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1.
Materials (Basel) ; 16(19)2023 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-37834665

RESUMO

We investigated the improvement of mechanical properties of biograde Co-28Cr-6Mo-0.11N alloy prepared by electron beam melting through grain refinement via multiple reverse transformations. While the effects of single and double reverse transformation treatments on the microstructure have been investigated in previous studies, we investigated the effects of multiple reverse transformation heat treatments. The particle size was refined to 1/4, and the yield strength, tensile silence strength, and elongation were enhanced to 655 MPa, 1234 MPa, and 45%, respectively, satisfying ASTM F75 standards. Moreover, a mixed phase of ε and γ was observed to provide higher yield strength than a single γ structure. The dominant behavior in the γ → ε phase transformation at 1073 K was obvious. Grain growth was suppressed by the grain-boundary pinning effect of the Cr2N phase during reverse transformation to the γ phase. Because no fracture was caused by precipitates such as σ, η, and Cr2N phases, the influence of the precipitates on the tensile properties was small.

2.
J Mech Behav Biomed Mater ; 133: 105360, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-35839635

RESUMO

Strengthening of biomedical Co-Cr-Mo alloys has been explored via thermomechanical processing for enhancing the durability of their biomedical applications. However, the effects of cold and hot deformation on the cellular activity continue to be unclear. In this study, we prepared Co-Cr-Mo alloy rods via cold swaging and hot-caliber rolling and studied the relationship between the microstructure and cellular response of pre-osteoblasts. The cold-swaged rod experienced strain-induced martensitic transformation, which increased the volume fraction of the hexagonal close-packed (hcp) ε-martensite to ∼60 vol.% with an increase in area reduction (r) to 30%. The 111γ fiber texture of the face-centered cubic (fcc) γ-matrix followed the Shoji-Nishiyama orientation relationship with ε-martensite. Cell culture results revealed beneficial effects of cold swaging on the cell response, in terms of adhesion, proliferation and morphology of cells, although increasing r did not significantly affect cellular metabolism levels. The addition of small content of Zr (0.04 wt.%) led to enhanced focal adhesion of cells, which became more significant at higher r. The microstructural evolution during hot-caliber rolling, namely, grain refinement without any phase transformation and strong texture development, did not appreciably affect the cellular activity. These findings are envisaged to facilitate alloy design and microstructural optimization for favorable tuning the osseointegration of biomedical Co-Cr-Mo alloys.


Assuntos
Ligas , Materiais Biocompatíveis , Ligas/química , Materiais Biocompatíveis/química , Materiais Biocompatíveis/farmacologia , Teste de Materiais
3.
Materials (Basel) ; 14(16)2021 Aug 18.
Artigo em Inglês | MEDLINE | ID: mdl-34443184

RESUMO

In powder bed fusion-electron beam melting, the alloy powder can scatter under electron beam irradiation. When this phenomenon-known as smoking-occurs, it makes the PBF-EBM process almost impossible. Therefore, avoiding smoking in EBM is an important research issue. In this study, we aimed to clarify the effects of powder bed preheating and mechanical stimulation on the suppression of smoking in the powder bed fusion-electron beam melting process. Direct current electrical resistivity and alternating current impedance spectroscopy measurements were conducted on Inconel 718 alloy powder at room temperature and elevated temperatures before and after mechanical stimulation (ball milling for 10-60 min) to investigate changes in the electrical properties of the surface oxide film, alongside X-ray photoelectron spectroscopy to identify the surface chemical composition. Smoking tests confirmed that preheating and ball milling both suppressed smoking. Furthermore, smoking did not occur after ball milling, even when the powder bed was not preheated. This is because the oxide film undergoes a dielectric-metallic transition due to the lattice strain introduced by ball milling. Our results are expected to benefit the development of the powder bed fusion-electron beam melting processes from the perspective of materials technology and optimization of the process conditions and powder properties to suppress smoking.

