Design & development of a novel glass polyalkenoate cement for sternal fixation and repair, in the event of median sternotomy surgery
Notice bibliographique
Résumé
Median sternotomy surgery is the gold standard for cardiac/thoracic procedures such as open-heart surgery. With over one million median sternotomy surgeries performed worldwide every year, sternal wound complications pose a serious risk to the health of affected patients. Various techniques have been used for sternal fixation including wiring, plate-screw systems and cementing. The ideal sternal closure device is the one which has mechanical properties suited to the local environment, biocompatibility, radio-opacity, cost-effectiveness and ease of removal when necessary. None of the techniques that have been utilized for sternal fixation to date address all of these requirements. Glass polyalkenoate cements (GPCs) have a long history of use in restorative and orthodontic dentistry and ear, nose and throat (ENT) surgery but have yet to be indicated for musculoskeletal applications. This dissertation relates to the development of new GPC-based adhesives for use in sternal closure. A series of novel glasses based on the system 48SiO2-(36-X) ZnO-6CaO-8SrO-2P2O5-XTa2O5 with X varying from 0.0 to 8.0 mole percentage were fabricated and characterized. The structural features as a function of Ta2O5 content were investigated by network connectivity (NC) calculations, x-ray diffraction (XRD), particle size analysis (PSA), scanning electron microscopy-energy dispersive spectroscopy (SEM-EDS), x-ray photoelectron spectroscopy (XPS), Fourier transform infrared spectroscopy (FTIR) and magic angle spinning-nuclear magnetic resonance (MAS-NMR). The thermal properties of the glasses were obtained by performing simultaneous thermal analysis (STA). The effect of glass structure on pH and solubility was also evaluated. The formulated glasses were used to prepare GPC adhesive materials and tested for their suitability for sternal fixation. The data collected has confirmed that substituting up to 0.5 mole percentage of ZnO with Ta2O5 in the glass system under study resulted in the formation of adhesives that are deemed suitable for sternal fixation. The formulated cements, based on the use of glasses containing no greater than 0.5 mole percentage of Ta2O5 have rheology, strength, radiopacity, antibacterial and in-vitro behavior suitable for sternal fixation. To the best knowledge of the candidate, this dissertation is the first to report the use of tantalum-containing GPC-based adhesives for sternal closure. Based on the obtained results, the formulated adhesives can be used in conjunction with sternal cable ties (current standard method) to offer optimal fixation for patients and reduce post-operative complications such as bacterial infection and pain from micro-motion.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,004 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».