Showing papers in "Journal of Biomedical Materials Research in 1987"

Plasma sprayed coatings of hydroxylapatite

Abstract: The technique of plasma spraying has been applied to deposit a thin, dense layer of hydroxylapatite onto a titanium substrate. Bond strength of such apatite coatings with the substrate have been measured, as well as the (absence of) influence of the coating process on fatigue properties of the substrate. Animal studies showed similar histological reactions to apatite coatings as to (well documented) apatite bulk materials.

Effect of molecular weight (Mw) of N-(2-hydroxypropyl)methacrylamide copolymers on body distribution and rate of excretion after subcutaneous, intraperitoneal, and intravenous administration to rats.

Abstract: A copolymer of N-(2-hydroxypropyl) methacrylamide (HPMA) and N-methacryloyltyrosinamide was prepared and fractionated using Sepharose 4B/6B (1:1) chromatography to produce eight HPMA copolymer fractions of narrow polydispersity and mean molecular weight (Mw) ranging from 12 to 778 kD. These fractions were radioiodinated and injected intravenously, subcutaneously, and intraperitoneally into rats. Their bloodstream-concentration profiles were monitored and rates of excretion assessed. Following intravenous administration the circulating blood volume available to the copolymers was not molecular-weight-dependent. A molecular-weight threshold limiting glomerular filtration was identified at approximately 45 kD, and preparations greater than this threshold were lost from the bloodstream only slowly by extravasation. Molecular weight did not influence the movement of copolymers from the peritoneal compartment to the bloodstream after intraperitoneal injection. The transfer rates observed could be accounted for by bulk phase lymphatic drainage alone, no transcapillary routes being implicated. Following subcutaneous administration the largest HPMA copolymer fraction (Mw = 778 kD, diameter approximately 30 nm) showed increased retention at the site of the injection, approximately 20% of the dose remaining there after 21 days. This could result from physical restriction of movement or from internalization into local phagocytic cells. The smaller copolymer fractions moved readily into the bloodstream whence they were either lost in the urine or they gradually penetrated into other tissues and organs. Long-term (21 days) body distribution of copolymers following both intraperitoneal and subcutaneous administration showed size-dependent accumulation in organs of the reticuloendothelial system.

Chemically modified collagen: a natural biomaterial for tissue replacement.

Abstract: Glutaraldehyde crosslinking of native or reconstituted collagen fibrils and tissues rich in collagen significantly reduces biodegradation. Other aldehydes are less efficient than glutaraldehyde in generating chemically, biologically, and thermally stable crosslinks. Tissues crosslinked with glutaraldehyde retain many of the viscoelastic properties of the native collagen fibrillar network which render them suitable for bioprostheses. Implants of collagenous materials crosslinked with glutaraldehyde are subject long-term to calcification, biodegradation, and low-grade immune reactions. We have attempted to overcome these problems by enhancing crosslinking through bridging of activated carboxyl groups with diamines and using glutaraldehyde to crosslink the epsilon-NH2 groups in collagen and the unreacted amines introduced by aliphatic diamines. This crosslinking reduces tissue degradation and nearly eliminates humoral antibody induction. Covalent binding of diphosphonates, specifically 3-amino-1-hydroxypropane-1, 1-diphosphonic acid (3-APD), and chondroitin sulfate to collagen or to the crosslink-enhanced collagen network reduces its potential for calcification. Platelet aggregation is also reduced by glutaraldehyde crosslinking and nearly eliminated by the covalent binding of chondroitin sulfate to collagen. The cytotoxicity of residual glutaraldehyde--leaching through the interstices of the collagen fibrils or the tissue matrix--and of reactive aldehydes associated with the bound polymeric glutaraldehyde can be minimized by neutralization and thorough rinsing after crosslinking and storage in a nontoxic bacteriostatic solution.

The effect of surface macrotexture and hydroxylapatite coating on the mechanical strengths and histologic profiles of titanium implant materials.