4.
Sci Rep ; 10(1): 18446, 2020 Oct 28.
Artigo em Inglês | MEDLINE | ID: mdl-33116207

RESUMO

In recent years, spherical powders with no or minimal internal pores fabricated by the plasma rotating electrode process (PREP) have been highly recommended for powder-type additive manufacturing. Most research on PREP is aimed at establishing relationship between PREP parameters and powder size. However, almost no dedicated research on granulation behavior has been conducted so far. In the present study, PREP experiments of Ti64 and SUS316 alloys were carried out. Numerical modeling based on computational thermo-fluid dynamics was developed to analyze the granulation behavior. In particular, the roles of the additionally introduced gas blast and the morphology of the electrode end surface in fluid granulation were preliminarily investigated. The study showed that in addition to the electrode's rotating speed and diameter, manipulating the plasma arc current (i.e., the melting rate) could also be an effective way to control the PREP-powder size. According to the simulation, there were competing actions of the gas blast affecting the powder size. The gas blast created disturbance on the fluid and deepened the depression of the electrode end surface, which facilitated powder refinement. However, the cooling effect enhanced the fluid stability and hindered fluid granulation. The conclusions indicated the possibility of using various methods to manipulate PREP-powder size.

5.
Spine (Phila Pa 1976) ; 45(6): E312-E318, 2020 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-31574057

RESUMO

STUDY DESIGN: Experimental study of spinal rod as per the American Society for Testing Materials (ASTM) F2193 methodology for static and dynamic four-point bending. OBJECTIVE: The hypotheses underlying this study were that the notch-free, curved rod would have a significantly higher ultimate load and fatigue strength compared with conventional notched curved rods. This study aimed to analyze the mechanical properties of notch-free curved rods compared with conventional notched rods. SUMMARY OF BACKGROUND DATA: The goal of instrumented spinal fusion in the management of spinal deformities is to realign the spine and maintain the correction and stability in order to obtain arthrodesis. Although rod curvature could play an important role, intraoperative contouring of the straight rod induces notches into the rod, leading to decreased fatigue strength. METHODS: Commercially produced titanium alloy (ϕ6.0 mm) and cobalt chromium alloy (ϕ5.5 mm) spinal rods were assessed by four-point bending tests in accordance with the ASTM F2193. RESULTS: Static four-point bending tests for the curved spinal rods showed that cobalt chromium alloy rods had significantly higher stiffness compared with titanium alloy rods. Notch-free cobalt chromium alloy rods had a significantly higher ultimate load than the conventional notched cobalt chromium alloy and titanium alloy rods. The dynamic four-point bending test showed that force/displacement at a minimum force at 2,500,000 cycles was larger in the notch-free cobalt chromium alloy rod than in the notched cobalt chromium alloy rod. CONCLUSION: The notch-free curved cobalt chromium alloy rod is likely to maintain its curvature after spinal deformity surgery with a decreased risk of breakage and could overcome the problems of the conventional notched rod such as breakage and spring-back. LEVEL OF EVIDENCE: N/A.


Assuntos
Teste de Materiais/métodos , Próteses e Implantes , Doenças da Coluna Vertebral/cirurgia , Fusão Vertebral/métodos , Estresse Mecânico , Ligas de Cromo/normas , Humanos , Teste de Materiais/instrumentação , Procedimentos Neurocirúrgicos/instrumentação , Procedimentos Neurocirúrgicos/métodos , Fusão Vertebral/instrumentação , Titânio/normas
6.
J Biomed Mater Res B Appl Biomater ; 108(4): 1518-1526, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-31622018

