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1.
Addressing the needs of the rapidly aging society through the development of multifunctional bioactive coatings for orthopedic applications
Tinkara Mastnak, Uroš Maver, Matjaž Finšgar, 2022, review article

Abstract: The unprecedented aging of the world’s population will boost the need for orthopedic implants and expose their current limitations to a greater extent due to the medical complexity of elderly patients and longer indwelling times of the implanted materials. Biocompatible metals with multifunctional bioactive coatings promise to provide the means for the controlled and tailorable release of different medications for patient-specific treatment while prolonging the material’s lifespan and thus improving the surgical outcome. The objective of this work is to provide a review of several groups of biocompatible materials that might be utilized as constituents for the development of multifunctional bioactive coatings on metal materials with a focus on antimicrobial, pain-relieving, and anticoagulant properties. Moreover, the review presents a summary of medications used in clinical settings, the disadvantages of the commercially available products, and insight into the latest development strategies. For a more successful translation of such research into clinical practice, extensive knowledge of the chemical interactions between the components and a detailed understanding of the properties and mechanisms of biological matter are required. Moreover, the cost-efficiency of the surface treatment should be considered in the development process.
Keywords: biomaterials, orthopedic implants, multifunctional coatings, drug delivery, antimicrobial, pain relief
Published in DKUM: 09.04.2025; Views: 0; Downloads: 1
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2.
Structural integrity and life assessment of Ti-6Al-4V orthopaedic implants
Katarina Čolić, Svetlana M. Kostić, Simon Sedmak, Nenad Gubeljak, Aleksandar Grbović, 2024, original scientific article

Abstract: This paper presents an experimental and numerical analysis of the mechanical behaviour of orthopaedic implants with crack-type defects, considering the principles and advantages of the modern X-FEM method, which was used due to limitations of traditional FEM in terms of crack growth simulation, especially for complex geometries. In X-FEM, the finite element space is enriched with discontinuity functions and asymptotic functions at the crack tip, which are integrated into the standard finite element approximation using the unity division property. Though rare, femoral component failures are well-documented complications that can occur after hip prosthetic implantation. Most stem fractures happen in the first third of the implant due to the loosening of the proximal stem and fixation of the distal stem, leading to bending and eventual fatigue failure. The main goal of this paper was to obtain accurate and representative models of such failures. Experimental analyses of the mechanical behaviour of implants subjected to physiological loads, according to relevant standards, using a new combined approach, including both experiments and numerical simulations was presented. The goal was to verify the numerical results and obtain a novel, effective methodology for assessing the remaining fatigue life of hip implants. For this purpose, the analysis of the influence of Paris coefficients on the total number of cycles was also considered. Hence, this simulation involved defining loads to closely mimic real-life scenarios, including a combination of activities such as ascending stairs, stumbling, and descending stairs. The tensile properties of the titanium alloy were experimentally determined, along with the Paris law coefficients C and m. The finite element software ANSYS 2022R2 version was used to develop and calculate the three-dimensional model with a crack, and the resulting stresses, stress intensity factors, and the number of cycles presented in the figures, tables, and diagrams. The results for the fatigue life of a partial hip implant subjected to various load cases indicated significant differences in behaviour, and this underscores the importance of analysing each case individually, as these loads are heavily influenced by each patient’s specific activities. It was concluded that the use of numerical methods enabled the preliminary analyses of the mechanical behaviour of implants under fatigue loading for several different load cases, and these findings can be effectively used to predict the possibility of Ti-6Al-4V implant failure under variable cyclic loads.
Keywords: structural integrity, fatigue fracture, extended finite element method (XFEM), experimental testing, DIC, numerical simulations, stress intensity factor, orthopaedic implants, crack-type defect
Published in DKUM: 21.03.2025; Views: 0; Downloads: 7
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3.
Ketoprofen-loaded PLGA-based bioactive coating prepared by supercritical foaming on a TiAl6V4 substrate for local drug delivery in orthopedic applications
Katja Andrina Kravanja, Klodian Xhanari, Maša Knez Marevci, Uroš Maver, Matjaž Finšgar, 2024, original scientific article

