Corrosion behaviour of stainless steel implants in biological media

In vitro transformation of bioactive glass granules into Ca-P shells

Bioactive glass (BG) granules of narrow size are excavated when implanted in mandibular bone of beagles. Bone tissue forms within these internally hollowed particles without a connection to the bone at the margins of the defect. In this study the internal excavation of BG granules was simulated by in vitro immersion experiments. Postimmersion solutions were analyzed for changes in Si, Ca, and P concentrations. Using scanning electron microscopy (SEM), energy dispersive X-ray (EDX) analysis and Fourier Transform Infrared (FTIR) spectroscopy, granules were analyzed for compositional, morphologic, and structural changes resulting from immersion. Only when the solution was continuously replenished and only if this solution was composed of electrolyte- and protein-containing serum was excavation achieved. Without solution replenishment, that is, under so-called integral immersion conditions, the solution quickly became saturated in silicon, and the silicon no longer dissolved. When the glass was immersed in a solution with serum, a porous surface structure with fine precipitates was formed, in contrast to a dense surface reaction layer with closely packed globular precipitates that was formed in a solution without serum. The combined effect of continuous solution replenishment and the use of a solution containing serum proteins led to the formation of a surface reaction layer that did not impede continued corrosion. As such, all Si was released, and eventually a hollow Ca-P shell was formed. Thus this study supports the hypothesis that there is a physico-chemical mechanism of Si transport through the Ca-P-rich layer followed by Si dissolution. This mechanism may be operative in vivo and thereby may contribute to the observed in vivo excavation.

Blood protein interactions with chromium surfaces

Protein adsorption, contact activation, and complement activation were studied on thin evaporated films of chromium (Cr) in vitro. The surfaces were, prior to the experiments, cleaned in either ethanol and water, or in a basic peroxide solution (RCA standard clean 1, SC-1). Surface spectroscopic studies of the outermost oxides showed a significant reduction of carbon contaminants after washing in SC-1 but also suggested an increase in the oxidation state as compared with the ethanol-washed surfaces. In situ ellipsometry combined with antibody techniques was used to determine protein deposition and antibody binding onto surfaces after incubations in heparin plasma or in normal serum. Incubation times from 1 to 10 min in serum showed increased depositions of serum and antibodies to complement factor 3c (C3c) and was larger on ethanol-washed surfaces than on surfaces washed in SC-1. ELISA methods indicated increased amounts of iC3b in serum for both surfaces, but no presence of C3 convertases (C4d or Bb fractions). A low or transient complement activation via the classical pathway was indicated on ethanol washed Cr, since deposition of secondary antibodies to complement factor Iq (CIq) was observed only after short incubation times in serum. No procoagulant activity of Cr was indicated, since only low amounts of antibodies to factor XII (F XII), prekallikrein (PKK), and high molecular weight kiniogen (HMWK) bound to the surfaces after incubations in heparin plasma. These results were confirmed using a colorimetric assay where the relative amounts of free plasma kallikrein was assessed using a chromogenic substrate, H-D-Pro-Phe-Arg-pNA (S-2302).

The effect of calcium phosphate ceramic composition and structure on in vitro behavior. I. Dissolution

Synthetic calcium phosphate ceramic (CPC) surfaces can be transformed to a biological apatite through a sequence of reactions which include dissolution, precipitation, and ion exchange. By virtue of the reactions being material-dependent, it is important to determine parametric rate effects. In this study we focused on the effect of stoichiometry and crystal structure of CPCs on the dissolution kinetics. Monophase, biphase, and multiphase CPCs with a Ca/P ratio equal to or greater than 1.5 were studied. The experiments were performed in a calcium- and phosphate-free Tris buffer solution at pH 7.3. The dissolution behavior of the CPCs studied was found to vary over a wide range. The dissolution rate of the monophase CPCs increased in the order of stoichiometric hydroxyapatite, calcium deficient hydroxyapatite, oxyhydroxyapatite, beta-tricalcium phosphate, alpha-tricalcium phosphate, and tetracalcium phosphate. Dissolution of biphase and multiphase CPCs increased prorated the concentration of more soluble component.

