1
|
Gregar F, Gallo J, Milde D, Hegrová J, Kučerová P, Grepl J, Pluháček T. In vivo assessment of TiO 2 based wear nanoparticles in periprosthetic tissues. Anal Bioanal Chem 2024; 416:3785-3796. [PMID: 38724776 PMCID: PMC11180632 DOI: 10.1007/s00216-024-05320-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2023] [Revised: 03/20/2024] [Accepted: 04/25/2024] [Indexed: 06/18/2024]
Abstract
A multimodal approach combining inductively coupled plasma mass spectrometry (ICP-MS), single-particle ICP-MS (spICP-MS), scanning electron microscopy-energy-dispersive X-ray spectroscopy (SEM-EDS) and Raman spectroscopy enabled a deeper insight into the balance between total titanium (Ti), the soluble titanium fraction and titanium dioxide based particle fraction levels in periprosthetic tissues collected from patients undergoing revision surgery. Hydrofluoric acid usage in the sample digestion allowed for complete digestion of TiO2 particles, thus enabling accurate estimation of total Ti levels. The TiO2 fraction represents 38-94% of the titanium load in the six samples where particles were detected, and the fraction is present mainly in samples from patients with aseptically loosened total hip arthroplasty. Further attention was given to this fraction determining the elemental composition, particle count, particle size and modification of TiO2. The spICP-MS analysis confirmed the presence of the TiO2-derived (nano)particles (NPs) with a 39- to 187-nm median size and particle count up to 2.3 × 1011 particles per gram of tissue. On top of that, the SEM-EDS confirmed the presence of the TiO2 nanoparticles with 230-nm median size and an anatase crystal phase was determined by Raman spectroscopy. This study presents a novel multimodal approach for TiO2 particle determination and characterization in tissue samples and is the first in vivo study of this character.
Collapse
Affiliation(s)
- Filip Gregar
- Department of Analytical Chemistry, Faculty of Science, Palacký University Olomouc, 17. listopadu 12, Olomouc, 771 46, Czech Republic
| | - Jiří Gallo
- Department of Orthopaedics, Faculty of Medicine and Dentistry, Palacký University Olomouc, University Hospital Olomouc, I. P. Pavlova 6, Olomouc, 77520, Czech Republic
| | - David Milde
- Department of Analytical Chemistry, Faculty of Science, Palacký University Olomouc, 17. listopadu 12, Olomouc, 771 46, Czech Republic
| | - Jitka Hegrová
- Transport Research Centre, Division of Sustainable Transport and Transport Structures Diagnostics, Líšeňská 33a, Brno, 619 00, Czech Republic
| | - Pavla Kučerová
- Department of Analytical Chemistry, Faculty of Science, Palacký University Olomouc, 17. listopadu 12, Olomouc, 771 46, Czech Republic
| | - Jakub Grepl
- Department of Analytical Chemistry, Faculty of Science, Palacký University Olomouc, 17. listopadu 12, Olomouc, 771 46, Czech Republic
| | - Tomáš Pluháček
- Department of Analytical Chemistry, Faculty of Science, Palacký University Olomouc, 17. listopadu 12, Olomouc, 771 46, Czech Republic.
| |
Collapse
|
2
|
Lachance AD, Stogsdill PB, McGrory BJ. Late Hematogenous Total Hip Infection After Revision for Mechanically Assisted Crevice Corrosion With Adverse Local Tissue Reaction. Arthroplast Today 2022; 18:173-180. [PMID: 36387330 PMCID: PMC9647085 DOI: 10.1016/j.artd.2022.10.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Revised: 10/15/2022] [Accepted: 10/17/2022] [Indexed: 11/08/2022] Open
Abstract
Mechanically assisted crevice corrosion (MACC) at the trunnion-bore junction of a total hip arthroplasty may cause adverse local tissue reaction (ALTR) with inflammatory reaction and tissue necrosis. Complications, including acute infection, continued pain, and instability, are therefore common after a revision surgery for MACC. We now present 2 cases of late hematogenous bacterial infection years after revision for MACC and ALTR, a previously unreported outcome in this population. We hypothesize that MACC-induced tissue necrosis does not heal over time, and some patients with metal-on-polyethylene total hip arthroplasty treated for ALTR are at long-term risk of hematogenous bacterial infection.
Collapse
|
3
|
Fernandez-Fairen M. CORR Insights®: Insights into Imprinting: How Is the Phenomenon of Tribocorrosion at Head-Neck Taper Interfaces Related to Corrosion, Fretting, and Implant Design Parameters? Clin Orthop Relat Res 2022; 480:1601-1603. [PMID: 35638900 PMCID: PMC9278905 DOI: 10.1097/corr.0000000000002267] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/14/2022] [Accepted: 05/12/2022] [Indexed: 01/31/2023]
|