Abstract: A mechanical and histological evaluation of uncoated and hydroxylapatite-coated titanium implant materials was performed. Cylindrical implants of uncoated commercially pure (CP) titanium and hydroxylapatite-coated Ti-6Al-4V alloy were studied using a transcortical model, with implants evaluated after periods of 3, 5, 10, and 32 weeks. All implants had a surface macrotexture consisting of a series of semicircular annular grooves, approximately 750 micron in maximum depth. The attachment characteristics of interface shear stiffness and interface shear strength were determined by mechanical push-out testing. Nondecalcified histologic and microradiographic techniques, with implants in situ, were used to evaluate the response to the implant materials and the presence of the surface macrotexture. Mechanical testing results indicated that the hydroxylapatite-coated implants exhibited significantly greater values of maximum interface shear strength than the uncoated implants after all time periods. Interface shear stiffness was also significantly greater at all time periods for the hydroxylapatite-coated implants as compared to the uncoated implants. Histological evaluation after 3 weeks revealed an osteoid layer covering on all areas coated with the hydroxylapatite material; mineralization of this layer appeared to be complete after 10 weeks. In all cases, longer-term implants demonstrated mineralization of interface bone directly onto the hydroxylapatite coating, and in no case was a fibrous layer observed between the hydroxylapatite coating and the interface bone. Sections from the uncoated CP titanium implants revealed a thin fibrous layer present in nearly all areas. Only isolated regions of direct bone-implant apposition were observed for the uncoated implants. The presence of this fibrous tissue layer, however, apparently did not adversely affect the development of considerable attachment strength. The results from this study indicate that the hydroxylapatite coating can significantly increase the attachment strength of implants which rely upon bone apposition for fixation. In addition, the hydroxylapatite coating provides an osteophilic surface for bone deposition, and allows for a more rapid development of implant-bone attachment.

The use of coral as a bone graft substitute.

Abstract: Experiments have been performed to investigate the use of coral skeletons as bone graft substitutes. Skeletal fragments of different coral genera were implanted into cortical and spongy bone defects and used to bridge transcortical resections in the femur. The implant site was monitored for up to 18 months. Radiographically, both cortical and spongy bone defects were at least partially filled by new bone after 8 weeks while the implants underwent continuous resorption. Coral resorption and replacement by new tissue was also observed in the transcortical resections. The process of resorption was attributed to the enzymatic attack, especially carboanhydrase. This was confirmed by experiments in which dogs were implanted with coral in transcortical resections and treated daily with acetazolamide, a carboanhydrase inhibitor; the absorption appeared delayed and the resections failed to heal.

Protein adsorption to polymer particles: Role of surface properties

Abstract: Adsorption isotherms of four plasma proteins (fibrinogen, IgG, human serum albumin, and bovine serum albumin) using four different types of small particles as substrates (siliconized glass, Teflon, polyvinylchloride, and Nylon-6, 6) are reported. The suspending liquid medium was phosphate-buffered saline, with a surface tension higher than that of any of the proteins. In keeping with the thermodynamic expectations for these systems, protein adsorption decreases for all solids in sequence from fibrinogen (the most hydrophobic) to IgG, human serum albumin, and bovine serum albumin (the most hydrophilic). Furthermore, the extent of protein adsorption also decreases from the low surface tension (hydrophobic) to the higher surface tension solids, again as expected on thermodynamic grounds. There is one minor yet interesting exception to the thermodynamic pattern: In spite of the slightly lower surface tension of siliconized glass, the extent of protein adsorption is slightly higher to Teflon than to siliconized glass. This result is attributed to the theoretically well known phenomenon of “screening”.

The electrochemical behavior of metallic implant materials as an indicator of their biocompatibility.

Abstract: This study introduces a simple in vitro arrangement to measure current densities of implant metals. The in vivo condition of a metallic implant lying in tissues exhibiting different redox potentials is simulated in so-called straddle tests by applying a constant potential difference of 250 mV in saline containing the stable, fast-reacting redox system K4Fe(CN)6/K3Fe(CN)6. From a variety of corrosion-resistant implant metals and alloys, gold showed the highest current densities, followed by the stainless steel, the cobalt-based alloy, and the TiAIV-alloy. The pure metals titanium, niobium, and tantalum showed the lowest values. This can be explained by the stable oxide layer on these base metals, preventing an exchange of electrons and thus any redox reaction. This rating of metallic implant materials based on in vitro measurements of current densities is in good accordance with their biocompatibility rating reported from in vivo experiences. It seems that simple and cheap electrochemical tests allow an even more precise differentiation of the suitability of metallic materials for implant purposes than most of the conventional implantation tests, considering that biocompatibility is not only determined by corrosion products, but also by exchange currents and reaction products of redox processes involving tissue compounds.