The mechanisms of passive dissolution of titanium in a model physiological environment

The surface chemistry, oxidation, and disolution kinetics of titanium were measured to establish the mechanisms of passive dissolution in physiological environments. Titanium thin films were immersed in 8.0 mM ethylenediamine-tetraacetic acid in simulated interstitial electrolyte (EDTA/SIE) and maintained at 37 degrees C, 10% O2, 5% CO2 and 7.2 pH for periods of time up to 3200 h (133 days). Two immersion schemes were employed: the integral sequentially determined the titanium released into a solution of accumulated dissolution products; and the differential continuously replenished the test solution. The solutions were analyzed for titanium by electrothermal atomic absorption spectrometry (EAAS), and the sample surfaces were analyzed by Auger electron spectroscopy (AES) and x-ray photoelectron spectroscopy (XPS) to determine oxide composition, stoichiometry, and thickness. Prior to immersion two types of hydroxyl (OH) groups were distinguished on the TiO2 surface. Upon immersion, the chemistry of the surface changed as a function of immersion: the presence of OH groups increased and P (nonelemental) was detected at the surface. The dissolution kinetics obeyed a two-phase logarithmic model, where the transition between phases occurred simultaneously with the adsorption of the P-containing species. The dissolution kinetics depended on surface reactions, electric field strength, and molecular diffusion. These mechanisms explain the observed dependence of dissolution kinetics on the properties of the surface oxide and solution ligands.

Divalent ions released from stainless steel hypodermic needles reduce neuronal calcium currents

We have investigated the effects of saline solutions exposed to stainless steel hypodermic needles on their ability to reduce voltage-dependent calcium currents in chick dorsal root ganglion neurons and rat cerebellar Purkinje cells. Salines exposed to needles with brass hubs, but not those with plastic hubs, for as little as 2-3 sec reduced calcium currents in both cell types. The amplitude of the response was exposure-dependent and reversible. Elemental analysis of the exposed salines using inductively-coupled-plasma atomic emission spectroscopy revealed that Cu and Zn (but not Cd, Cr, Co, Fe, Mn, Ni or Pb) were released from the brazed needles. The amount of Cu plus Zn released in 30 sec was estimated to be 12-26 microM, depending upon the specific needle examined. Longer exposures produced proportionately higher concentrations of the metals. Dose-response curves for Cu or Zn ions applied directly to cells confirmed that similar concentrations of these ions reduced neuronal calcium currents. Our results indicate that divalent ions released from stainless steel hypodermic needles with brass hubs can interfere with measurements of calcium currents. In addition the results contribute new information regarding potential physiological and pathological actions of copper and zinc ions in biological tissues.

Systemic effects of implanted prostheses made of cobalt-chromium alloys

Systemic effects of Co-Cr alloy/polyethylene hip joint prostheses were investigated using instrumental neutron activation to determine the concentrations of up to 16 elements. First, in a prospective study whole blood and serum taken from 10 patients from 1 day before to 90 days after implantation were analyzed. Secondly, in a retrospective study whole blood and serum from 23 patients who had had prostheses in place for up to 18 years were analyzed. For comparison, normal trace element levels in humans were determined by analyzing whole blood and serum from 21 patients. Finally, various tissues and organs from two decreased implant patients were analyzed and compared with normal concentrations obtained from the analysis of five "normal" patients without implants. In agreement with other recent investigations, our analyses of normal serum, whole blood, tissues, and organs show that most previously defined "normal" trace element concentrations were too high, chiefly owing to contamination and insufficient blanks. A detailed discussion shows that for many elements the ranges of normal concentrations have to be revised. This conclusion is of particular importance with respect to the sometimes conflicting earlier reports of systemic effects of metal prostheses. In the work reported here, both the prospective and the retrospective investigations of serum and whole blood showed massive Co enrichments as a consequence of implant corrosion. The data show a wide range of individual burdening, ranging from practically no effect to the most extreme values. The analyses of tissues from the vicinity of the implants in the two deceased implant patients showed strong local effects of Co, Cr, Zr, and Hf, the latter two elements originating from the X-ray contrast media in the bone cement. The analyses of organs revealed significant Co and Cr enrichment in several tissues and organs. Consequently, it can be seen that implant corrosion is not an occurrence of merely local significance, but one that affects the trace element status of the entire organism.

Trace element burdening of human tissues due to the corrosion of hip-joint prostheses made of cobalt-chromium alloys

Using instrumental neutron activation analysis, the concentrations of 18 elements were studied in human articular capsule and fascia lata before and after application of total endoprostheses of the hip joint made of cobalt-chromium alloys. Tissues from the vicinity of the implant showed extreme burdening by corrosion products (Co, Cr, Ni), as well as by Zr, Hf, and Ba from the bone cements. Tissues more distant from the implants exhibited lower, but still significant burdening. Moreover, some essential trace elements not contained in the implant materials were changed in the tissues after implantation. In order to clarify the dissolution of alloy constituents in biological media, the passivation of cobalt-chromium alloy was investigated by tracer techniques using Ringer's solution as a simple model of the body fluids. The passivation process lasted for more than 1 month and was accompanied by a selective dissolution of the alloys constituents in the order Ni greater than Co approximately Fe greater than Mo greater than Cr. A comparison of the tissue analyses with the corrosion experiments demonstrates that the distribution patterns of the corrosion products in the tissues are influenced by both the corrosion process and the biochemical properties of the corrosion products.