RESUMO

Cobalt-chromium-molybdenum alloys exhibit good mechanical properties (yield strength: ~530 MPa, ultimate tensile strength: ~1114 MPa, elongation-to-failure: ~47.3%, and modulus: ~227 GPa) and corrosion resistance. In recent years, from the perspective of osseointegration, they are considered to be lower in rank in comparison to the widely used titanium alloys. We elucidate here the significant and favorable modulation of cellular activity of Zr-modified Co-Cr-Mo alloys. The average grain size of Co-Cr-Mo alloy samples with and without Zr was 104 ± 27 and ~53 ± 11 µm, respectively. The determining role of small addition of Zr (0.04 wt. %) to the Co-Cr-Mo alloys in favorable modulation of cellular activity was accomplished by combining cellular biology and materials science and engineering. Experiments on the influence of Zr addition to Co-Cr-Mo alloys clearly demonstrated that the cell adhesion, spread and cell-substrate interactions were enhanced in the presence of Zr. The spread/growth rate of cells was ~120% on the Co-Cr-Mo alloy and 190% per day on the Co-Cr-Mo-Zr alloy. While the % area covered by the cells increased from ~5.1 to ~33.6% on Co-Cr-Mo alloy and ~19.2 to ~47.8% on Co-Cr-Mo-Zr alloy after 2 and 24 hr of incubation. Similarly, the cell density increased from ~1354 to ~3424 cells/cm2 on Co-Cr-Mo alloy and ~3583 to ~7804 cells/cm2 on Co-Cr-Mo-Zr alloy after 2 and 24 hr of incubation. Additionally, stronger vinculin focal adhesion contact and signals associated with actin stress fibers together with extracellular matrix protein, fibronectin, were noted.


Assuntos
Teste de Materiais , Osteoblastos/metabolismo , Vitálio , Zircônio , Animais , Linhagem Celular , Camundongos , Vitálio/química , Vitálio/farmacologia , Zircônio/química , Zircônio/farmacologia
7.
J Mech Behav Biomed Mater ; 90: 523-529, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30458336

RESUMO

In this study, we examined the effect of pre-existing dislocation structures in a face-centered cubic γ-phase on strain-induced martensitic transformation (SIMT) to produce a hexagonal close-packed ε-phase in a hot-rolled biomedical Co-Cr-Mo alloy. The as-rolled microstructure was characterized by numerous dislocations as well as stacking faults and deformation twins. SIMT occurred just after macroscopic yielding in tensile deformation. Using synchrotron X-ray diffraction line-profile analysis, we successfully captured the nucleation of ε-martensite during tensile deformation in terms of structural evolution in the surrounding γ-matrix: many dislocations that were introduced into the γ-matrix during the hot-rolling process were consumed to produce ε-martensite, together with strong interactions between dislocations in the γ-matrix. As a result, the SIMT behavior during tensile deformation was accelerated through the consumption of these lattice defects, and the nucleation sites for the SIMT ε-phase transformed into intergranular regions upon hot rolling. Consequently, the hot-rolled Co-Cr-Mo alloy simultaneously exhibited an enhanced strain hardening and a high yield strength. The results of this study suggest the possibility of a novel approach for controlling the γ → ε SIMT behavior, and ultimately, the performance of the alloy in service by manipulating the initial dislocation structures.


Assuntos
Ligas/química , Materiais Biocompatíveis/química , Cromo/química , Cobalto/química , Ligas Dentárias/química , Molibdênio/química , Estresse Mecânico , Teste de Materiais , Resistência à Tração
8.
Sci Rep ; 8(1): 13776, 2018 09 13.
Artigo em Inglês | MEDLINE | ID: mdl-30213990

RESUMO

The nickel-titanium alloy (57Ni-43Ti in wt%) was atomized by the plasma rotating electrode process (PREP). The PREP parameters such as plasma arc current, rotating electrode speed with corresponding PREP powder size range in weight percentage analysis, powder morphology and biocapability of cells were studied by scanning electron microscopies, Inductively Coupled Plasma and X-ray diffraction techniques. From the electrode of the produced powders, the composition has no obviously changes. Weight percentage up to 31.8% of the range under 300 µm while the rotation electrode speed increase to 12k rpm. Spherical and flat with smooth surface were observed in different size range. Brittle phase was not observed of XRD data. The nitinol powder has high biocapability with cells showed no cytotoxicity and well cell adhesion in the in vivo assay.