Porous-surfaced metallic implants for orthopedic applications.

Abstract: Following the transplantation of bone marrow cells to extra-osseous sites, bone formation occurs in those sites. This osteogenic potential of bone marrow cells might be utilized for filling defects in bone if they could be transported on porous ceramic materials. Before such an approach becomes feasible, it is important to know what happens to the cells in the presence of the ceramics that might be used. In order to investigate the interaction between bone marrow cells and ceramics, in vitro, a system for culturing bone marrow cells on ceramic materials has been developed. Bone marrow cells adhered well to the surface of calcium hydroxyapatite and tricalcium phosphate ceramics, and this was followed by the formation of fibrous tissue on and within the ceramics. These ceramics were compatible with bone marrow cells even in culture conditions in which there was a large surface area of ceramic interfacing with cells. The results support the proposal that calcium hydroxyapatite and tricalcium phosphate are appropriate as bone replacement materials. In contrast, calcium aluminate had an adverse effect on bone marrow cells when there was a high proportion of ceramic to culture medium. However, this effect was not present if the proportion of ceramic to culture medium was low. Therefore, a large amount of biodegradable porous calcium aluminate ceramic should not be used as an alternative to autogeneous bone grafting.

Composites for use in posterior teeth: composition and conversion.

Abstract: The purpose of this investigation was to determine the composition, as well as the conversion after polymerization, of some dental composite materials. Eight posterior composites and two anterior composites were investigated. The weight and volume fractions of inorganic fillers were determined by combustion and pycnometric analyses. The monomers were analyzed qualitatively and quantitatively by high performance liquid chromatography, nuclear magnetic resonance spectroscopy, and gel permeation chromatography. Infrared multiple internal reflection spectroscopy was applied for determination of conversion of the methacrylate groups. The conversion in light activated materials was examined at shallow depths, that is, the level of optimal conversion. This investigation demonstrated that the conversion can be correlated with the composition of monomers and oligomers used in the materials.

Water sorption of polymethacrylate networks: bis-GMA/TEGDM copolymers.

Abstract: Polymethacrylate networks were made by copolymerization of a range of compositions of bis-GMA and triethylene glycol dimethacrylate (TEGDM). Polymerization was initiated both by heating with benzoyl peroxide or by photopolymerization (lambda greater than 400 nm) using camphoroquinone as sensitizer. The uptake of water increased from 3 to 6% as the proportion of TEGDM increased from 0 to 1.0. Intermediate compositions took up less water than would be predicted from the law of mixtures. Volumetric changes were determined and clinical significance discussed. A copolymer prepared by photopolymerization took up more water as the temperature was increased from 24-60 degrees C. In this range, values of the diffusion coefficient (D) conformed to the Arrhenius equation, D = Do exp (-E/RT), giving E = 42-46 kJ/mol and Do = 0.13 cm2 s-1.

The influence of protein adsorption on interactions of cultured human endothelial cells with polymers

Abstract: A systematic study of the effects of polymer surface properties on the interaction with human endothelial cells (HEC) may lead to the development of small-diameter vascular grafts. HEC, suspended in culture medium containing 20% serum adhered and spread onto moderately wettable polymers such as TCPS (tissue culture polystyrene). Reduced or no adhesion of HEC was observed upon the hydrophobic polymers PETP (polyethyleneterephthalate, Dacron) and FEP (fluoroethylenepropylene copolymer, Teflon). Polymers precoated with the proteins albumin (Alb), high density lipoprotein (HDL), and immunoglobulin G (IgG) inhibited the adhesion of HEC, whereas fibronectin (Fn) coatings promoted cell adhesion. Endothelialization of PETP and FEP only occurred after precoating of these materials with Fn. The adsorption of Fn, Alb, HDL, and IgG from solutions of different serum concentrations onto TCPS, PETP, and FEP was related to the adhesion of HEC. Serum Fn only adsorbed onto TCPS, with the maximum at 0.1% serum concentration. Maximal cell adhesion onto TCPS was also observed after pretreatment with a solution containing 0.1% serum. The cell adhesion inhibiting proteins Alb and HDL preferentially adsorbed at higher serum concentrations. Desorption of these proteins and exchange for, e. g., cellular Fn may result in cell spreading and proliferation of HEC upon TCPS.

