo
- Laboratorio de Biotecnología, Instituto Nacional de Rehabilitación LGII, Ciudad de México, CDMX 141389, Mexico
| | - Karla Juarez-Moreno
- Centro de Nanociencias y Nanotecnología (CNyN), Universidad Nacional Autónoma de México (UNAM), Ensenada B.C. 22860, Mexico.
| | - Josué D Mota-Morales
- Centro de Física Aplicada y Tecnología Avanzada (CFATA), Universidad Nacional Autónoma de México (UNAM), Querétaro, QRO 76230, Mexico.
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Patel Z, Sangani R, Lombard C. Cement pulmonary embolism after percutaneous kyphoplasty: An unusual culprit for non-thrombotic pulmonary embolism. Radiol Case Rep 2021; 16:3520-5. [PMID: 34539945 DOI: 10.1016/j.radcr.2021.08.047] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Revised: 08/19/2021] [Accepted: 08/19/2021] [Indexed: 01/03/2023] Open
Abstract
Non-thrombotic pulmonary embolism can occur from rare but diverse etiology and is not well understood. Increasing prevalence of osteoporosis in the aging population has contributed to increased utilization of percutaneous vertebral augmentation procedures of vertebroplasty and its recent modification, kyphoplasty. Though these procedures are relatively well tolerated, there is risk of potentially fatal complication of bone cement embolization to distant vasculature. We report a case of symptomatic pulmonary cement emboli developed 2 day's post kyphoplasty and its successful treatment with novel anticoagulant for 6 months. We also summarize evidence to assist clinicians and radiologists for early identification, treatment, and prevention of cement pulmonary emboli.
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Citak M, Luck S, Linke P, Gehrke T, Kühn KD. [Manual addition of antibiotics to industrial bone cement mixes : Investigations of the dry mix in the cement cartridge during manual admixture to polymer-active substance mixtures]. Orthopade 2021; 51:44-51. [PMID: 34032883 DOI: 10.1007/s00132-021-04115-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 04/21/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND Periprosthetic infection (PPI) is a rare but serious complication. An elementary component of the therapy of PPI is the use of bone cement with the addition of antibiotics. For targeted therapy, manual mixing of antibiotics with industrially produced bone cement mixtures is often necessary. Possible problems resulting from manual mixing have not been described sufficiently so far. OBJECTIVES Therefore, the aim of the present study was to describe the influence of the additional homogenisation by dry mixing of a polymer-active substance mixture on the quality of manually added cement. MATERIAL AND METHODS In the laboratory-based study, four cement samples were prepared using different methods for manual addition and homogenisation of antibiotics (vancomycin). The reference control was Copal® G + V (Heraeus Medical GmbH, Wehrheim, Germany), to which the vancomycin (V) had already been industrially added. The samples were then examined for mechanical, microbiological and microscopic parameters. RESULTS In the mechanical and microbiological results, no statistically significant differences were found between the manually added mixtures and the reference. After dry mixing of the polymer powder, the inner surface of the mixing cartridges used showed signs of scratching in the microscopic examination and showed indications of abrasion during mixing. CONCLUSION The manual addition of antibiotics to industrially produced bone cement should be reserved for selected indications if the bone cement mixtures produced by industry are not sufficient.
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Affiliation(s)
- Mustafa Citak
- Abteilung für Orthopädische Chirurgie, Helios ENDO-Klinik, Holstenstr. 2, 22767, Hamburg, Deutschland
| | - Stefan Luck
- Abteilung für Orthopädische Chirurgie, Helios ENDO-Klinik, Holstenstr. 2, 22767, Hamburg, Deutschland
| | - Philip Linke
- Abteilung für Orthopädische Chirurgie, Helios ENDO-Klinik, Holstenstr. 2, 22767, Hamburg, Deutschland.
| | - Thorsten Gehrke
- Abteilung für Orthopädische Chirurgie, Helios ENDO-Klinik, Holstenstr. 2, 22767, Hamburg, Deutschland
| | - Klaus-Dieter Kühn
- Universitätsklinik für Orthopädie und Traumatologie, Medizinische Universität Graz, Graz, Österreich
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Ehresman J, Pennington Z, Elsamadicy AA, Hersh A, Lubelski D, Lehner K, Cottrill E, Schilling A, Lakomkin N, Ahmed AK, Lo SF, Sciubba DM. Fenestrated pedicle screws for thoracolumbar instrumentation in patients with poor bone quality: Case series and systematic review of the literature. Clin Neurol Neurosurg 2021; 206:106675. [PMID: 34020324 DOI: 10.1016/j.clineuro.2021.106675] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2021] [Revised: 04/27/2021] [Accepted: 05/02/2021] [Indexed: 02/08/2023]
Abstract
OBJECTIVE To describe the results of a single-surgeon series and systematically review the literature on cement-augmented instrumented fusion with fenestrated pedicle screws. METHODS All patients treated by the senior surgeon using fenestrated screws between 2017 and 2019 with a minimum of 6-months of clinical and radiographic follow-up were included. For the systematic review, we used PRISMA guidelines to identify all prior descriptions of cement-augmented instrumented fusion with fenestrated pedicle screws in the English literature. Endpoints of interest included hardware loosening, cement leakage, and pulmonary cement embolism (PCE). RESULTS Our series included 38 patients (mean follow-up 14.8 months) who underwent cement-augmented instrumentation for tumor (47.3%), deformity/degenerative disease (39.5%), or osteoporotic fracture (13.2%). Asymptomatic screw lucency was seen in 2.6%, cement leakage in 445, and pulmonary cement embolism (PCE) in 5.2%. Our literature review identified 23 studies (n = 1526 patients), with low reported rates of hardware loosening (0.2%) and symptomatic PCE (1.0%). Cement leakage, while common (55.6%), produced symptoms in fewer than 1% of patients. Indications for cement-augmentation in this cohort included: spine metastasis with or without pathologic fracture (n = 18; 47.3%), degenerative spine disease or fixed deformity with poor underlying bone quality (n = 15; 39.5%), and osteoporotic fracture (n = 5; 13.2%). CONCLUSION Cement-augmented fusion with fenestrated screws appears to be a safe, effective means of treating patients with poor underlying bone quality secondary to tumor or osteoporosis. High-quality evidence with direct comparisons to non-augmented patients is needed.