Assuntos
Ligas/química , Níquel/química , Pós/síntese química , Titânio/química , Engenharia Biomédica , Adesão Celular , Linhagem Celular , Eletrodos , Humanos , Microscopia Eletrônica de Varredura , Tamanho da Partícula , Difração de Raios X
9.
Mater Sci Eng C Mater Biol Appl ; 92: 112-120, 2018 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-30184734

RESUMO

The addition of carbon and silicon as minor alloying elements was examined as a means to improve the mechanical properties of novel nitrogen-doped Co-Cr-based alloy dental castings. Samples of Co-32Cr-9W-Si-0.25N-C (mass%) alloys were prepared using a dental-casting machine. Microstructural analysis was performed on the alloys using scanning electron microscopy, electron-backscatter diffraction, electron-probe microanalysis, and X-ray diffraction, with a particular focus on the precipitation behavior. The findings were compared with thermodynamic predictions and examined in relation to the tensile properties and Vickers hardness at room temperature. All of the prepared alloys had a face-centered-cubic γ-phase matrix, with grains measuring a few millimeters in diameter and consisting of dendritic substructures. The precipitation of the intermetallic σ-phase, which occurred in the interdendritic regions with solidification segregation of Cr and W, was replaced with M23C6 through the addition of carbon. This significantly increased the ultimate tensile strength of the alloys without severe loss of ductility, although the 0.2% proof stress did not change. The addition of silicon, on the contrary, promoted the formation of the precipitates, which included M6C and the σ-phase, making the alloys brittle. The results of this study highlight the role of minor alloying elements, such as carbon and silicon, on the microstructural and mechanical properties; the findings also shed light on the significance of precipitation control in dental castings of Co-Cr alloys, which should aid the design of novel dental alloys.


Assuntos
Cromo/química , Cobalto/química , Ligas Dentárias/química , Nitrogênio/química , Carbono/química , Teste de Materiais , Microscopia Eletrônica de Varredura , Silício/química , Resistência à Tração , Termodinâmica , Difração de Raios X
10.
Plast Reconstr Surg Glob Open ; 6(5): e1742, 2018 May.
Artigo em Inglês | MEDLINE | ID: mdl-29922547

RESUMO

BACKGROUND: Fat grafting has become popular since the first report of structural fat grafting in 2001. Fat grafting is effective not only for volume augmentation but also for tissue revitalization. However, fat harvesting is necessary before fat grafting can be performed. Therefore, the performance of serial fat injections is very challenging when treating such patients. METHODS: From August 2015 to March 2017, we investigated 219 patients who underwent fat grafting using the fat that had already been cryopreserved at -196°C. RESULTS: Follow-up ranged from 3 months to 2 years. No complications occurred, and all outcomes were satisfactory. Three representative cases were also reviewed. CONCLUSIONS: The cryopreserved fat at -196°C could be served as a useful method for serial fat grafting for clinical use; however, further research involving longer follow-up and pathological findings are needed.

11.
J Biomed Mater Res A ; 106(6): 1655-1663, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-29427531

RESUMO

Electron beam melting (EBM) is a three-dimensional (3D) printing technique for the production of metal structures where complex geometries with interconnected porosities can be built. Incorporation of as little as 0.04% Zr into the CoCr alloy can significantly improve the biomechanical anchorage of constructs fabricated by EBM. Here we investigate bone material properties, including microstructure and composition, adjacent to 3D printed CoCr implants with and without addition of 0.04% Zr, after 8 weeks of healing in the rabbit femur. In low amounts, zirconium addition does not alter the microstructure and extracellular matrix composition of bone formed adjacent to the surface of EBM manufactured implants. Bone ingrowth into surface irregularities of 3D printed CoCr and CoCr + Zr implants is seen. Extensive remodeling is also evident. Osteocytes attach directly on to the implant surface. The interfacial tissue at CoCr and CoCr + Zr has similar mineral crystallinity, apatite-to-collagen ratio, carbonate-to-phosphate ratio, Ca/P ratio, bone-implant contact, percentage porosity, and osteocyte density (N.Ot/B.Ar). Compared to the native bone, the mineral crystallinity of the interfacial tissue was lower while N.Ot/B.Ar was higher for both CoCr and CoCr + Zr. Overall, the results indicate that bone tissue adjacent to CoCr and CoCr + Zr implants is highly mature and exhibits comparable healing kinetics. © 2018 Wiley Periodicals, Inc. J Biomed Mater Res Part A: 106A: 1655-1663, 2018.


