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  • 1.
    Kjellin, Per
    et al.
    Promimic AB, Sweden.
    Danielsson, Karin
    Promimic AB, Sweden.
    Håkansson, Joakim
    RISE Research Institutes of Sweden, Material och produktion, Metodik för produktframtagning. University of Gothenburg, Sweden.
    Agrenius, Karin
    RISE Research Institutes of Sweden, Material och produktion, Kemi och Tillämpad mekanik.
    Andersson, Therese
    RISE Research Institutes of Sweden, Material och produktion, Metodik för produktframtagning.
    Stenlund, Patrik
    RISE Research Institutes of Sweden, Material och produktion, Metodik för produktframtagning.
    Biomechanical and histomorphometric evaluation of skin integration on titanium and PEEK implants with different surface treatments2022Inngår i: Journal of materials science. Materials in medicine, ISSN 0957-4530, E-ISSN 1573-4838, Vol. 33, nr 10, artikkel-id 68Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Percutaneous implants are frequently affected by bacterial growth at the skin-implant interface. Integration between implant and surrounding skin is important to prevent bacteria from spreading to the underlying tissue. The standard method to evaluate skin-implant integration is by histomorphometry on samples which have been placed in tissue grown in vivo or ex vivo. In this study, a biomechanical method was developed and evaluated. The integration of implants into porcine skin was studied in an ex vivo model, where pig skin samples were cultivated in a nutrient solution. Cylindrical shaped implants, consisting of polyether ether ketone (PEEK) and titanium (Ti) with different surface treatments, were implanted in the skin tissue and the skin was grown in nutrient solution for 2 weeks. The implants were then extracted from the implantation site and the mechanical force during extraction was measured as a quantitative assessment of skin-implant integration. Implants from each group were also processed for histomorphometry and the degree of epidermal downgrowth (ED) and tissue to implant contact (TIC) was measured. A higher mean pullout force was observed for the PEEK implants compared to the Ti implants. Applying nanosized hydroxyapatite (HA) on Ti and PEEK increased the pullout force compared to uncoated controls, 24% for machined and 70% for blasted Ti, and 51% for machined PEEK. Treatment of Ti and PEEK with nanosized zirconium phosphate (ZrP) did not increase the pullout force. The histomorphometry analysis showed correlation between ED and pullout force, where the pullout force was inversely proportional to ED. For TIC, no significant differences were observed between the groups of same material (i.e. Ti, Ti+HA, Ti+ZrP, and PEEK, PEEK + HA, PEEK + ZrP), but it was significantly higher for PEEK compared to Ti. Scanning electron microscopy analysis was done on samples before and after the pullout tests, showing that the ZrP coating was unaffected by the 2 week ex vivo implantation and pullout procedure, no dissolution or detachment of the coating was observed. For the HA coating, a loss of coating was seen on approximately 5% of the total surface area of the implant. [Figure not available: see fulltext.] © 2022, The Author(s).

  • 2.
    Murase, Kohei
    et al.
    BIOMATCELL VINN Excellence Center of Biomaterials and Cell Therapy, Sweden.
    Stenlund, Patrik
    RISE - Research Institutes of Sweden (2017-2019), Biovetenskap och material, Kemi och material. BIOMATCELL VINN Excellence Center of Biomaterials and Cell Therapy, Sweden ; University of Gothenburg, Sweden.
    Thomsen, Peter
    BIOMATCELL VINN Excellence Center of Biomaterials and Cell Therapy, Sweden.
    Lausmaa, Jukka
    RISE - Research Institutes of Sweden (2017-2019), Biovetenskap och material, Kemi och material. BIOMATCELL VINN Excellence Center of Biomaterials and Cell Therapy, Sweden.
    Palmquist, Anders
    BIOMATCELL VINN Excellence Center of Biomaterials and Cell Therapy, Sweden ; University of Gothenburg, Sweden.
    Three-dimensional modeling of removal torque and fracture progression around implants.2018Inngår i: Journal of materials science. Materials in medicine, ISSN 0957-4530, E-ISSN 1573-4838, Vol. 29, nr 7, artikkel-id 104Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In the present study, a model for simulations of removal torque experiments was developed using finite element method. The interfacial retention and fracturing of the surrounding material caused by the surface features during torque was analyzed. It was hypothesized that the progression of removal torque and the phases identified in the torque response plot represents sequential fractures at the interface. The 3-dimensional finite element model fairly accurately predicts the torque required to break the fixation of acid-etched implants, and also provides insight to how sequential fractures progress downwards along the implant side.

    Fulltekst (pdf)
    fulltext
  • 3.
    Shah, Furqan A.
    et al.
    University of Gothenburg, Sweden; BIOMATCELL VINN Excellence Centre of Biomaterials and Cell Therapy, Sweden.
    Stenlund, Patrik
    RISE., SP – Sveriges Tekniska Forskningsinstitut, SP Kemi Material och Ytor, Medicinteknik. University of Gothenburg, Sweden; BIOMATCELL VINN Excellence Centre of Biomaterials and Cell Therapy, Sweden.
    Martinelli, Anna
    Chalmers University of Technology, Sweden.
    Thomsen, Peter
    University of Gothenburg, Sweden; BIOMATCELL VINN Excellence Centre of Biomaterials and Cell Therapy, Sweden.
    Palmquist, Anders
    University of Gothenburg, Sweden; BIOMATCELL VINN Excellence Centre of Biomaterials and Cell Therapy, Sweden.
    Direct communication between osteocytes and acid-etched titanium implants with a sub-micron topography2016Inngår i: Journal of materials science. Materials in medicine, ISSN 0957-4530, E-ISSN 1573-4838, Vol. 27, nr 11, artikkel-id 167Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The osteocyte network, through the numerous dendritic processes of osteocytes, is responsible for sensing mechanical loading and orchestrates adaptive bone remodelling by communicating with both the osteoclasts and the osteoblasts. The osteocyte network in the vicinity of implant surfaces provides insight into the bone healing process around metallic implants. Here, we investigate whether osteocytes are able to make an intimate contact with topologically modified, but micrometre smooth (Sa < 0.5 µm) implant surfaces, and if sub-micron topography alters the composition of the interfacial tissue. Screw shaped, commercially pure (cp-Ti) titanium implants with (i) machined (Sa = ~0.2 µm), and (ii) two-step acid-etched (HF/HNO3 and H2SO4/HCl; Sa = ~0.5 µm) surfaces were inserted in Sprague Dawley rat tibia and followed for 28 days. Both surfaces showed similar bone area, while the bone-implant contact was 73 % higher for the acid-etched surface. By resin cast etching, osteocytes were observed to maintain a direct intimate contact with the acid-etched surface. Although well mineralised, the interfacial tissue showed lower Ca/P and apatite-to-collagen ratios at the acid-etched surface, while mineral crystallinity and the carbonate-to-phosphate ratios were comparable for both implant surfaces. The interfacial tissue composition may therefore vary with changes in implant surface topography, independently of the amount of bone formed. Implant surfaces that influence bone to have higher amounts of organic matrix without affecting the crystallinity or the carbonate content of the mineral phase presumably result in a more resilient interfacial tissue, better able to resist crack development during functional loading than densely mineralised bone.

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