Magnetically enhanced insulin release in diabetic rats.

Abstract: Polymer matrices containing insulin and embedded magnets were implanted subcutaneously in diabetic rats for 51 days. Passive release of insulin from the polymer resulted in a decrease in the blood glucose level. When the diabetic rats were exposed to an oscillating magnetic field, the blood glucose levels were additionally lowered by nearly 30%. No statistically significant effect in blood glucose decrease was observed in four different sets of control animals subjected to the magnetic field. Because of the very small size of the implants, they may, with additional study, provide an alternative to current modes of therapy using programmable implantable infusion pumps.

Biodegradation of a polyurethane in vitro.

Abstract: This study examines the effect of in vitro exposure to enzymes on the performance properties of Biomer, a segmented polyetherurethane used in a number of blood-contacting devices such as catheters, heart assist pumps, and chambers for artificial hearts. The ultrathin samples were treated with two proteolytic enzymes, papain and urease, for periods of 1-6 months at 37 degrees C. The treated Biomer samples were subjected to chemical and physical analysis. Effects of biodegradation by the enzymes were assessed by fatigue tests, gel permeation chromatography (GPC), and attenuated total reflectance-Fourier transform infrared (ATR-FTIR) analysis. Papain was found to be more effective in degrading the polymer than urease. Mechanisms for enzymic degradation are proposed.

SEM‐EPMA observation of three types of apatite‐containing glass‐ceramics implanted in bone: The variance of a Ca‐P‐rich layer

Abstract: The progressive changes of a Ca-P-rich layer between bone and three types of apatite-containing glass-ceramics of the same chemical composition: MgO 4.6, CaO 44.9, SiO2 34.2, P2O5 16.3, CaF2 0.5 (in weight ratio) were examined. Plates (15 mm × 10 mm × 2 mm, mirror surface) containing apatite (35 wt%) (designated A-GC), apatite (35 wt%) and wollastonite (40 wt%) (designated A · W-GC), and apatite (20 wt%), wollastonite (55 wt%), and whitlockite (15 wt%) (designated A · W · CP-GC) were prepared. They were implanted into the tibia of mature male rabbits for 5 days, 10 days, 20 days, 30 days, 60 days, 6 months, and 12 months. All three types of glass-ceramics showed direct bonding to the bone 30 days after implantation. It was observed by SEM-EPMA 30 days after implantation that Si and Mg content decreased, P content increased, and Ca content did not change across the reactive zone from the glass-ceramics to bone. The level of P and Si in the A · W · CP-GC changed five days after implantation. In A · W-GC and A-GC, a little change in P and Si levels was observed between 10 and 20 days after implantation. The width of reactive zone was narrowest with A-GC, wider with A · W-GC, and widest with A · W · CP-GC. The dissolution of glass-ceramics stopped 6 months after implantation. This phenomenon shows that the glass-ceramics may be suitable for clinical use.

Tissue biocompatibility of kevlar aramid fibers and polymethylmethacrylate, composites in rabbits.

Abstract: Two groups of female NZW rabbits were implanted in the paravertebral muscles with aramid (du Pont Kevlar aramid 49) fibers and aramid-polymethylmethacrylate (PMMA) composites for 14 and 28 days. Rabbits were killed at these times periods, necropsies performed, sites scored for gross tissue response, and tissue specimens containing the implants removed for histopathological evaluation. A mild fibrous tissue reaction was observed around all implants containing aramid fiber similar to that observed around the silicone control implant. Some foreign body giant cells were also present adjacent to the fibers. An intense necrotic inflammatory reaction was present around the positive control material (PVC Y-78). The tissue response to implantation of aramid fiber and fiber-PMMA composites indicates that aramid is a biocompatible material.