Assuntos
Ligas de Cromo/química , Implantes Experimentais , Osseointegração , Zircônio/química , Animais , Fenômenos Biomecânicos , Interface Osso-Implante/patologia , Contagem de Células , Matriz Extracelular/química , Feminino , Fêmur/química , Fêmur/patologia , Fêmur/cirurgia , Osteócitos/citologia , Porosidade , Impressão Tridimensional , Coelhos
12.
J Mech Behav Biomed Mater ; 77: 693-700, 2018 01.
Artigo em Inglês | MEDLINE | ID: mdl-29102894

RESUMO

The effect of nitrogen concentration on the mechanical properties of Co-33Cr-9W alloy dental castings fabricated using the "high-Cr and high-N" concept was investigated. Microstructural analysis was performed on the alloys, and findings were discussed in relation to the mechanical properties. Owing to their high nitrogen concentrations (0.25-0.35wt%), all alloys prepared exhibited face-centered cubic (fcc) γ-phase matrices with a-few-millimeter grains consisting of dendritic substructures. Strain-induced martensitic transformations to produce hexagonal close-packed (hcp) ε-phases were not identified under tensile deformation. The precipitation of the intermetallic σ-phase was identified at the interdendritic regions where solidification segregation of Cr and W occurred. The size and chemical composition of this σ-phase did not vary with the bulk nitrogen concentration. Adding nitrogen to the alloys did not alter their tensile yield stress or Vickers hardness values significantly, suggesting that the nitrogen strengthening effect is affected by the manufacturing route as well as local chemistry that is involved in the microstructural evolution during solidification. The tensile ductility, on the other hand, increased with an increase in nitrogen concentration; the alloy with 0.35wt% nitrogen exhibited 21% elongation with a high 0.2% proof stress (589MPa). This significant improvement in ductility was likely caused by the reduction in the amount of σ-phase precipitates at the interdendritic regions following the addition of nitrogen.


Assuntos
Ligas/química , Cromo/química , Materiais Dentários/química , Nitrogênio/química , Estresse Mecânico , Materiais Biocompatíveis/química , Cerâmica , Elétrons , Dureza , Teste de Materiais , Microscopia Eletrônica de Varredura , Espalhamento de Radiação , Software , Propriedades de Superfície , Resistência à Tração , Termodinâmica
13.
Sci Technol Adv Mater ; 18(1): 893-904, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-29152021

RESUMO

This work identifies microstructural conversion mechanisms during hot deformation (at temperatures ranging from 750 °C to 1050 °C and strain rates ranging from 10-3 s-1 to 1 s-1) of a Ti-5Al-2Sn-2Zr-4Mo-4Cr (Ti-17) alloy with a lamellar starting microstructure and establishes constitutive formulae for predicting the microstructural evolution using finite-element analysis. In the α phase, lamellae kinking is the dominant mode in the higher strain rate region and dynamic globularization frequently occurs at higher temperatures. In the ß phase, continuous dynamic recrystallization is the dominant mode below the transition temperature, Tß (880~890 °C). Dynamic recovery tends to be more active at conditions of lower strain rates and higher temperatures. At temperatures above Tß , continuous dynamic recrystallization of the ß phase frequently occurs, especially in the lower strain rate region. A set of constitutive equations modeling the microstructural evolution and processing map characteristic are established by optimizing the experimental data and were later implemented in the DEFORM-3D software package. There is a satisfactory agreement between the experimental and simulated results, indicating that the established series of constitutive models can be used to reliably predict the properties of a Ti-17 alloy after forging in the (α+ß) region.

14.
Sci Rep ; 7(1): 10808, 2017 09 07.
Artigo em Inglês | MEDLINE | ID: mdl-28883461

RESUMO

The strengthening of metallic biomaterials, such as Co-Cr-Mo and titanium alloys, is of crucial importance to the improvement of the durability of orthopedic implants. In the present study, we successfully developed a face-centered cubic (fcc) Co-Cr-Mo alloy with an extremely high yield strength (1400 MPa) and good ductility (12%) by multipass hot-rolling, which is suitable for industrial production, and examined the relevant strengthening mechanisms. Using an X-ray diffraction line-profile analysis, we revealed that a substantial increase in the number of stacking faults (SFs) in the fcc γ-matrix occurred at a greater height reduction (r), while physical modeling demonstrated that the contribution of the accumulated SFs (i.e., the reduction in SF spacing) with an increase in r successfully explains the entire strengthening behavior of the hot-rolled alloy. The present study sheds light on the importance of the SF strengthening mechanism, and will help to guide the design and manufacturing strategy for the high-strength Co-Cr-Mo alloys used in highly durable medical devices.

