[Study of the behavior in the course of time of the holding power of cortical screws in vivo].
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Biomedical subjects
Publications and source records attributed to S M Perren.
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The effect of the magnetic field according to the Kraus-Lechner model was investigated on experimental pseudarthroses in beagle dogs. Double-blind evaluation of the 12 experimental pseudarthroses demonstrated that the magnetic field, applied for 3 months, had no effect on healing.
The influence of alternating magnetic fields (30 Gauss, 20 Hz) on the growth and regeneration of embryonic rat femora in organ culture was investigated. A pure magnetic field was ineffective at a constant temperature.
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The tissue tolerance for metal was investigated using an organ culture of embryonic rat femora. We found reproducible results using a standardized experimental method. A good correlation between the applied concentrations and resulting growth inhibition occurred and dose-response curves were established. The experimental model is applicable for testing tissue tolerance for the soluble products.
The combined application of Titanium plates with stainless steel screws appeared interesting, making a more elastic plate available without the risk of screw fractures. 3 different combinations of Titanium und stainless steel implants were tested in the animal and on humans. A morphometric evaluation of the soft tissue (animal) gave similar good results for stainless steel implants as for the combination of Titanium and steel, while pure Titanium gave the best result. Atomic absorption tests (human) showed that in case of the Titanium/steel mixture only the stainless steel screws did corrode. Delayed fracture healing or mechanical instability always gave risk to more metal deposits in the soft tissue than primary bone healing. If the advantages of Titanium seem important and if the rigidity of stainless steel screws may not be missed, the combination of the two metals appears possible and without danger.
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