Abstract: In this study, a novel biodegradable poly(lactic-co-glycolic) acid coating containing a model anti-inflammatory drug (ketoprofen) was prepared on TiAl6V4 substrate for use in orthopedic medicine by a two-step process combining drop casting and supercritical CO2-assisted foaming. The prepared coating was first investigated by surface analysis techniques using time-of-flight secondary ion mass spectrometry and X-ray photoelectron spectroscopy. The combined results confirmed the loading of ketoprofen and its homogeneous spatial distribution in the coating. 3D profilometry revealed increased surface roughness of the coating compared to the bare TiAl6V4 substrate, which is favorable for cell adhesion. Furthermore, the electrochemical measurements (i.e., electrochemical impedance spectroscopy and potentiodynamic curve measurements) demonstrated that the coating application significantly mitigated corrosion compared to the bare TiAl6V4 substrate. In vitro drug release tests revealed extended drug release in simulated body fluids with zero-order release kinetics. Finally, the promising cell testing results using adipose-derived mesenchymal stem cells and osteoblasts confirmed the applicability of the coating for implants. Overall, the results of this study highlight the significant potential of the developed bioactive coating for future orthopedic applications.
Keywords: TiAlV, bioactive coating, implants, PLGA, supercritical foaming, ketoprofen
Published in DKUM: 14.03.2025; Views: 0; Downloads: 4
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4.
Bioactive functional nanolayers of chitosan-lysine surfactant with single- and mixed-protein-repellent and antibiofilm properties for medical implants
Urban Ajdnik, Lidija Fras Zemljič, Olivija Plohl, Lourdes Pérez, Janja Trček, Matej Bračič, Tamilselvan Mohan, 2021, original scientific article

Abstract: Medical implant-associated infections resulting from biofilm formation triggered by unspecific protein adsorption arethe prevailing cause of implant failure. However, implant surfaces rendered with multifunctional bioactive nanocoatings offer apromising alternative to prevent the initial attachment of bacteria and effectively interrupt biofilm formation. The need to researchand develop novel and stable bioactive nanocoatings for medical implants and a comprehensive understanding of their properties incontact with the complex biological environment are crucial. In this study, we developed an aqueous stable and crosslinker-freepolyelectrolyte−surfactant complex (PESC) composed of a renewable cationic polysaccharide, chitosan, a lysine-based anionicsurfactant (77KS), and an amphoteric antibiotic, amoxicillin, which is widely used to treat a number of infections caused by bacteria.We successfully introduced the PESC as bioactive functional nanolayers on the“model”and“real”polydimethylsiloxane (PDMS)surfaces under dynamic and ambient conditions. Besides their high stability and improved wettability, these uniformly depositednanolayers (thickness: 44−61 nm) with mixed charges exhibited strong repulsion toward three model blood proteins (serumalbumin,fibrinogen, andγ-globulin) and their competitive interactions in the mixture in real-time, as demonstrated using a quartzcrystal microbalance with dissipation (QCM-D). The functional nanolayers with a maximum negative zeta potential (ζ:−19 to−30mV at pH 7.4), water content (1628−1810 ng cm−2), and hydration (low viscosity and elastic shear modulus) correlated with themass, conformation, and interaction nature of proteins. In vitro antimicrobial activity testing under dynamic conditions showed thatthe charged nanolayers actively inhibited the growth of both Gram-negative (Escherichia coli) and Gram-positive (Staphylococcusaureus) bacteria compared to unmodified PDMS. Given the ease of fabrication of multifunctional and charged biobased coatingswith simultaneous protein-repellent and antimicrobial activities, the limitations of individual approaches could be overcome leadingto a better and advanced design of various medical devices (e.g., catheters, prosthetics, and stents).
Keywords: silicone implants, protein-repellent, antimicrobial, chitosan, lysine, bioactive coatings, adsorption, QCM-D
Published in DKUM: 15.04.2024; Views: 266; Downloads: 20
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5.
Bioactive coatings with anti-osteoclast therapeutic agents for bone implant : enhanced compliance and prolonged implant life
Dragana Bjelić, Matjaž Finšgar, 2022, review article