15.
Mater Sci Eng C Mater Biol Appl ; 76: 997-1004, 2017 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-28482618

RESUMO

The wear behaviors of biomedical CoCrMo prosthetic alloys containing various amounts of carbon were investigated using a standard hip joint simulator in a simulated body fluid. A few chunks and punctate σ-phase precipitates were observed in the low-carbon (LC) alloy; these were responsible for the abrasion and run-in wear. Increasing the carbon content led to greater precipitation of globular M23C6-type carbides. As a result, lower wear loss was observed in the high-carbon (HC) alloy. However, the Student's t-test analysis on wear loss indicated that there was no significant difference in wear loss between the LC-LC and HC-HC combinations. Surface fatigue caused by torn-off of Mo-rich carbides was the dominant wear mechanism in the HC alloy. Further, Cr-rich carbides prevent three-body abrasion and increase the wear resistance.


Assuntos
Carbono/química , Ligas , Articulação do Quadril , Prótese de Quadril , Teste de Materiais , Próteses Articulares Metal-Metal
16.
Plast Reconstr Surg Glob Open ; 5(12): e1603, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29632782

RESUMO

BACKGROUND: Breast augmentation with autologous fat has been performed in Japan for over 30 years. However, complications include breast lumps and oil cysts. Such breast lumps greatly reduce patient satisfaction, and are currently difficult to diagnose and treat for many cosmetic surgery clinics. This study aimed to elucidate the effectiveness of ultrasound diagnosis and treatment of patients with breast lumps after breast augmentation with autologous fat grafting. METHODS: We used diagnostic and therapeutic ultrasound to examine 256 patients with breast lumps between April 2012 and April 2017. We determined the nature, size, and location of the maximal lump. Breast lumps were classified into five types: cystic, complex, solid, calcification, and unclassifiable. The method of treatment (including fine-needle aspiration, VASER liposuction, lumpectomy, and extended lumpectomy) was selected according to the lump type, and the efficacy of treatment was determined by postoperative palpation and ultrasound. RESULTS: A total of 198 patients (198/256, 77%) requested treatment. Cystic lumps (79/256, 31%) were treated by fine-needle aspiration. VASER liposuction was used to treat complex (64/256, 25%) and solid lumps (50/256, 19%). Calcification (58/256, 23%) and unclassifiable lumps (5/256, 2%) were removed via periareolar incision. There were no serious complications. In all cases, the lumps were no longer palpable after treatment, and ultrasound showed that they had either contracted or disappeared. CONCLUSIONS: The appropriate treatment for breast lumps after breast augmentation with autologous fat grafting must be selected according to the nature of the lumps. Ultrasound is essential for diagnosing the breast lump type and determining the best treatment.

17.
J Mech Behav Biomed Mater ; 64: 187-98, 2016 12.
Artigo em Inglês | MEDLINE | ID: mdl-27500542

RESUMO

In this study, we investigated the evolution of the microstructure and mechanical properties during annealing of a cold-swaged Ni-free Co-Cr-Mo alloy for biomedical applications. A Co-28Cr-6Mo-0.14N-0.05C (mass%) alloy rod was processed by cold swaging, with a reduction in area of 27.7%, and then annealed at 1173-1423K for various periods up to 6h. The duplex microstructure of the cold-swaged rod consisted of a face-centered cubic γ-matrix and hexagonal closed-packed ε-martensite developed during cold swaging. This structure transformed nearly completely to the γ-phase after annealing and many annealing twin boundaries were observed as a result of the heat treatment. A small amount of the ε-phase was identified in specimens annealed at 1173K. Growth of the γ-grains occurred with increasing annealing time at temperatures ≥1273K. Interestingly, the grain sizes remained almost unchanged at 1173K and a very fine grain size of approximately 8µm was obtained. The precipitation that occurred during annealing was attributed to the limited grain coarsening during heat treatment. Consequently, the specimens treated at this temperature showed the highest tensile strength and lowest ductility among the specimens prepared. An elongation-to-failure value larger than 30% is sufficient for the proposed applications. The other specimens treated at higher temperatures possessed similar tensile properties and did not show any significant variations with different annealing times. Optimization of the present rod manufacturing process, including cold swaging and interval annealing heat treatment, is discussed.


