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Determination of electrophysical and structural properties of human cancellous bone and synthetic bone substitute material using impedance spectroscopy and X-ray powder diffraction

Haba Y., Köckerling M., Shick Ch., Mittelmeier W., Bader R.

Acta of Bioengineering and Biomechanics

2018

Vol. 20, no. 1

11--19

Electrophysical stimulation is used to support fracture healing and bone regeneration. For design optimization of electrostimulative implants, in combination with applied human donor bone or synthetic bone scaffolds, the knowledge of electrophysical properties is fundamental. Hence further investigations of the structural properties of native and synthetic bone is of high interest to improve biofunctionality of bone scaffolds and subsequent healing of the bone defect. The investigation of these properties was taken as an objective of this study. Therefore, surgically extracted fresh cylindrical and consecutively ashed cancellous bone samples from human osteoarthritic femoral heads were characterized and compared to synthetic bone substitute material. Thereby, impedance spectroscopy is used to determine the electrophysical properties and X-ray powder diffraction (XRD) for analysis of structural information of the bone samples. Conductivity and permittivity of fresh and ashed cancellous bone amounted to 1.710–2 S/m and 7.5106 and 210–5 S/m and 7.2103 , respectively. Electrical conductivity and dielectric permittivity of bone scaffold resulted in 1.710–7 S/m and 49. Analysis of the structural properties showed that the synthetic bone scaffolds made of Brushite exhibited some reflections which correspond to the native bone samples. The information in present study of the bone material (synthetic and autologous) could be used for later patient individual application of electrostimulative implants.

Experimental analysis of insertion torques and forces of threaded and press-fit acetabular cups by means of ex vivo and in vivo measurements

Vogel D., Rathay A., Teufel S., Ellenrieder M., Zietz C., Sander M., Bader R.

Acta of Bioengineering and Biomechanics

2017

Vol. 19, no. 3

155--163

In THA sufficient primary implant stability is the precondition for successful secondary stability. Industrial foams of different densities have been used for primary stability investigations. The aim of this study was to analyse and compare the insertion behaviour of threaded and press-fit cups in vivo and ex vivo using bone substitutes with various densities. Methods: Two threaded (Bicon Plus®, Trident® TC) and one press-fit cup (Trident PSL®) were inserted by orthopaedic surgeons (S1, S2) into 10, 20 and 31 pcf blocks using modified surgical instruments allowing measurements of the insertion forces and torques. Furthermore, the insertion behaviour of two cups were analysed intraoperatively. Results:Torques for the threaded cups increased while bone substitute density increased. Maximum insertion torques were observed for S2 with 102 Nm for the Bicon Plus® in 20 pcf blocks and 77 Nm for the Trident® TC in 31 pcf blocks which compares to the in vivo measurement (85 Nm). The average insertion forces for the press-fit cup varied from 5.2-6.8 kN (S1) and 7.2-11.5 kN (S2) ex vivo. Intraoperatively an average insertion force of 8.0 kN was determined. Conclusions: Implantation behaviour was influenced by acetabular cup design, bone substitute and experience of the surgeon. No specific density of bone substitute could be favoured for ex vivo investigations on the implantation behaviour of acetabular cups. The synthetic bone blocks of high density (31 pcf) led to problems regarding cup orientation and seating. Therefore, bone substitutes used should be critically scrutinized in terms of the comparability to the in vivo situation.