[Preclinical evaluation of coated knee implants for allergic patients]

Orthopade. 2010 May;39(5):495-502. doi: 10.1007/s00132-009-1581-9.
[Article in German]

Abstract

Background: 10-15% of the population show allergic reactions against skin contact to metals as nickel, cobalt or chromium and have thus a risk of not tolerating implants containing those materials. The relationship between periimplantary hypersensivity reaction and given cutaneous contact allergy is currently unknown. A new developed multilayer coating system is supposed to prevent long-term allergic reactions that may result from uncoated implants.

Methods: Stability and function (concerning bonding durability, wear and ion release to the serum) of the multilayer coating system has been examined in a test series.

Results: The specific architecture of the multilayer coating system evidences a very good bonding durability. The results of the test in the simulator show a reduction of wear of approximately 60% compared to the uncoated implants. Ion concentrations within the serum of the wear tests were by magnitudes lower than those measured in reference tests on uncoated components.

Conclusion: The results of the preclinical evaluation prove that the durability and function of the multilayer coating system are as intended.

Publication types

  • English Abstract

MeSH terms

  • Biomechanical Phenomena
  • Chromium Alloys*
  • Coated Materials, Biocompatible*
  • Dermatitis, Allergic Contact / immunology*
  • Equipment Failure Analysis
  • Humans
  • Ions / immunology
  • Knee Prosthesis*
  • Microscopy, Electron, Scanning
  • Prosthesis Design
  • Surface Properties
  • Vitallium / toxicity*
  • Zirconium*

Substances

  • Chromium Alloys
  • Coated Materials, Biocompatible
  • Ions
  • Vitallium
  • Zirconium