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Affiliation(s)
- Jeff Ehresman
- Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
| | - Zach Pennington
- Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA; Department of Neurosurgery, Mayo Clinic, Rochester, MN 55905, USA.
| | - Aladine A Elsamadicy
- Department of Neurosurgery, Yale University School of Medicine, New Haven, CT 06510, USA
| | - Andrew Hersh
- Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA
| | - Daniel Lubelski
- Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA
| | - Kurt Lehner
- Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA
| | - Ethan Cottrill
- Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA
| | - Andrew Schilling
- Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA
| | - Nikita Lakomkin
- Department of Neurosurgery, Mayo Clinic, Rochester, MN 55905, USA
| | - A Karim Ahmed
- Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA
| | - Sheng-Fu Lo
- Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA
| | - Daniel M Sciubba
- Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA; Department of Neurosurgery, Zucker School of Medicine at Hofstra, Long Island Jewish Medical Center and North Shore University Hospital, Northwell Health, Manhasset, NY 11030, USA.
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Sun J, Wang L, Wang J, Li Y, Zhou X, Guo X, Zhang T, Guo H. Characterization and evaluation of a novel silver nanoparticles-loaded polymethyl methacrylate denture base: In vitro and in vivo animal study. Dent Mater J 2021; 40:1100-1108. [PMID: 33980747 DOI: 10.4012/dmj.2020-129] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The aim of this study was to optimize the preparation method of polymethyl methacrylate (PMMA) denture base loaded with nano silver (NAg), to more effectively and safely impart sustainable antibacterial functions. NAg solution was synthetized and mixed with acrylic acid and methyl methyacrylate (MMA) monomer in order to prepare a new type of NAg solution (NS)/polymer methyl methacrylate denture base specimens (NS/PMMA). The surface morphology, mechanical strength, antimicrobial activity, anti-aging performance, cytotoxicity and biocompatibility of NS/PMMA denture base were evaluated in comparison with specimens fabricated using traditional NAg adding methods and NAg-free denture base. The aesthetic characteristics and mechanical strength of NS/PMMA denture base met the clinical application requirements. Meanwhile, NS/PMMA denture base showed better antibacterial activity, anti-aging properties, no cytotoxicity and displayed exceptional biocompatibility. NS/PMMA denture base thus has great potential for clinical application.
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Affiliation(s)
- Jie Sun
- Key Laboratory for Biomechanics and Mechanobiology of Ministry of Education, School of Biological Science and Medical Engineering.,Department of Stomatology, the Fifth Medical Center, Chinese PLA General Hospital
| | - Li Wang
- Key Laboratory for Biomechanics and Mechanobiology of Ministry of Education, School of Biological Science and Medical Engineering
| | - Jian Wang
- Medical Devices Control, National Institutes For Food and Drug Control
| | - Yabin Li
- Department of Stomatology, the Fifth Medical Center, Chinese PLA General Hospital
| | - Xiangbin Zhou
- Department of Stomatology, the Third Medical Center, Chinese PLA General Hospital
| | - Ximin Guo
- Department of Advanced Interdisciplinary Studies, Institute of Basic Medical Sciences and Tissue Engineering Research Center, Academy of Military Medical Sciences
| | - Tong Zhang
- Department of Stomatology, the First Medical Center, Chinese PLA General Hospital
| | - Hongyan Guo
- Department of Stomatology, the Third Medical Center, Chinese PLA General Hospital
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Rupp M, Walter N, Ismat A, Alt V. [Polymethyl methacrylate cement coating of intramedullary implants : A new technique for revision surgery with the example of a temporary knee arthrodesis. Video article]. Orthopade 2021; 50:758-62. [PMID: 33942144 DOI: 10.1007/s00132-021-04111-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Accepted: 03/31/2021] [Indexed: 11/02/2022]
Abstract
BACKGROUND The coating of intramedullary rods with polymethyl methacrylate (PMMA) bone cement containing antibiotics ensures a high concentration of antibiotics locally and stability in fractures that are not yet consolidated. However, bone cement can detach when the implant is removed and remain in the medullary cavity of the long bones. CASE REPORT After a periprosthetic knee infection, a 56-year-old patient suffered from a painful reinfection of Staphylococcus epidermidis. This was an indication for removal of the prosthesis. OPERATION After soft-tissue debridement and synovectomy, rotating hinge prosthesis that had been inserted was removed. Humeral nails coated with PMMA cement containing antibiotics were used as temporary intramedullary implants. To prevent the bone cement from detaching when the implant was removed and cement residue from remaining in the bone, the humeral nails were reinforced with cerclage wire. The coated implant was then press fit into the medullary cavity.
