M. Browne

Effect of mechanical surface pretreatment on metal ion release

The degree of metal ion dissolution from Ti-6Al-4V alloy hip replacement stems subjected to various mechanical and chemical surface pretreatments was analysed in vitro. High-dissolution rates were observed for nitric acid passivated samples that had been mechanically surface treated to increase the implant surface area. Significantly lower ion release levels were observed for mechanically treated samples which had been aged in de-ionised water. The application of an hydroxyapatite coating decreased the metal ion release from the nitric acid passivated samples (compared to the uncoated sample) and increased the metal ion dissolution from the aged samples. The dissolution behaviour of the samples is explained in terms of the diffusion processes occurring at the stem/solution interface and the morphological and chemical characteristics of the surface treated stems.

Surface modification of titanium alloy implants.

Hip replacement stems manufactured from Ti6Al4V titanium alloy were surface treated in one of four ways and tested for dissolution resistance in bovine serum. Those stems treated thermally were found to have significantly lower metal ion release compared with those receiving standard commercial treatments. The improved dissolution behaviour is associated with a change in the surface oxide structure from mixed titanium oxides to a more stable rutile structure.

Effect of different Ti-6Al-4V surface treatments on osteoblasts behaviour

The purpose of the present work was to examine the effect of different Ti-6Al-4V surface treatments on osteoblasts behaviour. Previous work in this laboratory has demonstrated that an ageing treatment reduces metal ion release from this alloy compared to standard passivation procedures. In this study. human osteosarcoma MG-63 were used in short-term in vitro tests to assay for cell viability and cell proliferation at 12, 24 and 72 h while SaOS-2 were used in long-term in vitro tests to assay for osteonectin, osteopontin, osteocalcin gene expression, total protein amount (TP). alkaline phosphatase activity (ALP) and fibronectin production (FN) for 1-4 weeks. Epifluorescence microscopy was used to observe SaOS-2 cell morphology. After 24h, there was no difference in MG-63 cell viability proliferation or in SaOS-2 cell morphology between the different surface treatments. For the long-term tests, the aged Ti-6Al4V induced significantly higher cell proliferation than the control Ti-6Al-4V at 72h. At week 1, no difference in the osteonectin, osteopontin, and osteocalcin gene expression was found between samples. The peak of ALP activity appeared earlier at week 2 for the control surface compared with the passivated and aged surfaces. The early increase in ALP activity for the control sample could be a compensatory effect of decreased osteoblasts proliferation. There was no difference in the expression of FN for the different surface treatments. Our present results showed that the different surface treatments, which induced different metal ion release kinetics and surface properties, influenced the cell proliferation and ALP activity of osteoblast cells. Aluminium ions release kinetics as well as presence of vanadium ions may play a major role in influencing the osteoblasts behaviour in the present study.

A review of probabilistic analysis in orthopaedic biomechanics.

Abstract Probabilistic analysis methods are being increasingly applied in the orthopaedics and biomechanics literature to account for uncertainty and variability in subject geometries, properties of various structures, kinematics and joint loading, as well as uncertainty in implant alignment. As a complement to experiments, finite element modelling, and statistical analysis, probabilistic analysis provides a method of characterizing the potential impact of variability in parameters on performance. This paper presents an overview of probabilistic analysis and a review of biomechanics literature utilizing probabilistic methods in structural reliability, kinematics, joint mechanics, musculoskeletal modelling, and patient-specific representations. The aim of this review paper is to demonstrate the wide range of applications of probabilistic methods and to aid researchers and clinicians in better understanding probabilistic analyses.

The application of digital volume correlation (DVC) to study the microstructural behaviour of trabecular bone during compression

Digital Volume Correlation (DVC) has been emerged recently as an innovative approach to full volume (i.e. internal) displacement and strain field measurement in materials and structures, particularly in conjunction with high resolution X-ray computed tomography (CT). As a relatively novel technique certain aspects of precision, accuracy and the breadth of application are yet to be fully established. This study has applied DVC to volume images of porcine trabecular bone assessing the effect of noise and sub-volume size on strain measurement. Strain resolutions ranging between 70 and 800με were obtained for the optimum sub-volume size of 64 voxels with a 50% overlap for metrological studies conducted. These values allowed the mechanical behaviour of porcine trabecular bone during compression to be investigated. During compression a crushed layer formed adjacent to the boundary plate which increased in thickness as the specimen was further deformed. The structure of the crushed layer was altered to such an extent that it confounded the correlation method. While investigating this factor, it was found that for reliable strain calculations a correlation coefficient of 0.90 or above was required between the sub-volumes in the reference and the deformed volumes. Good agreements between the results and published bone strain failures were obtained. Using the full field strain measurements, Poissons ratio was identified for each compression step using a dedicated inverse method called the virtual fields method (VFM). It was found that for a given region outside of the crushed zone the Poisson ratio decreased from 0.32 to 0.21 between the first and the final compression steps, which was hypothesised to be due to the bone geometry and its resulting deformation behaviour. This study demonstrates that volumetric strain measurement can be obtained successfully using DVC, making it a useful tool for quantitatively investigating the micro-mechanical behaviour of macroscale bone specimens.