Abstract: The use of therapeutic agents that inhibit bone resorption is crucial to prolong implant life, delay revision surgery, and reduce the burden on the healthcare system. These therapeutic agents include bisphosphonates, various nucleic acids, statins, proteins, and protein complexes. Their use in systemic treatment has several drawbacks, such as side effects and insufficient efficacy in terms of concentration, which can be eliminated by local treatment. This review focuses on the incorporation of osteoclast inhibitors (antiresorptive agents) into bioactive coatings for bone implants. The ability of bioactive coatings as systems for local delivery of antiresorptive agents to achieve optimal loading of the bioactive coating and its release is described in detail. Various parameters such as the suitable concentrations, release times, and the effects of the antiresorptive agents on nearby cells or bone tissue are discussed. However, further research is needed to support the optimization of the implant, as this will enable subsequent personalized design of the coating in terms of the design and selection of the coating material, the choice of an antiresorptive agent and its amount in the coating. In addition, therapeutic agents that have not yet been incorporated into bioactive coatings but appear promising are also mentioned. From this work, it can be concluded that therapeutic agents contribute to the biocompatibility of the bioactive coating by enhancing its beneficial properties.
Keywords: bioactive coatings, implants, bone resorption, osteolysis, osteoclats inhibitors
Published in DKUM: 17.08.2023; Views: 356; Downloads: 55
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6.
Biomaterials and host versus graft response : a short review
Tomaž Velnar, Gorazd Bunc, Robert Klobucar, Lidija Gradišnik, 2016, review article

Abstract: Biomaterials and biotechnology are increasing becoming an important area in modern medicine. The main aim in this area is the development of materials, which are biocompatible to normal tissue. Tissue-implant interactions with molecular, biological and cellular characteristics at the implant-tissue interface are important for the use and development of implants. Implantation may cause an inflammatory and immune response in tissue, foreign body reaction, systemic toxicity and imminent infection. Tissue-implant interactions determine the implant life-period. The aims of the study are to consider the biological response to implants. Biomaterials and host reactions to implants and their mechanisms are also briefly discussed.
Keywords: host versus graft disease, GVHD, biomaterial, wound healing, transplant, tissue, prosthetic, implants, biological response, complications
Published in DKUM: 03.08.2017; Views: 1466; Downloads: 222
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7.
Titanium alloy femoral neck fracture - clinical and metallurgical analysis in 6 cases
Samo K. Fokter, Rebeka Rudolf, Andrej Moličnik, 2016, original scientific article

Keywords: hip, arthroplasty, prosthetics, prostheses, implants, injuries, complications, reoperation, orthopedic surgery
Published in DKUM: 24.07.2017; Views: 1359; Downloads: 402
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8.
The effect of nitrogen-ion implantation on the corrosion resistance of titanium in comparison with oxygen- and argon-ion implantations
T. Sundararajan, Zdravko Praunseis, 2004, original scientific article

Abstract: Commercially pure (CP) titanium was surface modified with nitrogen-, argon- and oxygen-ion implantations in order to investigate the material's corrosion resistance in a simulated body fluid. Five doses were chosen for the ions, ranging from 5.1015 cm-2 to 2.5-1017 cm-2. In-vitro open-cyclic potential-timemeasurements and cyclic polarization studies were carried out to evaluate the corrosion resistance of the modified surface in comparison to an unmodified surface. Specimens implanted at 4.1016 cm-2 and 7.1016 cm-2 showed the optimum corrosion resistance, higher doses showed a detrimental effect on the corrosion resistance. Argon- and oxygen-ion implantation at these doses did not show any improved corrosion resistance, indicating the beneficial role of nitrogen on the corrosion resistance of titanium in the simulated body-fluid environment. Grazing-incidence X-ray diffraction (GIXD) was employed on the implanted specimens to determine the phases formed with the increasing doses. X-ray photoelectron spectroscopy (XPS) studies on the passive film of the implanted samples and on the unimplanted samples were analyzed in order to understand the role of nitrogen in improving the corrosion resistance. The results of the present investigation indicated that nitrogen-ion implantation can be used as a viable method for improving the corrosion resistance of titanium. The nature of the surface and the reason for the variation and the improvement in the corrosion resistance are discussed in detail.
Keywords: metallurgy, ion implantation, orthopedic implants, corrosion, titanium, nitrogen, oxygen, argon
Published in DKUM: 10.07.2015; Views: 2531; Downloads: 103
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