1
|
Pierini G, Fini M, Giavaresi G, Dallari S, Brayda Bruno M, Rocca M, Nicoli Aldini N, Giardino R. Atomic Absorption Spectrophotometry (AAS) for the Evaluation of Metallosis in Prostheses and Artificial Organs: A New Approach. Int J Artif Organs 2018. [DOI: 10.1177/039139889902200712] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
To study the presence of metals in body fluids and tissues after implantation of metallic biomaterials and possible related diseases, a new approach in Atomic Absorption Spectrophotometry (AAS) was developed. This technique was compared to three traditional methods: mineralisation with acid digestion (method A) also known as “wet method”, dry ashing (with or without oxygen) (method B); classic Kjeldaal (method C). The new approach (method D) modifies the mineralisation phase and the instrument operating instructions. Al, Na, Cr, K, Ni, Co, Ti, Fe, Hg, Pb, V, Sb and Cu levels were tested with the four methods on bone, muscle, cartilage, skin, brain, lymph nodes, blood, urine, and hair. Test results were checked by the addition method. Results demonstrated a significantly higher percentage of Al, Cr, Ni, Ti and Hg recovery with the new approach. The advantages of method D are no residue, no redox reaction, insignificant loss of analytes and enhanced sensitivity (at ppb level vs ppm of the other methods). This approach should be considered especially when testing heavy metals and complex matrices. Its disadvantages are that it is more time consuming and requires the presence of an operator.
Collapse
Affiliation(s)
- G. Pierini
- Forensic Medicine Department, University of Bologna, Bologna
| | - M. Fini
- Experimental Surgery, Research Institute Codivilla-Putti, Rizzoli Orthopaedic Institutes, Bologna
| | - G. Giavaresi
- Experimental Surgery, Research Institute Codivilla-Putti, Rizzoli Orthopaedic Institutes, Bologna
| | - S. Dallari
- Forensic Medicine Department, University of Bologna, Bologna
| | | | - M. Rocca
- Experimental Surgery, Research Institute Codivilla-Putti, Rizzoli Orthopaedic Institutes, Bologna
| | - N. Nicoli Aldini
- Experimental Surgery, Research Institute Codivilla-Putti, Rizzoli Orthopaedic Institutes, Bologna
| | - R. Giardino
- Experimental Surgery, Research Institute Codivilla-Putti, Rizzoli Orthopaedic Institutes, Bologna
- Surgical Pathophysiology, Medical School, University of Bologna, Bologna - Italy
| |
Collapse
|
2
|
Development and Evaluation of a Device for Sutureless and Repeated Application of Amniotic Membrane Overlays. Cornea 2010; 29:331-5. [DOI: 10.1097/ico.0b013e3181b6ebbf] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
3
|
Lardinois D, Müller M, Furrer M, Banic A, Gugger M, Krueger T, Ris HB. Functional assessment of chest wall integrity after methylmethacrylate reconstruction. Ann Thorac Surg 2000; 69:919-23. [PMID: 10750784 DOI: 10.1016/s0003-4975(99)01422-8] [Citation(s) in RCA: 102] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND All patients with extensive resection of the anterolateral chest wall and the sternum followed by reconstruction with methylmethacrylate substitutes were assessed prospectively 6 months after the operation to delineate chest wall integrity with pulmonary function and cine-magnetic resonance imaging. METHODS Twenty-six patients underwent chest wall reconstruction by use of methylmethacrylate between 1994 and 1998 due to primary tumors in 35%, metastases in 27%, T3 lung cancer in 19%, and debridement for radionecrosis and osteomyelitis in 19% of patients. Three to eight ribs were resected and additional sternum resection was performed in 39% of patients. RESULTS There was no 30-day mortality. All patients were extubated after the operation without need for reintubation. Prosthesis dislocation occurred in 1 patient and infection in 2 patients during follow-up. Nineteen patients (73%) suffered no restrictions of daily activities. Clinical examination revealed normal shoulder girdle function in 77% of patients. There was no significant difference between preoperative and postoperative FEV1 (forced expiratory volume in 1 second) measurements in patients with lobectomy or wedge resections. Cinemagnetic resonance imaging revealed concordant chest wall movements during respiration in 92% of patients without paradoxical movements or implant dislocations being observed. CONCLUSIONS Large defects of the anterolateral chest wall and sternum can be reconstructed efficiently with methylmethacrylate substitutes with minimal morbidity and excellent cosmetic and functional outcome.
Collapse
Affiliation(s)
- D Lardinois
- Department of Thoracic and Cardiovascular Surgery, University Hospital, University of Bern, Switzerland
| | | | | | | | | | | | | |
Collapse
|