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Gad MM, Abualsaud R, Alqarawi FK, Emam ANM, Khan SQ, Akhtar S, Mahrous AA, Al-Harbi FA. Translucency of nanoparticle-reinforced PMMA denture base material: An in-vitro comparative study. Dent Mater J 2021; 40:972-978. [PMID: 33883327 DOI: 10.4012/dmj.2020-296] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The aim of this study was to assess the translucency of denture base acrylic resin reinforced with zirconium dioxide (ZrO2NPs), silicon dioxide (SiO2NPs), and diamond (DNPs) nanoparticles. A total of 130 heat-polymerized acrylic discs (15×2.5 mm) were fabricated conventionally and divided into control and experimental groups according to nanoparticle type and concentration (0.5, 1, 1.5, and 2.5 wt%). Unmodified acrylic resin specimens served as control. All specimens were thermocycled (5,000 cycles). Translucency was measured using a spectrophotometer. ANOVA and post-hoc Turkeys' test were used for data analysis at α=0.05. The translucency of modified PMMA was significantly lower than control (p<0.05) except 0.5% ZrO2NPs and SiO2NPs (p>0.05) which exhibited the highest translucency values among modified groups. As the NPs concentration increased, the translucency decreased and the lowest value was seen with 2.5% DNPs (1.18±0.10). The addition of ZrO2NPs, SiO2NPs, and DNPs into denture base resin decreased the translucency.
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Affiliation(s)
- Mohammed M Gad
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University
| | - Reem Abualsaud
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University
| | - Firas K Alqarawi
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University
| | - Abdel-Naser M Emam
- Department of Removable Prosthodontics, Faculty of Dental Medicine, Al-Azhar University
| | - Soban Q Khan
- Department of Dental Education, College of Dentistry, Imam Abdulrahman Bin Faisal University
| | - Sultan Akhtar
- Department of Biophysics, Institute for Research and Medical Consultations, Imam Abdulrahman Bin Faisal University
| | - Amr A Mahrous
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University
| | - Fahad A Al-Harbi
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University
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Benli M, Eker-Gümüş B, Kahraman Y, Huck O, Özcan M. Can polylactic acid be a CAD/CAM material for provisional crown restorations in terms of fit and fracture strength? Dent Mater J 2021; 40:772-780. [PMID: 33642447 DOI: 10.4012/dmj.2020-232] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
This study aimed to evaluate polylactic acid (PLA) as a provisional crown material. Lower right first molar phantom tooth was used for the fabrication of 60 crowns. Samples were divided into three groups (n=20) according to the material: Group PL (PLA), Group PM (polymethyl methacrylate), and Group PE (polyetheretherketone). Each group was investigated for internal and marginal fit, fracture strength, and fracture mode. Data were analyzed using ANOVA, chi-squared test, and Tukey's tests (p≤0.05). The average marginal gap value of each group was: PE 56.00±4.67 µm, PM 61.15±4.44 µm, and PL 60.40±2.85 µm (p<0.001). The average internal gap value for each group was: PE 128.90±8.39 µm, PM 132.40±7.51 µm, and PL 130.75±9.76 µm (p=0.442). The average fracture strength of each group was: PE 840.90±13.23 N, PM 733.30±9.00 N, and PL 664.50±10.79 N (p<0.001). Results demonstrated that PLA may be a good option as a provisional crown material.
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Affiliation(s)
- Merve Benli
- Faculty of Dentistry, Department of Prosthodontics, Istanbul University
| | - Beril Eker-Gümüş
- Science and Technology Application and Research Center, Yıldız Technical University
| | - Yusuf Kahraman
- Science and Technology Application and Research Center, Yıldız Technical University
| | - Olivier Huck
- INSERM, UMR 1260 'Osteoarticular and Dental Regenerative Nanomedicine', Faculty of Medicine.,Faculty of Dentistry, Department of Periodontology, University of Strasbourg
| | - Mutlu Özcan
- Dental Materials Unit, Center for Dental and Oral Medicine Clinic for Fixed and Removable Prosthodontics and Dental Materials Science, University of Zürich
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Wedekind L, Güth JF, Schweiger J, Kollmuss M, Reichl FX, Edelhoff D, Högg C. Elution behavior of a 3D-printed, milled and conventional resin-based occlusal splint material. Dent Mater 2021; 37:701-10. [PMID: 33648744 DOI: 10.1016/j.dental.2021.01.024] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2020] [Revised: 12/12/2020] [Accepted: 01/20/2021] [Indexed: 12/21/2022]
Abstract
OBJECTIVE The elution of unpolymerized (co-)monomers and additives from methacrylic resin-based materials like polymethyl methacrylate (PMMA) can cause adverse side effects, such as mutagenicity, teratogenicity, genotoxicity, cytotoxicity and estrogenic activity. The aim of this study was to quantify the release and the cytotoxicity of residual (co-)monomers and additives from PMMA-based splint materials under consideration of real splint sizes. Three different materials used for additive (3D printing), subtractive (milling) and conventional (powder and liquid) manufacturing were examined. METHODS The splint materials SHERAprint-ortho plus (additive), SHERAeco-disc PM20 (subtractive) and SHERAORTHOMER (conventional) were analysed. 16 (n = 4) sample discs of each material (6 mm diameter and 2 mm height) were polished on the circular and one cross-section area and then eluted in both distilled water and methanol. The discs were incubated at 37 °C for 24 h or 72 h and subsequently analysed by gas chromatography/mass spectrometry (GC/MS) for specifying and quantifying released compounds. XTT-based cell viability assays with human gingival fibroblasts (HGFs) were performed for Tetrahydrofurfuryl methacrylate (THFMA), 1,4-Butylene glycol dimethacrylate (BDDMA) and Tripropylenglycol diacrylate (TPGDA). In order to project the disc size to actual splint sizes in a worst-case scenario, lower and upper jaw occlusal splints were designed and volumes and surfaces were measured. RESULTS For SHERAeco-disc PM20 and for SHERAORTHOMER no elution was determined in water. SHERAprint-ortho plus eluted the highest THFMA concentration of 7.47 μmol/l ±2,77 μmol/l after 72 h in water. Six (co-)monomers and five additives were detected in the methanol eluates of all three materials tested. The XTT-based cell viability assays resulted in a EC50 of 3006 ± 408 μmol/l for THFMA, 2569.5 ± 308 μmol/l for BDDMA and 596.7 ± 88 μmol/l for TPGDA. SIGNIFICANCE With the solvent methanol, released components from the investigated splint materials exceeded cytotoxic concentrations in HGFs calculated for a worst-case scenario in splint size. In the water eluates only the methacrylate THFMA could be determined from SHERAprint-ortho plus in concentrations below cytotoxic levels in HGFs.
