Midterm 2 Flashcards
What are orthopedic materials ?
- Fracture fixation device (Stop movment)
- Spinal fixation device
- Fracture plates
- Wires pins screws artificial ligament
- Joint replacement (replace function movement)
- Hip keen ankle shoulder elbow wrist finger arthroplasty
What are two orthopedic types?
- Osteoconductive (bone grows on implant surface)
- Def: The property of a material that enables integration of new bone with the host bone
- Osteoinductive (recuit cells & promotes osteogenisis)
- Def: Characteristic of materials that promote new bone growth
What are two common joint replacements that are successful?
Hip and Knee
How long do total joint replacements last?
10-15 years it has a lifetime suitable for people only needed it for two decades (elderly).
Why might sex/gender be variable?
- Lifespan
- Bone degradation → Osteoporosis
- Pregnancy
Why women easy to get? (59% are female)
- Less Ca2+
- Decrease in estogen
What are 3 joint preserving operations?
- Arthroscopy 关节镜检查
- Cartilage transplantation 软骨移植(Cartilage does not regenerate well → few cells)
- Osteotomy (Sculpt bone) 截骨手术
What are 3 options for arthroplasty (surgery to restore jonint)?
- Hemiarthroplasty
- Resurfacing arthroplasty
- Total joint arthroplasty
List 5 properties of orthopedic materials.
- No toxicity or byproducts
- Suitable mechanical strength
- High wear resistance
- Minimize stress-shielding
- Osseo-integration abilities
What is metals exist as?
Oxides → Fe2O3 (rust), Al2O7, TiO2
What are mechanisms of corrosion 失升阴氧 得降还阳
Redox → Oxidation(generate electrons) – Reduction(consume electrons)
Oxidation loss e reduction gain e.
How are toxic metals processed in your body?
- Metal atom becomes ionized and go into solution.
- Metal atom combines with oxygen (or other species in solution) to form a compound that flakes off or dissolves (loss of mechniecal categrity)
What is the mechanism of corrosion in an acidic environment?
- Metal → Metal2+ + 2e-(anode: oxidation) [e generate]
- 2H+ + 2e- → H2 (cathode: reduction) [e consumed]
- Total: Me+ + 2H+ → Me2+ + H2
- Examples are Zn, Fe
- The metal is oxidized (electrons taken) from anode electrons reduce hydrogen to form hydrogen gas cathode
What is the mechanism of corrosion in a neutral environment?
- Metal → Metal2++2e- (anode: oxidation) [e generate]
- 1/2 O2+H2O+2e- → 2OH- (cathode: reduction) [e consumed]
- Me + 1/2 O2 → Me(OH)2
How does iron rust in water?
- iron is oxidized
- reduction in oxygen-containing aqueous solution
Choose: A high chance to consume electronics means a (low/high) electrode potential (E0)?
high
Choose: A more inert electrode means a (low/high) electrode potential (E0)?
high
What is the electrode half-reaction associated with an electrode potential (E0) of 0.00
2H+ + 2e- → H2
What are the requirements for galvanic corrosion?
- There must be 2 different metals.
- They must be electrically connected by an electrolyte(biological fluid).
Choose:
In galvanic corrosion the less noble metal becomes the (anode/cathode) and corrodes (slower/faster) than by itself.
Anode; faster
What are 3 ways to prevent corrosion?
- Avoid using multiple metals
- use metals of similar nobility
- Passivation method (coating)
Organic (e.g. paint polymers)
Oxidation (e.g. Ti)
Corrosion is what type of reaction?
Oxidation reduction (redox). (Oxidation generated at the anode reduction consumed at the cathode )
what is cyclic loading?
Def: Loading an implant again and again and again (eg. joints are loaded 107 in 20 years).
Is static or cyclic loading better for testing your medical device?
Cyclic
It causes more damage (cracks defects) and increase risk of faliure.
Describe the steps of aseptic loosening.
1) particles generated around implant.(increase over time)
2) immune system responds
3) surrounding environment becomes acidic
4) metals corrosion bone degradation can cause movement of implant
Stress-shielding creates osteopenia (decrease bone density)
do you know it?
do you know it?
What is wolff’s law?
Def: As bone experiences stress the bone density increases
Why would using a degradable polymer implant help prevent negative consequences of stress shielding?
