Biodegradable Metals Intro Study Guide Flashcards
What is stent restenoises and describe the current technology in place for preventing it?
-Restenoises is re-narrowing of an artery at the stent.
- Technology to prevent it:
- Drug eluting coating
- Drug eluting stents contain a time releasing drug that prevent restenosis of the plaque over the stent.
Name three metals that have been used
- SS 316L
- Ti Alloy
- Co-Cr Alloys (Wrought)
Name the metal that is considered the gold standard for use as a cardiovascular stent.
-Stainless steel (namely 316L steel)
State two challenges of a permanent metallic stent
- Permanent fixture
- Need to continuously take blood thinners to prevent blood coagulation and blood clot formation
- Difficulties in inserting a second stent within the same artery
State two examples of internal fracture fixation devices
- Bone Plates
- Nails/Rods
- Pins
- Screws
Which fracture has a part of the bone twisted? A. Transverse B. Spiral C. Incomplete Fracture D. Closed Fracture
-B. Spiral
What is fracture? Differentiate between open and closed fracture.
- A fracture is a partial or complete break in the bone. When a fracture occurs, it is classified as either open or closed:
- Open fracture (Also called compound fracture)- the bone exist and is visible through the skin, or a deep wound that exposes the bone through the skin.
- Closed fracture (Also called simple fracture)-the bone is broken but the skin is intact.
State the rationale for biodegradable materials. Name two metals that are currently being investigated as a biodegradable metal material?
- Metals are more suitable than polymers for applications that require high strength to bulk ratio such as bone fixation screws / pins and for coronary stents
- Mg, Fe and Zn based alloys are some classes of metals that are being investigated
State two challenges of permanent metallic fracture fixation devices.
- Stress shielding in orthopedic implants resulting in implant loosening and repeat surgeries
- Weakens new bone tissue
- Implant infection
- Metal ion dissolution
Name and describe three types of fractures
- Incomplete Fracture – the broken bone is not completely separated.
- Transverse- The break is in a straight line (right angle) across the bone.
- Spiral – A fracture where at least one part of the bone has been twisted.
- Oblique - fracture diagonal to bone axis.
- Comminuted – the bone has broken in to number of pieces.
What are some of the advantages and disadvantages of the use of Magnesium for implants?
-Main Advantages
– Biodegradable
– Biocompatibility: Mg is present in the body
– Lightweight
– Stimulatory effects on the growth of new bone tissue
– Exhibit good mechanical properties
– Elastic modulus of pure Mg is similar to human bone.
-Main Disadvantages
–Low corrosion resistance
–Degradation occurs before the end of healing process
–Fast hydrogen evolution
Why are Mg Alloys being researched for biomedical applications instead of pure Mg?
-Mg alloys have shown osteoconductive and osteoinductive properties, thus offering less invasive repair and temporary support during tissue recovery.
Explain the ASTM system of classifying magnesium alloys, and give an example.
- First letter is stands for the metal with the highest amount in the alloy
- Second letter stands for the metal with the second highest amount in the alloy
- First number is the wt% of the the metal with the highest amount (the first letter one)
- Second Number is the wt% of the metal with the second highest amount (the second letter one)
Ex. AZ91D
-9 wt% aluminium, 1 wt% zinc and it is in the D modification
What is the main challenge of using pure Mg in the body?
- Low corrosion resistance
- Degradation occurs before the end of healing process
- Fast hydrogen evolution
Describe the corrosion behavior of unprotected Mg alloys, and how does this behavior affect its potential as a biodegradable metal?
- Attacked by most acids; chloride solutions usually found in the form of seawater are most damaging.
- This corrosion behavior makes it attractive as a potential biodegradable metal material
- In-vivo conditions contain high chloride content