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Basu B, Bhaskar N, Barui S, Sharma V, Das S, Govindarajan N, Hegde P, Perikal PJ, Antharasanahalli Shivakumar M, Khanapure K, Tekkatte Jagannatha A. Evaluation of implant properties, safety profile and clinical efficacy of patient-specific acrylic prosthesis in cranioplasty using 3D binderjet printed cranium model: A pilot study. J Clin Neurosci 2021; 85:132-142. [PMID: 33581784 DOI: 10.1016/j.jocn.2020.12.020] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2020] [Accepted: 12/14/2020] [Indexed: 01/21/2023]
Abstract
There exists a significant demand to develop patient-specific prosthesis in reconstruction of cranial vaults after decompressive craniectomy. we report here, the outcomes of an unicentric pilot study on acrylic cranial prosthesis fabricated using a 3D printed cranium model with its clinically relevant mechanical properties. METHODS The semi-crystalline polymethyl methacrylate (PMMA) implants, shaped to the cranial defects of 3D printed cranium model, were implanted in 10 patients (mean age, 40.8 ± 14.8 years). A binderjet 3D printer was used to create patient-specific mould and PMMA was casted to fabricate prosthesis which was analyzed for microstructure and properties. Patients were followed up for allergy, infection and cosmesis for a period of 6 months. RESULTS As-cast PMMA flap exhibited hardness of 15.8 ± 0.24Hv, tensile strength of 30.7 ± 3.9 MPa and elastic modulus of 1.5 ± 0.1 GPa. 3D microstructure of the semi-crystalline acrylic implant revealed 2.5-15 µm spherical isolated pores. The mean area of the calvarial defect in craniectomy patients was 94.7 ± 17.4 cm2. We achieved a cranial index of symmetry (CIS -%) of 94.5 ± 3.9, while the average post-operative Glasgow outcome scale (GOS) score recorded was 4.2 ± 0.9. CONCLUSIONS 3D printing based patient-specific design and fabrication of acrylic cranioplasty implant is safe and achieves acceptable cosmetic and clinical outcomes in patients with decompressive craniectomy. Our study ensured clinically acceptable structural and mechanical properties of implanted PMMA, suggesting that a low cost 3D printer based PMMA flap is an affordable option for cranioplasty in resource constrained settings.
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Affiliation(s)
- Bikramjit Basu
- Materials Research Center, Indian Institute of Science, Bangalore 560012, India; Center for BioSystems Science and Engineering, Indian Institute of Science, Bangalore 560012, India
| | - Nitu Bhaskar
- Materials Research Center, Indian Institute of Science, Bangalore 560012, India
| | - Srimanta Barui
- Materials Research Center, Indian Institute of Science, Bangalore 560012, India
| | - Vidushi Sharma
- Materials Research Center, Indian Institute of Science, Bangalore 560012, India
| | - Soumitra Das
- Materials Research Center, Indian Institute of Science, Bangalore 560012, India
| | - Nikhil Govindarajan
- Department of Metallurgical and Materials Engineering, National Institute of Technology, Surathkal, Mangaluru 575025, Karnataka, India
| | - Pranoy Hegde
- Department of Neurosurgery, Ramaiah Medical College, Bengaluru, Karnataka 560054, India
| | - Parichay J Perikal
- Department of Neurosurgery, Ramaiah Medical College, Bengaluru, Karnataka 560054, India
| | | | - Kiran Khanapure
- Department of Neurosurgery, Ramaiah Medical College, Bengaluru, Karnataka 560054, India
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Pahlevanzadeh F, Bakhsheshi-Rad HR, Kharaziha M, Kasiri-Asgarani M, Omidi M, Razzaghi M, Ismail AF, Sharif S, RamaKrishna S, Berto F. CNT and rGO reinforced PMMA based bone cement for fixation of load bearing implants: Mechanical property and biological response. J Mech Behav Biomed Mater 2021; 116:104320. [PMID: 33571842 DOI: 10.1016/j.jmbbm.2021.104320] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2020] [Revised: 12/17/2020] [Accepted: 01/06/2021] [Indexed: 12/14/2022]
Abstract
Polymethyl methacrylate (PMMA) bone cements (BCs) have some drawbacks, including limited bioactivity and bone formation, as well as inferior mechanical properties, which may result in failure of the BC. To deal with the mentioned issues, novel bioactive polymethyl methacrylate-hardystonite (PMMA-HT) bone cement (BC) reinforced with 0.25 and 0.5 wt% of carbon nanotube (CNT) and reduced graphene oxide (rGO) was synthesized. In this context, the obtained bone cements were evaluated in terms of their mechanical and biological characteristics. The rGO reinforced bone cement exhibited better mechanical properties to the extent that the addition of 0.5 wt% of rGO where its compressive and tensile strength of bioactive PMMA-HT/rGO cement escalated from 92.07 ± 0.72 MPa, and 40.02 ± 0.71 MPa to 187.48 ± 5.79 MPa and 64.92 ± 0.75 MPa, respectively. Besides, the mechanisms of toughening, apatite formation, and cell interaction in CNT and rGO encapsulated PMMA have been studied. Results showed that the existence of CNT and rGO in BCs led to increase of MG63 osteoblast viability, and proliferation. However, rGO reinforced bone cement was more successful in supporting MG63 cell attachment compared to the CNT counterpart due to its wrinkled surface, which made a suitable substrate for cell adhesion. Based on the results, PMMA-HT/rGO can be a proper bone cement for the fixation of load-bearing implants.
