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Objective: To evaluate the effectiveness of a new type of sutured titanium wire combined with titanium nail internal fixation in correction of serious old medial canthus deformity. Methods: Between March 2012 and June 2015, 18 patients with unilateral serious old medial canthus deformity were treated. There were 14 males and 4 females. The patient's age ranged from 23 to 62 years (mean, 42 years). The causes of deformity included accident injury in 10 cases, boxing injury in 4 cases, sharp device scratching in 3 cases, and animal bite in 1 case. All patients had been treated with suture or steel wire fixation in other hospitals to correct the medial canthus deformity and the deformity recurred. The interval between this operation and the first operation was 6 months to 2 years (mean, 16 months). The nasal root or medial canthus skin scar incision was used as the operative approach, and the adhesion of the medial canthus ligament to the adjacent tissues was fully loosened, then the tail end of the new type sutured titanium wire was fixed to the residual end of the medial canthus ligament. After passing through the scar tissue, the needle end of wire was fixed on the titanium nail in the bone wall of anterior lacrimal crest. The position and shape of the medial canthus angle was determined by adjusting the tightness of titanium wire. Results: All incisions healed by first intention. All patients were followed up 6-12 months (mean, 10 months). In 16 cases, the medial canthus deformity was obviously corrected, and the appearances of bilateral eyes were basically symmetrical, without exposure of titanium nail and titanium wire. The medial canthus was retreated at 2 mm after 6 months in 2 cases, who were satisfied with their appearance without reoperation. Conclusion: Application of the new type of suture titanium wire combined with titanium nail in the correction of serious old medial canthus deformity can achieve good effectiveness with the low recurrence rate.
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Objective To investigate the treatment of subtrochanteric femoral fractures of Sein-sheimer type Ⅲ with prolonged Gamma3 nails and titanium wire fixation in the aged patients. Methods From October 2014 to December 2015, 23 old patients with subtrochanteric femoral fracture were treated with prolonged Gamma3 nails and titanium wire fixation. They were 7 men and 16 women, aged from 62 to 78 years ( 69. 3 years on average ) . By Seinsheimer classification, 14 cases were type ⅢA and 9 type ⅢB. The time from injury to surgery averaged 3. 4 days ( from 2 to 6 days ) . Their operation time, intraoperative bleeding, hospital stay, fracture union time and hip function at the final follow-up were documented. Results Their operation time averaged 1. 3 hours ( from 1. 0 to 1. 6 hours ) , intraoperative bleeding 161 mL ( from 115 to 215 mL ) , and hospital stay 10. 7 days ( from 9 to 12 days ) . They obtained follow-ups from 5 to 12 months ( 9. 3 months on average ) . All the fractures achieved bony union after an average of 15. 4 weeks ( from 12 to 20 weeks ) . The function of the affected hip assessed at the final follow-up according to the Harris scoring was excellent in 15 cases, good in 5 and fair in 3, resulting in an excellent to good rate of 87. 0％. Their follow-ups revealed no deep venous thrombosis of lower limb, fat embolism, coxa vara, refracture, cut-in of the femoral head by the lag screw, or implant breakage. Conclusions In the treatment of senile subtrochanteric femoral fractures of Seinsheimer type Ⅲ, prolonged Gamma3 nails and titanium wire fixation exhibits advan-tages of limited operative trauma, rigid fixation, a high rate of union and limited complications. Additionally, this treatment can increase the accuracy of inserting distal locking nails, shorten operation time and improve functional recovery.
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Aims: The aims of this study were to investigate batch-to-batch differences in mechanical and thermal properties of 22 commercial nickel-titanium wires and evaluate the surface quality. Secondly the percentages of superelasticity at mouth temperature were measured. Study Design: In vitro laboratory study. Place and Duration of Study: Sample: Department of Oral Health Sciences – Orthodontics and Metallurgy and Materials Engineering KU Leuven, between January 2010 and May 2011. Methodology: The sample comprised 22 NiTi wires of the upper jaw from 7 different manufacturers. For each brand two different batches were investigated (LOT A, LOT B). Three different investigations were carried out. First transformation behaviour and transition temperatures were determined by differential scanning calorimetry, second a three point bending test was done to evaluate the mechanical properties and third scanning electron microscopy was performed on all samples to evaluate surface quality. Results: Absolute batch-to-batch differences in the investigated properties were all deviating from zero, although most differences were clinically acceptable. Significant interbatch differences in thermal properties were found in 4 wires. Mechanical interbatch differences were found remarkable for 5 wires. Percentage of elasticity showed a non- superelastic curve below a deflection of 1500 μm, which represents clinical small deflections. Surface topography showed also interbatch differences for 4 wires. Conclusion: This study shows that batch-to-batch differences are obvious in each sample. One has to be careful in the selection of archwires. Therefore more standardized consument information should be provided.