Characterization of titanium alloy implant surfaces with improved dissolution resistance

The present work sets out to investigate the structure and chemistry of surface treated oxides (either aged in boiling water or air-heated) with improved dissolution resistance compared to conventionally passivated surfaces. X-ray photoelectron spectroscopy (XPS) has demonstrated a significant reduction in oxidized aluminium associated with an ageing-based surface treatment. Angle-dependent XPS has revealed an increase in amphoteric-OH surface sites for the thermal treatments. Atomic force microscopy (AFM) investigation suggests that these sites play a role in the improved proteinadsorption properties of these surfaces. These observations form the basis of a model which describes the influence of surface oxide on the kinetics of metal ion dissolution.

Probabilistic finite element analysis of the uncemented hip replacement—effect of femur characteristics and implant design geometry

In the present study, a probabilistic finite element tool was assessed using an uncemented total hip replacement model. Fully bonded and frictional interfaces were investigated for combinations of three proximal femurs and two implant designs, the Proxima short stem and the IPS hip stem prostheses. The Monte Carlo method was used with two performance indicators: the percentage of bone volume that exceeded specified strain limits and the maximum nodal micromotion. The six degrees of freedom of bone-implant relative position, magnitude of the hip contact force (L), and spatial direction of L were the random variables. The distal portion of the proximal femurs was completely constrained and some of the main muscle forces acting in the hip were applied. The coefficients of the linear approximation between the random variables and the output were used as the sensitivity values. In all cases, bone-implant position related parameters were the most sensitive parameters. The results varied depending on the femur, the implant design and the interface conditions. Values of maximum nodal micromotion agreed with results from previous studies, confirming the robustness of the implemented computational tool. It was demonstrated that results from a single model study should not be generalised to the entire population of femurs and that bone variability is an important factor that should be investigated in such analyses.

Experimental Validation of a Finite Element Model of the Proximal Femur Using Digital Image Correlation and a Composite Bone Model

Computational biomechanical models are useful tools for supporting orthopedic implant design and surgical decision making, but because they are a simplification of the clinical scenario they must be carefully validated to ensure that they are still representative. The goal of this study was to assess the validity of the generation process of a structural finite element model of the proximal femur employing the digital image correlation (DIC) strain measurement technique. A finite element analysis model of the proximal femur subjected to gait loading was generated from a CT scan of an analog composite femur, and its predicted mechanical behavior was compared with an experimental model. Whereas previous studies have employed strain gauging to obtain discreet point data for validation, in this study DIC was used for full field quantified comparison of the predicted and experimentally measured strains. The strain predicted by the computational model was in good agreement with experimental measurements, with R(2) correlation values from 0.83 to 0.92 between the simulation and the tests. The sensitivity and repeatability of the strain measurements were comparable to or better than values reported in the literature for other DIC tests on tissue specimens. The experimental-model correlation was in the same range as values obtained from strain gauging, but the DIC technique produced more detailed, full field data and is potentially easier to use. As such, the findings supported the validity of the model generation process, giving greater confidence in the models predictions, and digital image correlation was demonstrated as a useful tool for the validation of biomechanical models.

Reliability theory for load bearing biomedical implants

At present, load-bearing implants are designed on a deterministic basis in which the structural strength and applied loading are given fixed values, and global safety factors are applied to (i) cover any uncertainties in these quantities, and (ii) to design against failure of the component. This approach will become increasingly inappropriate as younger and more active patient demands become more exacting and as devices become more complex. The present work describes a preliminary investigation in which a scientific and probabilistic technique is applied to assess the structural integrity of the knee tibial tray. It is envisaged that by applying such a technique to other load bearing biomedical devices, reliability theory may aid in future lifing procedures and materials/design optimisation.

Investigation of fatigue crack growth in acrylic bone cement using the acoustic emission technique

Failure of the bone cement mantle has been implicated in the loosening process of cemented hip stems. Current methods of investigating degradation of the cement mantle in vitro often require sectioning of the sample to confirm failure paths. The present research investigates acoustic emission as a passive experimental method for the assessment of bone cement failure. Damage in bone cement was monitored during four point bending fatigue tests through an analysis of the peak amplitude, duration, rise time (RT) and energy of the events emitted from the damage sections. A difference in AE trends was observed during failure for specimens aged and tested in (i) air and (ii) Ringers solution at 37 degrees C. It was noted that the acoustic behaviour varied according to applied load level; events of higher duration and RT were emitted during fatigue at lower stresses. A good correlation was observed between crack location and source of acoustic emission, and the nature of the acoustic parameters that were most suited to bone cement failure characterisation was identified. The methodology employed in this study could potentially be used as a pre-clinical assessment tool for the integrity of cemented load bearing implants.