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Abstract
Purpose: The objective of this study was to determine whether the addition of different types
of boron (Borax, Boric Acid and Colemanite) to polymethyl methacrylate denture
base resin would improve flexural and impact strengths, and surface hardness of
polymethyl methacrylate. Materials and methods: Borax, Boric acid, Colemanite were added to heat polymerized polymethyl
methacrylate specimens were prepared for flexural strength (65x10x2.5 mm),
impact strength (50x6x4 mm), and hardness (20x6x4 mm) tests according to the
manufacturers’ instructions (n=10). To determine flexural strength of the specimens,
they were loaded until failure on a universal testing machine using a three point
bending test. Specimens were subjected to the Charpy impact test machine.
Hardness of the specimens was measured with an analog shoremeter Shore D. The
data were analyzed with Kruskal-Wallis and Mann-Whitney U tests (α=0.05). Results: The highest mean flexural strength value was seen in 3% Borax group and followed
by 1% Colemanite group. In addition, the highest mean impact strength value was
recorded in 1% Colemanite group, and differences between 1% Colemanite group
and control group were found to be statistically significant (p=0,001). Furthermore,
there was significant difference in hardness between control group and all other
groups (p<0.001). Conclusion: The addition of 1% Colemanite to polymethyl methacrylate improved the
mechanical properties of PMMA.
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Affiliation(s)
- Ali Kemal Ozdemir
- Department of Prosthodontics, Faculty of Dentistry,Trakya University, Edirne,Turkey
| | - Derya Ozdemir Dogan
- Department of Prosthodontics, Faculty of Dentistry,Cumhuriyet University, Sivas,Turkey
| | - Faik Tugut
- Department of Prosthodontics, Faculty of Dentistry,Cumhuriyet University, Sivas,Turkey
| | - Hakan Demir
- Department of Prosthodontics, Faculty of Dentistry,Cumhuriyet University, Sivas,Turkey
| | - Hakan Akin
- Department of Prosthodontics, Faculty of Dentistry,Sakarya University, Sakarya,Turkey
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45
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Lee SM, Oh HS, Lee SH, Lee HC, Hwang BW. Cement Augmented Anterior Reconstruction and Decompression without Posterior Instrumentation: A Less Invasive Surgical Option for Osteoporotic Thoracolumbar Fracture with Cord Compression. Korean J Neurotrauma 2020; 16:190-199. [PMID: 33163427 PMCID: PMC7607031 DOI: 10.13004/kjnt.2020.16.e37] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2020] [Revised: 08/13/2020] [Accepted: 09/23/2020] [Indexed: 11/15/2022] Open
Abstract
Objective We investigated the clinical and radiological outcomes of a cement augmented anterior reconstruction and decompression without pedicle screw fixation in patients with osteoporotic thoracolumbar vertebral fracture with myelopathy. Methods There were 2 male and 6 female patients with thoracolumbar fracture and myelopathy included in the study. The mean follow-up period was more than 1 years. The anterolateral decompression and cement augmented anterior reconstruction with poly(methyl methacrylate) (PMMA) was performed. Demographic data, clinical outcomes, perioperative parameters and radiologic parameter were retrospectively evaluated. Results The symptoms due to myelopathy were improved in all patients. The preoperative median visual analog scale score for lower back and leg were 8.5 that improved 4.25 and 3 at last follow up. The preoperative function state showed a median Oswestry Disability Index score 61.5 that improved 33. After surgery, preoperative encroachment of the spinal canal (5.12 mm, 37%) was disappeared. The median height of fractured vertebral body significantly increased from 7.83 to 12.63 mm. At the last follow-up point, the median height was 9.91 mm. The median kyphotic deformity was improved from 22.12° to 14.31°. At the final follow-up, the improvement was preserved (median value: 15.03). The acute complication according to PMMA such as leakage and embolization was none, but adjacent compression fracture as late complication according to cement augmentation was. One patient developed surgical site infection. Conclusion On the basis of the preliminary results, we considered that anterolateral decompression and PMMA augmentation might be an optimal method for treating osteoporotic fracture with myelopathy in elderly patients or those with multiple medical comorbidities.
