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Physical effects and symptoms. Persons suffering from metallosis can experience any of the following symptoms: Extreme pain (even when not moving); Swelling and inflammation; Loosening of the implant; Joint dislocation; Bone deterioration; Aseptic fibrosis, local necrosis; Hip replacement failure;
Biocompatibility. Titanium is considered the most biocompatible metal due to its resistance to corrosion from bodily fluids, bio-inertness, capacity for osseointegration, and high fatigue limit. Titanium's ability to withstand the harsh bodily environment is a result of the protective oxide film that forms naturally in the presence of oxygen.
Intramedullary rod. An intramedullary rod, also known as an intramedullary nail (IM nail) or inter-locking nail or Küntscher nail (without proximal or distal fixation), is a metal rod forced into the medullary cavity of a bone. IM nails have long been used to treat fractures of long bones of the body.
They can include infection, dislocation, limb length inequality, loosening, impingement, osteolysis, metal sensitivity, nerve palsy, chronic pain and death. Weight loss surgery before a hip replacement does not appear to change outcomes. [9] Edema appears around the hip in the hours or days following the surgery.
Bone cement. Bone cements have been used very successfully to anchor artificial joints ( hip joints, knee joints, shoulder and elbow joints) for more than half a century. Artificial joints (referred to as prostheses) are anchored with bone cement. The bone cement fills the free space between the prosthesis and the bone and plays the important ...
Internal fixation refers to fixation of screws and/or plates, intramedullary rods and other devices to enable or facilitate healing. Rigid fixation prevents micro-motion across lines of fracture to enable healing and prevent infection, which happens when implants such as plates (e.g. dynamic compression plate) are used.
Ti-6Al-7Nb. Ti-6Al-7Nb (UNS designation R56700) is an alpha-beta titanium alloy first synthesized in 1977 containing 6% aluminum and 7% niobium. It features high strength and has similar properties as the cytotoxic vanadium containing alloy Ti-6Al-4V. Ti-6Al-7Nb is used as a material for hip prostheses. [1]
A titanium hip prosthesis, with a ceramic head and polyethylene acetabular cup. Ceramics are now commonly used in the medical fields as dental and bone implants. Surgical cermets are used regularly. Joint replacements are commonly coated with bioceramic materials to reduce wear and inflammatory response.
The Ilizarov apparatus is a specialized external fixator of modular construction, composed of rings ( stainless steel, titanium) that are transfixed to healthy bone with Kirschner wires and pins of heavy-gauge stainless steel, and immobilised in place with additional rings and threaded rods that are attached with and through adjustable nuts.
Because titanium is biocompatible (non-toxic and not rejected by the body), it has many medical uses, including surgical implements and implants, such as hip balls and sockets (joint replacement) and dental implants that can stay in place for up to 20 years.