As the bone heals the polymer degrades. Once the polymer is fully gone your body can no longer rely on the polymer for help and will increase bone density according to Wolff’s law.
Metallic implants → match material properties
do you know it?
do you know it?
define Osseo-integration
Def: the formation of a direct interface between implant and bone without intervening soft tissue.
what are important aspects of Material design for osseointegration?
- Interfacial design between the artificial joint and the surrounding bone.
- Material design geometry of the articulating surface.
What are two types of osse-intergration?
-
Glue
Polymethylmethacrylate (PMMA) cement adheres metal to bone. (strong & dont have time for elderly people; definitive lifespan)
A porous coating on the metal surface to create a bone ingrowth interface. (initially not as strong & strong eventually ) -
Texture
Add texture on the scales
Can be used with cement
advantages/disadvantages of stainless steel (temporary implants)
Advantages
low cost
easy working
good mechanical properties in cold-worked conditions
Disadvantages
Least corrosion-resistant especially in high stress areas
Presence of nickel — allergies
advantages/disadvantages of cobalt alloys (metal/metal implants requiring strength)
Advantages
corrosion resistance in chloride environments(no pitting corrosion)
Casting alloy
High strength
Disadvantages
possible release of chromium
high cost
nickel and chromium allergies
advantages/disadvantages of titanium alloys (long term implants surgical tools and external prosthetics)
Advantages
low density
good mechano-chemical properties
best biocompatibility
Disadvantages
high cost
Sensutuivily to fretting
Low stress-shielding
what are components of hip implants?
- Acetabular cup
- Polyethylene insert (can also be ceramic [UHMWPE])
- Metal femoral head
- cobalt-chromium alloy or ceramic
- Femoral stem
- titanium and cobalt-chromium
What metal is suitable for a long term implant with low toxicity?
Titanium and titanium alloys for osseointegration
photo, bone healing cascade, page 5
do you know it?
do you know it?
What are the 3 main sections of long bones?
- Periosteum
- cortical bone
- marrow
What is the difference between an osteoblast and an osteroclast?
- Osteoblasts create new bone * Osteoclasts eat bone
In the bone healing process what tissues form before the bone becomes normal??
1) hematoma
2) soft callus/unmineralized cartilage
3) fibrous tissue
4) hard callus/secondary bone
5) hard callus/remodeled bone
6) normal bone
After a bone is broken describe what happens after a) 1 day b) 1 week c) 1 month and d) multiple years
a) hematoma formation immune cells are recruited
b) soft callus formation stem cells recruited osteoblasts and chrondrocygtes recruited
c) hard callus and remodeled bone is formed deposit matrix is formed osteocytes live in the bone
d) normal bone replaces remodeled bone and it goes back to how it originally looked
What are some common uses of metals as biomaterials?
- Bone and joint replacement
- Dental implants
- Tantalum foam allows for good tension and compression
- Porous texture causes better osseointegration and cell migration
- Maxillofacial and craniofacial reconstruction (颌面重建、颅面重建)
- Cardiovascular devices
- pacemaker case 起搏器
- Defibrillator 除颤仪
- Stents
- External prostheses
- Surgical instruments
- Catheters
- Medical tubing
What types of medical devices are metals most suitable for?
- Load bearing implants
- Internal fixation devices
What are key properties of metals?
- Strong
- Don’t bend much
- Don’t degrade
What happens to material properties when you process metals?
- High tensile strength
- High fatigue strength
- High yield strength
- Low reactivity
For a processed metal what are 2 ways to control the material properties?
- Change the processing method
- Change the purity of the metal
List 6 physical properties of metals
- Luster (shininess)
- Good conductor of heat and electricity
- High density
- High melting point
- Ductile — most metals can be drawn out into thin wires
- Malleable — most metals can be hammered into thin sheets
What is the purpose of an Ashby plot?
To compare two physical material properties.
What is the x and y axes on an Ashby plot?
Any physical properties on x and y axes (e.g. luster heat conductivity electrical conductivity density melting point ductility malleability).
photo, ashby plot, page 7
Notice how metals/alloys and ceramics are in the top right because they are dense and strong. Wood is strong but less dense so it is at the left middle.
What are common chemical properties of metals?