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Affiliation(s)
- Sang-Min Lee
- Department of Neurosurgery, Busan Wooridul Spine Hospital, Busan, Korea
| | - Hyeong Seok Oh
- Department of Neurosurgery, Busan Wooridul Spine Hospital, Busan, Korea
| | - Sang-Ho Lee
- Department of Neurosurgery, Spine Health Wooridul Hospital (SHWH) Gangnam, Seoul, Korea
| | - Hyung-Chang Lee
- Department of Cardiovascular Surgery, Busan Wooridul Spine Hospital, Busan, Korea
| | - Byeong-Wook Hwang
- Department of Neurosurgery, Dongrae Wooridul Spine Hospital, Busan, Korea
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Cunha C, Lopes J, Paulo J, Faria M, Kaufmann M, Nogueira N, Ferreira A, Cordeiro N. The effect of microplastics pollution in microalgal biomass production: A biochemical study. Water Res 2020; 186:116370. [PMID: 32906034 DOI: 10.1016/j.watres.2020.116370] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/14/2020] [Revised: 08/03/2020] [Accepted: 08/31/2020] [Indexed: 06/11/2023]
Abstract
Microplastics (MPs) are widely spread throughout aquatic systems and water bodies. Given that water quality is one of the most important parameters in the microalgal-based industry, it is critical to assess the biochemical impact of short- and long-term exposure to MPs pollution. Here, the microalga Phaeodactylum tricornutum was exposed to water contaminated with 0.5 and 50 mg L-1 of polystyrene (PS) and/or polymethyl methacrylate (PMMA). Results show that the microalgal cultures exposed to lower concentrations of PS displayed a growth enhancement of up to 73% in the first stage (days 3-9) of the exponential growth phase. Surprisingly, and despite the fact that long-term exposure to MPs contamination did not impair microalgal growth, a steep decrease in biomass production (of up to 82%) was observed. The production of photosynthetic pigments was shown to be pH-correlated during the full growth cycle, but cell density-independent in later stages of culturing. The extracellular carbohydrates production exhibited a major decrease during long-term exposure. Still, the production of extracellular proteins was not affected by the presence of MPs. This pilot laboratory-scale study shows that the microalgal exposure to water contaminated with MPs disturbs its biochemical equilibrium in a time-dependent manner, decreasing biomass production. Thus, microalgal industry-related consequences derived from the use of MPs-contaminated water are a plausible possibility.
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Affiliation(s)
- César Cunha
- LB3 - Faculty of Science and Engineering, University of Madeira, 9000-390 Funchal, Portugal
| | - Joana Lopes
- LB3 - Faculty of Science and Engineering, University of Madeira, 9000-390 Funchal, Portugal
| | - Jorge Paulo
- LB3 - Faculty of Science and Engineering, University of Madeira, 9000-390 Funchal, Portugal
| | - Marisa Faria
- LB3 - Faculty of Science and Engineering, University of Madeira, 9000-390 Funchal, Portugal; Oceanic Observatory of Madeira, ARDITI, Madeira Tecnopolo, 9020-105 Funchal, Portugal; CIIMAR - Interdisciplinary Centre of Marine and Environmental Research, University of Porto, 4450-208 Matosinhos, Portugal
| | - Manfred Kaufmann
- CIIMAR - Interdisciplinary Centre of Marine and Environmental Research, University of Porto, 4450-208 Matosinhos, Portugal; Marine Biology Station of Funchal, Faculty of Life Sciences, University of Madeira, 9000-107 Funchal, Portugal
| | - Natacha Nogueira
- CIIMAR - Interdisciplinary Centre of Marine and Environmental Research, University of Porto, 4450-208 Matosinhos, Portugal; Mariculture Center of Calheta, Fisheries Directorate, 9370-133 Calheta, Portugal
| | - Artur Ferreira
- CICECO - Aveiro Institute of Materials and Águeda School of Technology and Management, University of Aveiro, 3754-909 Águeda, Portugal
| | - Nereida Cordeiro
- LB3 - Faculty of Science and Engineering, University of Madeira, 9000-390 Funchal, Portugal; CIIMAR - Interdisciplinary Centre of Marine and Environmental Research, University of Porto, 4450-208 Matosinhos, Portugal.
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Shrestha B, Wichai W, Srikhirin T, Dechkunakorn S, Anuwongnukroh N. Impact of household vinegar on calculus removal and mechanical properties of orthodontic resin. J Orofac Orthop 2021; 82:54-63. [PMID: 33104816 DOI: 10.1007/s00056-020-00255-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2020] [Accepted: 06/23/2020] [Indexed: 10/23/2022]
Abstract
PURPOSE This study evaluated calculus removal efficacy of household vinegar and its effect on autopolymerizing orthodontic resin following repeated immersion. METHODS A total of 72 sectioned specimens of orthodontic retainers with calculus deposits following cleaning with the help of immersion in vinegar of different dilutions between 12.5% and 100%, tap water, effervescent tablets, and mechanical debridement were digitally analyzed. Changes in Ca and Fe ions in vinegar were assessed by atomic emission spectroscopy (AES). For mechanical testing, autopolymerizing polymethyl methacrylate (PMMA) samples were similarly grouped and immersed for 78 cycles and their flexural strength and hardness measured. Fourier-transform infrared spectroscopy (FTIR) was performed to evaluate changes in their chemical composition. One-way analysis of variance (ANOVA) and Tukey's test were used to analyze the differences in the mean flexural strength and hardness between the groups (p ≤ 0.05). RESULTS A minimum immersion of 2 h in 25% vinegar solution combined with brushing attained efficiency of 74.13 ± 22% calculus removal. Whereas, tap water and effervescent tablets had 15% and 49% efficiency, respectively. AES results showed diffusion of Ca ions from calculus into the vinegar solution as a plausible mechanism for its structural weakening and removal. Results of mechanical testing showed that undiluted vinegar solution affected the flexural strength of PMMA and this effect was significantly different from that of the effervescent tablets and the remaining vinegar concentrations. There was no significant difference in hardness between the groups. The FTIR showed no changes in the chemical composition of PMMA samples following repeated immersions. CONCLUSION Vinegar can be useful in the removal of calculus from dental appliances but should be used in diluted forms to minimize side effects.