Effect of the surface geometry of smooth and porous‐coated titanium alloy on the orientation of fibroblasts in vitro

Abstract: The migration and orientation of human gingival fibroblasts in relation to the rim of smooth-surfaced and porous-coated titanium discs placed on multilayers in vitro was investigated. Samples were examined after 6 h, 24 h, 3 days, and 7 days of culture using phase-contrast and scanning electron microscopy. The cells migrated from the multilayer onto the smooth-surfaced discs forming bridges between them, and orientated along parallel circumferential grooves in the rim of the discs. This resulted in the cellular bridges orientating at an acute angle to the rim of the disc, and adjacent cells in the multilayer orientating parallel to the rim. Cellular bridges were also formed between the porous-coated discs and the multilayer but, because the cells that migrated onto, and between, the spheres of the porous-coat showed no preferred orientation, the bridges retained their orientation at right angles to the surface of the rim. This in turn resulted in the cells of the adjacent multilayer becoming similarly orientated. These observations suggest that the geometrical configuration of the surface of implants could influence whether a capsule or an orientated fibrous attachment is developed in relation to implants in vivo.

Ion implantation of surgical Ti-6Al-4V for improved resistance to wear-accelerated corrosion.

Abstract: The influence of nitrogen-ion implantation on the wear-accelerated corrosion behavior of surgical Ti-6Al-4V was studied. Non-passivated and prepassivated unimplanted Ti-6Al-4V specimens were employed as controls for comparison. Corrosion rates as a function of time at open-circuit corrosion potentials were electrochemically measured in saline and serum solutions under both static and wear conditions. The wear parameters simulated those of a total artificial hip under average walking conditions. The results indicated that prepassivation of the control material was beneficial under static-corrosion conditions, but not under wear-corrosion conditions. The nitrogen-ion implantation process was found to significantly improve the material's resistance to wear-acceler-ated corrosion in both saline and serum solutions.

The enzymatic degradation of polymers in vitro

Abstract: Specimens of 14C-labeled poly(ethylene terephthalate), nylon 66, and poly(methyl methacrylate) have been synthesized and exposed, in vitro, to a number of enzyme solutions. Poly(ethylene terephthalate) was found to be affected by esterase and papain, although in different ways, but not by trypsin or chymotrypsin. Nylon 66 was unaffected by esterase but degraded by the other three. Poly(methyl methacrylate) was not affected by any of these enzymes. This indicates that some nominally stable polymers are susceptible to degradation by enzymes under some circumstances. The amount of degradation is small, but could have significant sequelae should it be reproduced in vivo.

Controlled release using a new bioerodible polyphosphazene matrix system

Abstract: Polyphosphazenes possess polymer backbones consisting of nitrogen and phosphorous formally separated by alternating single and double bonds. Their potential for biomedical applications stems from the fact that polymers with a wide array of properties can be synthesized using the same starting compound, poly(dichlorophosphazene), through changes in side chain substituents, and that many of these compounds synthesized have been found to biodegrade to harmless products. In this article, studies of a novel monolithic bioerodible polyphosphazene matrix system for controlled drug delivery are presented. Poly(imidazole methylphenoxy) phosphazene is synthesized and shown to be bioerodible. The versatility of drug delivery devices fabricated using this polymer is shown through studies of release of macro-molecules and low molecular weight drugs. Initial histological evaluations of this particular polyphosphazene are also presented.

Effects of alkyl grafting on surface properties and blood compatibility of polyurethane block copolymers

Abstract: In order to probe the factors which affect the interaction between the surface of a multiphase polyurethane material and blood, a series of butanediol-chain-extended polyetherurethanes was synthesized. These polyurethanes contained different levels of phase separation, produced by systematically varying the hard segment chemical structure by grafting ethyl and octadecyl groups to the urethane nitrogen atom. Surface characterization using high vacuum, air-equilibrated, and water-equilibrated methods was performed. A canine ex vivo arteriovenous series shunt was used to monitor initial platelet and fibrinogen deposition on these polymers. The ex vivo response to these materials, along with contact angle and ESCA surface chemistry, was found to vary with the degree of alkyl derivatization. This study demonstrated that an increase in the degree of phase separation and also the incorporation of long chain (C18) alkyl groups can affect surface properties and improve the short-term blood compatibility of the underivatized polyurethane.

Carbon/graphite fiber reinforced poly(methyl methacrylate): properties under dry and wet conditions.