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The purpose of this study was to investigate the change of mechanical properties, surface topography and frictional force of various nickel titanium wires after recycling. Three types of nickel-titanium wires and one type of stainless steel wire were divided to three groups: as-received condition(TO:control group), treated in artificial saliva for four weeks(T1) and autoclaved after being treated in artificial saliva(T2). Some changes were observed for the selected mechanical properties in tensile test, surface topography by means of SEM and 3D profilogram, and frictional coefficient, The findings suggest that 1. Nickel-titanium wires demonstrated no statistically significant differences in maximum tensile strength, elongation rate and modulus of elasticity, but stainless steel wire demonstrated statistically significant differences in maximum tensile strength, elongation rate and modulus of elasticity between the groups(p<0.05). 2. NiTi, Optimalloy, Stainless Steel wires demonstrated increased pitting and corrosion in SEM finding. 3. Recycled NiTi, Optimalloy and stainless steel wires demonstrated significantly greater surface roughness(Ra and Rq) through 3D profilogram when compared with the control wires(p<0.05), but Sentalloy didn't demonstrate significant difference. 4. Recycled NiTi, Optimalloy and stainless steel wires demonstrated significantly greater maximum frictional coefficient when compared with the control wires(P<0.05), but Sentalloy didn't demonstrate significant difference. The changes of surface roughness and frictional coefficient in NiTi and Optimalloy had no clinical implication. Consequently recycled nickel- titanium wires demonstrated no clinical problem in tensile properties, surface topography and frictional coefficient.
Subject(s)
Alloys , Corrosion , Elastic Modulus , Friction , Nickel , Recycling , Saliva, Artificial , Stainless Steel , Surface Properties , Tensile Strength , TitaniumABSTRACT
The purpose of this study was to investigate the change of 3 point bending properties of various nickel titanium wires after recycling. Four types of nickel-titanium (Align: martensitic type, NiTi, Optimalloy, Sentalloy: austenitic type) wires were divided to three groups: as-received condition (T0: control group), treated in artificial saliva for four weeks (T1) and autoclaved after being treated in artificial saliva (T2). Detrimental changes were observed for the selected mechanical properties in three point bending test. Loading force at 3mm deflection, unloading force at 3mm deflection, stress hysteresis, loading force at 1mm deflection, unloading force at 1 mm deflection and stress hysteresis at 1mm deflection were calculated. The findings suggest that: 1. Align demonstrated statistically significant increase in loading force (p<0.05) and unloading force (p<0.01) at 3mm deflection after recycling(T2), but NiTi, Optimalloy and Sentalloy showed no statistically difference after recycling. 2. Align demonstrated statistically significant decrease in hysteresis(p<0.01) after recycling(T2) but NiTi, Optimalloy and Sentalloy showed no statistically significant difference after recycling. 3. All wires showed no statistically significant difference in loading force at 1mm deflection after recycling(T2). 4. Align demonstrated statistically significant decrease in unloading force in 1mm deflection (p<0.05) after recycling(T2) but NiTi, Optimalloy and Sentalloy showed no statistically difference after recycling. 5. Loading force and unloading force of T1 showed no significant change compared with those of T0, but loading force and unloading force of T2 showed significant changes compared with those of T0(p<0.05, p<0.01 respectively). 6. Align demonstrated a tendency to lose some of this pseudoelsticity in T1 and pseudoplasticity and pseudoelasticity in T2.
Subject(s)
Alloys , Nickel , Recycling , Saliva, Artificial , TitaniumABSTRACT
The purpose of this study is to investigate the changes of mechanical properties and surface topography of various nickel titanium wires after heat sterilization for recycling with quantitative method. The materials used were four kinds of nickel titanium orthodontic wires including a Korean product. Experimental specimens were treated with two kinds of heat sterilization methods; dry heat (180degrees C, 60snin) and autoclave (121degrees C, 15-20psi, 30min). Mechanical properties were evaluated by tensile test with Instron 4466 (load cell capacity : 1000 kg, cross head speed : 5mm/min, grip distance : 40mm, in room temperature). Surface topography of various wires was compared with each other qualitatively by using scanning electron microscopy and quantitatively by using profilometer. The findings were analyzed statistically with student t-tests. The results were as follows; 1. Neither method of heat sterilization hod any effects on tensile properties of the nickel-titanium wires used in this experiment. 2. Before heat sterilization, the surface smoothness was highest in Optimalloy, followed by Align and Sentailoy, with NiTi showing the lowest smoothness value. 3. In surface topography, Align and Optimalloy were not influenced by heat sterilization. NiTi, on the other hand, had increased roughness after dry heat sterilization and Sentalloy showed the same tendency after each of the two heat sterilization procedures.