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Garcia BA, Panariello BHD, de Freitas Pontes KM, Duarte S. Regimen and different surfaces interfere with photodynamic therapy on Candida albicans biofilms. J Microbiol Methods 2020; 178:106080. [PMID: 33039543 DOI: 10.1016/j.mimet.2020.106080] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2020] [Revised: 10/01/2020] [Accepted: 10/02/2020] [Indexed: 01/10/2023]
Abstract
The aim of this study is to compare antimicrobial photodynamic therapy (aPDT) against Candida albicans biofilms formed on two different substrates - acrylic resin or bottom of polystyrene plate; and two aPDT application regimens - twice-daily over the course of 48 h or single treatment after 48 h biofilm formation. C. albicans SN425 biofilms cultivated on Roswell Park Memorial Institute medium were incubated for 5 min with toluidine blue O (44 μM) used as a photosensitizer before red light (635 nm; 175.2 J/cm2) exposure for 2 min. As negative control, ultrapure water, and as positive control 0.12% chlorhexidine (CHX) were used. Biofilms were analyzed for colony forming units (CFU) and cells morphology by confocal scanning laser microscopy. Single treatment and twice-daily aPDT on polystyrene plate and single treatment on acrylic resin did not significantly reduce the CFU (p > 0.05); in contrast, twice-daily aPDT on acrylic resin has reduced C. albicans below the detection limit, similarly to CHX treatment. Single aPDT treatment on polystyrene plate and on the resin presented a bulky and homogeneous biofilm predominantly formed by pseudohyphae. In contrast, in the resin group, the biofilm treated twice-daily with aPDT was predominantly formed by yeast cells, whilst pseudohyphae were occasionally visible. In conclusion, biofilms formed on polystyrene plates are more resistant to aPDT than biofilms formed on acrylic resin. Moreover, applying aPDT twice-daily reduces C. albicans biofilm development on acrylic resin and is a better approach against C. albicans biofilms than one single application on the mature biofilm.
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Affiliation(s)
- Bruna Albuquerque Garcia
- Department of Restorative Dentistry, Federal University of Ceara, Fortaleza, Ceara, Brazil. Monsenhor Furtado Street - Rodolfo Teófilo, Fortaleza, CE 60430-355, Brazil.
| | - Beatriz Helena Dias Panariello
- Department of Cariology, Operative Dentistry and Dental Public Health, Indiana University School of Dentistry, Indianapolis, Indiana, USA. 1121 W. Michigan Street, DS 406; Indianapolis, IN, 46202, USA.
| | - Karina Matthes de Freitas Pontes
- Department of Restorative Dentistry, Federal University of Ceara, Fortaleza, Ceara, Brazil. Monsenhor Furtado Street - Rodolfo Teófilo, Fortaleza, CE 60430-355, Brazil.
| | - Simone Duarte
- Department of Cariology, Operative Dentistry and Dental Public Health, Indiana University School of Dentistry, Indianapolis, Indiana, USA. 1121 W. Michigan Street, DS 406; Indianapolis, IN, 46202, USA.
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Wang PH, Wu CL, Chen CM, Wang JY, Wu PK, Chen WM. Adjuvant therapy by high-speed burr may cause intraoperative bone tumor seeding: an animal study. BMC Musculoskelet Disord 2020; 21:507. [PMID: 32736546 PMCID: PMC7395403 DOI: 10.1186/s12891-020-03544-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/01/2020] [Accepted: 07/28/2020] [Indexed: 12/28/2022] Open
Abstract
Background Bone tumors are often treated with intralesional curettage. High-speed burring, an adjuvant therapy, was performed to maximize the tumor cell killing; however, tumor recurrence might still occur, which may be caused by residual tumor or local tumor spread during surgery. Methods A porcine cadaver (femur) was utilized to determine whether the use of a high-speed burr causes bone cement spray. To mimic residual tumor after curettage, luminescent cement was smeared on two locations of the bone cavity, the wall and the bottom. The cavity in the femoral bone was then placed in the middle of a sheet of drawing paper featuring 10 cm, 20 cm, and 30 cm concentric circles. The luminescent cement was then burred totally with a high-speed burr. Results The intensity of the area in the wall in circle I was 72.6% ± 5.8%; within circle II, it was 22.1% ± 4.2%; and within circle III, it was 5.4% ± 1.5%. The intensity of the area within the bottom of the femoral bone within circle I was 66.5% ± 6.1%, within circle II was 28.1 ± 4.8%, and within circle III, it was 5.4% ± 1.4%. The amount of luminescent cement seeding decreased with distance, but there was no difference while burring at different locations of the bone cavity. Under the handpiece cover, a greater amount of cement spray was retained in circle I during burring of the cement in the bottom of the cavity and less was sprayed out in circle III. Conclusions High-speed burring may cause explosive bone cement spray, which could extend to 20 cm. The intensities of spray did not decrease, even when the handpiece cover was used. The wide range of bone cement spray caused by high-speed burr was inspected in this pilot study, which may lead to tumor seeding. Level of evidence Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.