Abstract: The flexural properties of poly(methyl methacrylate) (PMMA) reinforced with carbon/graphite (C/G) fibers with three different surface treatments were investigated by transverse bend testing after dry and wet storage. The fibers used were (1) commercially available fibers, (2) cleaned fibers, and (3) cleaned and sized fibers. The coating agents of commercial unidirectional and braided C/G fibers as well as impurities on C/G fibers for medical uses were characterized by means of high-performance liquid chromatography (HPLC). The agar overlay technique was used to assess the cytotoxicity of leachable elements from different fibers and processed composites. Composites with both unidirectional and braided tubular C/G fibers were investigated after storage in water. Fracture stress and flexural modulus decreased when "commercial" fibers were used as reinforcing material. Composites with cleaned and sized fibers gave only minor differences in flexural properties after dry and wet storage. By means of SEM micrographs the adhesion behavior of unsized C/G fibers, epoxy sized fibers, cleaned fibers, and cleaned and sized fibers were assessed. After water storage a substantial part of the cleaned fibers adhered to the matrix material. The adhesion capacity of the other fibers was reduced since the water absorption caused separation of fiber and matrix.

Short-term cell-attachment rates: A surface-sensitives test of cell–substrate compatibility

Abstract: Mechanisms of cell deposition from a sessile liquid phase and adherence to various plastic substrates have been investigated by measurement of short-term (less than 120 min) cell-attachment rates. Sigmoidal attachment-rate curves were fit with a three-parameter variant of a logistic equation to quantify parameters related to initial rate and equilibrium-adherence. For substrates on which cell adhesion was low, initial rates were estimated from slopes of linear best-fit equations. Average variations in adherence parameters for three cell lines, MDCK (epithelioid), VERO, and AHL-1 (fibroblastic) to tissue-culture grade polystyrene dishes were less than 10% (standard-error-of-mean/mean X 100) over extended periods of more than two months, so that attachment measurements could be repetitively applied with the same cell stocks continuously subcultured in the laboratory. Developed techniques were applied to a variety of plastics and the results tabulated. Comparison of adherence parameters for ionomer and polyethylene films, both with and without adsorbed fetal-bovine-serum proteins, demonstrated that surface carboxyl groups were important in protein adsorption and cellular adherence. Attachment rates of MDCK to polystyrene were dependent on starting cell number whereas equilibrium adherence did not vary significantly over a wide range of inoculum concentrations. It was concluded from theoretical considerations that initial rates of MDCK attachment were sensitive to and dependent on electrostatic barriers to formation of close substrate contacts whereas equilibrium-adherence levels were controlled by short-range forces such as interfacial energies and formation of receptor-ligand complexes.

Pluronic F‐127 gel preparation as an artificial skin in the treatment of third‐degree burns in pigs

Abstract: A blinded study was designed to provide qualitative and quantitative evaluation on the possible therapeutic benefits of the use of Pluronic Polyol F-127 as a substitute skin in standardized third-degree thermal burns. Three separate burns, approximately 1600 mm2, were induced on the shaved backs of young, anesthetized pigs. Each animal served as its own control. One burn site was left untreated while the other two sites were covered with coded preparations of the Pluronic F-127 gel with additives. Polaroid photographs with a fixed focal-length camera were taken of all burn sites for planimetry analysis. Biopsies taken confirmed that third-degree burns were achieved. The pigs were followed for 30 days. The rate of healing of third-degree thermal burns was significantly accelerated over control sites when treated with Pluronic Polyol F-127 plus propylene glycol. When the bacteriostatic agent Garamycin was also added, the rate of healing remained significantly better than untreated controls. With the addition of Piracetam, burn wound healing was actually retarded within 30 days, when applied topically. Thus, wound healing was both accelerated and retarded as a function of the particular Pluronic preparation used to treat specific burn sites. This experimental modulation of wound healing suggests that the non-ionic poloxamer, Pluronic F-127, can significantly enhance the rate of wound healing by some unknown mechanism, possibly by stimulation of epithelial growth factor (EGF).