- Easily lose electrons (conductivity corrosion [redox reaction])
- Surface reactive (easily forms oxides and hydrates)
- Oxide: reaction with O2
- Hydrates: coordinated with water
- Loss of mass (some corrode easily)
- Change in mechanical properties
What is an example of changing mechanical properties
Rusting (corrosion) forms Fe2O3 the rust flakes off. This weakens the metal and may be toxic for an implant.
Why do metals have a high melting and boiling point?
Metals have many strong metallic bonds so a lot of heat is required to break the bonds.
Why are metals good conductors of electricity and heat?
Metals have lots of free electrons that can move and carry charge.
Why are metals malleable and ductile?
Layers of positive ions can easily slide over another layer. The metallic bonds aren’t broken so the metal is still strong. This is why hammering metal will not break metallic bonds.
photo, periodic table, page 8
do you know it?
do you know it?
Define a unit cell of a crystal structure
The smallest repeating unit within a crystal lattice that retains all the structural and symmetry features of the crystal.
How are unit cells described?
Lengths (a b c) and angles (α β γ)
Give the lengths and angles of a cubic unit cell
- a=b=c
- α=β=γ=90°
For a cubic unit cell: Where are the atoms positioned? How many atoms fit into a single unit cell? What are the properties? Give an example material.
- Atoms positioned at each vertex
- 1 atom per unit cell
- Low density rate
- Polonium
For a body centered cubic (BCC) unit cell: Where are the atoms positioned? What are the properties? Give an example material.
- Atoms positioned in each corner one extra atom in the center
- 2 atoms per unit cell
- Higher density than cubic ductile plastic (easy to work/deform)
- Chromium tungsten tantalum molybdenum -iron (different phases of some materials have different unit cells)
For a face centered cubic (FCC) unit cell: Where are the atoms positioned? What are the properties? Give an example material.
- Atoms are positioned in each corner and at each face.
- 4 atoms per unit cell
- Higher density than cubic or BCC ductile plastic (easy to work/deform)
- Copper aluminum silver and gold
For a hexagonal close-packed (HCP) unit cell: Where are the atoms positioned? What are the properties? Give an example material.
- Atoms are positioned at each vertex of the hexagon the middle of the top and bottom faces and 3 in the middle
- 6 atms per unit cell
- Same density as FCC bad plasticity (difficult to work/deform)
- Cobalt cadmium zinc -titanium(different phases of some materials have different unit cells)
Describe what happens in metal processing and casting.
1) molten metal is cooled to become solid
2) solid metal is beaten/rolled to form a product
What are two characteristic of metal processing that can affect the mechanical properties of a metal?
- Heat
- Plastic deformation
Describe the arrangement of atoms in a hot vs. a cold metal
- Hot: unstructured and amorphous
- Cold: crystal much more organized
Describe how someone would cast metal
1) make a mold cast in the shape that you want the final metal
2) heat up the metal until it is liquid
3) pour the molten metal in the mold cast and wait until the metal cools and the crystal structure forms
Define nucleation of crystal formation
The time/place where the first unit cell solidifies
Define the growth phase of crystal formation
new unit cells attach to existing unit cells
Define grain boundaries in crystal formation
The places where larger crystals touch but dont attach like normal
What is a grain boundary
Def: The interference point where crystal structures meet is called the grain boundary.
What is a grain?
Crystal will grow naturally until they begin to interfere.
Why do grain boundaries form?
- If two crystal structures are growing in two different places eventually they will grow so large that they touch.
- If one crystal structure grows at an angle of 10 and a different crystal structure grows at an angle of 11 the atoms will not align perfectly and there will be a grain boundary
What are 3 consequences of grain boundaries?
- Different mechanical properties
- It can cause defects
- There can be high interfacial energy (energy between different crystal structures)
- The energy between grain boundaries is highr than if you go away from the grain boundary to the middle
- This can result in corrosion especially with a lot of grain boundaries
What are the 3 categories of crystal defects?
- Point
- Line
- Planar
List 3 types of point defects
- Vacancy
- One atom is missing
- Nearby atoms shift
- Substitutional
- A different atom replaces one that should be in the lattice.
- Larger and smaller atoms move nearby atoms in the lattice
- Interstitial (self)
- Atom is in the wrong location and not connected to the lattice
- The atom pushes on nearby atoms shifting them
Describe what happens to a metal when stress is applied.
Dislocations (defects) are generated they move and the metal deforms