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Affiliation(s)
- Pai-Han Wang
- Department of Orthopaedics, Therapeutical and Research Center of Musculoskeletal Tumor, Taipei Veterans General Hospital, Taipei, Taiwan.,Department of Orthopaedics & Traumatology, Taipei Veterans General Hospital, 201 Shi-Pai Road, Beitou District, Taipei, 11217, Taiwan.,Department of Orthopedics, School of Medicine, National Yang-Ming University, Taipei, Taiwan
| | - Chia-Lun Wu
- Department of Orthopaedics, Therapeutical and Research Center of Musculoskeletal Tumor, Taipei Veterans General Hospital, Taipei, Taiwan.,Department of Orthopaedics & Traumatology, Taipei Veterans General Hospital, 201 Shi-Pai Road, Beitou District, Taipei, 11217, Taiwan
| | - Chao-Ming Chen
- Department of Orthopaedics & Traumatology, Taipei Veterans General Hospital, 201 Shi-Pai Road, Beitou District, Taipei, 11217, Taiwan.,Department of Orthopedics, School of Medicine, National Yang-Ming University, Taipei, Taiwan.,Institute of Clinical Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan
| | - Jir-You Wang
- Department of Orthopaedics, Therapeutical and Research Center of Musculoskeletal Tumor, Taipei Veterans General Hospital, Taipei, Taiwan.,Department of Orthopaedics & Traumatology, Taipei Veterans General Hospital, 201 Shi-Pai Road, Beitou District, Taipei, 11217, Taiwan.,Institute of Traditional Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan
| | - Po-Kuei Wu
- Department of Orthopaedics, Therapeutical and Research Center of Musculoskeletal Tumor, Taipei Veterans General Hospital, Taipei, Taiwan. .,Department of Orthopaedics & Traumatology, Taipei Veterans General Hospital, 201 Shi-Pai Road, Beitou District, Taipei, 11217, Taiwan. .,Department of Orthopedics, School of Medicine, National Yang-Ming University, Taipei, Taiwan. .,Institute of Clinical Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan.
| | - Wei-Ming Chen
- Department of Orthopaedics, Therapeutical and Research Center of Musculoskeletal Tumor, Taipei Veterans General Hospital, Taipei, Taiwan.,Department of Orthopaedics & Traumatology, Taipei Veterans General Hospital, 201 Shi-Pai Road, Beitou District, Taipei, 11217, Taiwan.,Department of Orthopedics, School of Medicine, National Yang-Ming University, Taipei, Taiwan
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50
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Tan B, Wang ZL, Li DB, Xu Z, Chen J, Hou SZ, Wang X, Wang W. [Application of membrane induced by antibiotic loaded bone cement in skin grafting for tendon exposed wound healing]. Zhongguo Gu Shang 2020; 33:564-6. [PMID: 32573164 DOI: 10.12200/j.issn.1003-0034.2020.06.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVE To evaluate the effects of membrane induced by antibiotic-loaded bone cement in skin grafting for tendon exposed wound healing. METHODS A total of 10 traumatic patients with tendon exposed wound were admitted to our department between February 2016 and December 2018, including 6 males and 4 females, with a mean age of 34.6 years old (ranged, 19 to 43 years old), and treatment duration ranged from 2 to 6 months. There were 7 cases of traffic accidents, 3 cases of mechanical belt injuries, including 8 cases of lower leg and foot wounds and 2 cases of hand back wounds. These tendons exposed wound were covered by antibiotic-loaded bone cement at the earlier stageto induce the formation of the biomembrane, and then skin grafting were performed on the induced membrane. The survival, appearance, texture, sensation of the skin grafting and healing condition of the wounds were studied. RESULTS Among the 10 patients, skin graft survived well in 8 patients. Partial skin graft necrosis occurred in 2 patients and cured by dressing. CONCLUSION Using antibiotic bone cement to seal the wound to form induction membrane followed by skin grafting can effectively repair the tendon exposed wound, which has the characteristics of simple operation and less trauma.
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Affiliation(s)
- Bin Tan
- Department of Orthopaedics, 906 Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army, Ningbo 314050, Zhejiang, China
| | - Zhen-Lin Wang
- Department of Orthopaedics, 906 Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army, Ningbo 314050, Zhejiang, China
| | - Deng-Bo Li
- Department of Orthopaedics, 906 Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army, Ningbo 314050, Zhejiang, China
| | - Zhao Xu
- Department of Orthopaedics, 906 Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army, Ningbo 314050, Zhejiang, China
| | - Juan Chen
- Department of Orthopaedics, 906 Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army, Ningbo 314050, Zhejiang, China
| | - Shi-Zhi Hou
- Department of Orthopaedics, 906 Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army, Ningbo 314050, Zhejiang, China
| | - Xiang Wang
- Department of Orthopaedics, 906 Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army, Ningbo 314050, Zhejiang, China
| | - Wei Wang
- Department of Orthopaedics, 906 Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army, Ningbo 314050, Zhejiang, China
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