Cell responses to biomaterials I: Adhesion and growth of vascular endothelial cells on poly(hydroxyethyl methacrylate) following surface modification by hydrolytic etching

Abstract: Hydrogels of poly(hydroxyethyl methacrylate) (polyHEMA) homopolymer do not normally support the attachment and growth of mammalian cells. By altering the surface it has been possible to dramatically change this cell–substratum interaction so that vascular endothelial cells can attach and completely populate a poly HEMA surface. While this can be achieved by copolymerisation of polyHEMA with methacrylic acid or diethylaminoethyl methacrylate, it is most conveniently achieved by brief treatment of polyHEMA hydrogel with concentrated sulphuric acid. The resultant creation of surface—COOH groups, revealed by electron spectroscopy for chemical analysis, is consistent with the hydrolytic formation of methacrylic acid on the surface layer. Surface—COOH groups created by treatment with chloric or hydrofluoric acids were not effective. Following sulfuric acid treatment, cell adhesion and growth on polyHEMA hydrogel were better than on Teflon and approached those attained on glow–discharge-treated polystyrene. The capacity of acid-treated polyHEMA to adsorb albumin or fibronectin was of the order of 100-fold or 10-fold lower respectively than either polystyrene, Teflon, or segmented polyurethane. Hydrolytic “etching” in this way is proposed as an efficient means of expanding the use of polyHEMA hydrogel as a biomaterial without modifying the overall physicochemical properties of the bulk of the material.

Wear-accelerated corrosion of Ti-6Al-4V and nitrogen-ion-implanted Ti-6Al-4V: mechanisms and influence of fixed-stress magnitude.

Abstract: Wear-accelerated corrosion rates at constant anodic potentials were evaluated for unimplanted and nitrogen-ion-implanted surgical Ti-6Al-4V while wearing against ultrahigh-molecular-weight polyethylene at stress levels up to 6.90 MPa (1000 psi). The ion implantation processing was found to reduce the wear corrosion rates in both saline and serum solutions at all applied stress levels. During wear testing, all of the ion-implanted surfaces remained visually unchanged from the polished condition. However, many of the unimplanted surfaces developed damage zones characterized by wear tracks and black wear debris. A surface-damage mechanism is proposed and discussed which involves disruption of the Ti-6Al-4V protective oxide film, subsequent entrapment of oxide particles in the polyethylene, then self-perpetuating damage due to the abrasive action of the embedded particles.

Morphological study of biodegradable PEO/PLA block copolymers.

Abstract: A series of PEO/PLA copolymers, covering a wide range of compositions and segmental lengths, was synthesized, and their morphology was investigated by means of DSC and IR studies. For matrices comprising PEO chains with molecular weights below 3400, no soft-segment crystallinity was detected. When long hard segments were present, essentially monophasic, semicrystalline polymers were obtained, with PLA blocks melting around 130 degrees C. Polymers containing longer soft segments (PEO 6000) exhibited a two-phase matrix, with both components being able to crystallize. The relative degree of crystallinity of PEO and PLA blocks was also determined. The thermal history of the sample strongly affected the morphology of the matrix, especially when both blocks were long enough to crystallize. To further explore these polymers, solvent cast films were prepared and their morphology assessed. Casting from acetone, which is an excellent solvent for PLA, resulted in hard blocks exhibiting lower degrees of crystallinity, while methanol had a similar effect on PEO soft segments.

Experimental demonstration of the immunogenicity of silicone-protein complexes.

Abstract: Although silicones, as a class, are nontoxic in animal and tissue studies, implanted silicone prostheses and medical devices are associated with various local and systemic host inflammatory reactions. They also have been associated with a form of autoimmune disease. To test the hypothesis that silicones may evoke an immunologically mediated inflammatory reaction, 10 guinea pigs were stimulated for 1 month with intraperitoneal injections of sterile medical-grade silicone oil admixed with homologous serum and complete Freund's adjuvant. Ten controls were stimulated with salin. Four additional animals were passively sensitized with splenic homogenates from four sensitized animals. Intradermal antigenic challenges consisted of silicone-homologous serum, pure silicone, saline-homologous serum, pure silicone, saline-homologous serum, and purified protein derivative. Cutaneous reaction patterns were graded grossly and microscopically. Silicone-serum and purified protein derivative antigens evoked three to four times greater palpable lesions in all 10 actively and all 4 passively sensitized animals at approximately 24 h compared to controls. Biopsies showed a moderate to marked lymphocytic infiltrate. Control sites and naive animals showed only edema at the challenge sites. The data suggest that silicone-protein complexes are potentially immunogenic.