Assuntos
Ligas/análise , Temperatura Baixa , Cromo , Cobalto , Teste de Materiais , Molibdênio , Resistência à Tração
18.
Plast Reconstr Surg Glob Open ; 4(4): e691, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-27200253

RESUMO

BACKGROUND: Breast augmentation with fat injection is a growing trend in Japan. Many Japanese patients experiencing breast implant complications are requesting to have their breast implants removed and simultaneously exchanged with autologous fat injection. The keys of our simultaneous implant exchange with fat (SIEF) process are to embrace the "Coleman technique" and to carefully detach implant capsules when removing breast implants. Furthermore, we carefully inject fat to avoid necrosis. METHODS: Between January 2010 and January 2015, we investigated consecutively 131 Japanese patients whom we could follow up for over 6 months postsurgery. We ascertained the usefulness of SIEF by assessing changes in breast size, complications, and a satisfaction survey. RESULTS: There were no serious complications. We had experienced mild complications in 9.2% of patients (12/131). Partial fat necrosis with inflammation occurred in 2.3% of patients (3/131), seroma in the capsule in 3.1% (4/131), complaints of nodules (cysts, lumps) in 3.1% (4/131), and 1 hematoma patient (0.8%). At 6 months after surgery (n = 131), breast cup size (by Japanese Industrial Standards) had decreased by less than 1 cup size, despite SIEF. At 6 months, we performed a postsurgery satisfaction survey, and only 4% of the patients (5/131) were not satisfied with their surgery results. CONCLUSIONS: SIEF is a very safe and effective procedure. Breast implants removed with a low invasive traumatic approach and centrifuged fat injected with the "Coleman technique" are important principles in our practice. Furthermore, avoiding fat necrosis is one of the most important considerations, and our SIEF approach allows us to better control this potential complication during the surgical process.

19.
Mater Sci Eng C Mater Biol Appl ; 64: 260-268, 2016 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-27127052

RESUMO

Due to the ignorance by many researchers on the influence of starting microstructure on the metal release of biomedical materials in human body after implant, in this study, the effect of surface friction treatment on the in vitro release of the constituent elements of the biomedical Co-29Cr-6Mo-0.16N (CCM) alloy is investigated for the first time by immersion test in lactic acid solution combined with electron backscatter diffraction, transmission electron microscope, X-ray diffraction, X-ray photoelectron spectroscopy, and inductively coupled plasma atomic emission spectroscopy (ICP-EOS). The results indicate that friction treatment on the as-annealed CCM alloy sample surface leads to a planar strain-induced martensitic transformation (SIMT) on sample surface; this greatly accelerates the release of all the constituent elements and, in particular, that of Co as indicated by the ICP-EOS analysis. This increase can be ascribed to a localized deformation that occurred over the entire sample surface, with the dislocation density being high within the SIMTed phase and low in the alloy matrix.


Assuntos
Ligas/química , Cromo/química , Cobalto/química , Molibdênio/química , Fricção
20.
Mater Sci Eng C Mater Biol Appl ; 62: 532-43, 2016 May.
Artigo em Inglês | MEDLINE | ID: mdl-26952456

RESUMO

Detailed metallurgical investigations have been performed on a used Co-Cr-based metal-on-metal (MoM) hip joint bearing containing a type of liner that is commonly used in such joints. The damage on the metal-liner sliding surface was considerably more severe than that on the metal head counterpart, in terms of wear-scar density and width and microcrack frequency. Cross-sectional transmission electron microscopy revealed that a thick (>3 µm) nanocrystalline layer formed on the sliding surface of the head, whereas the liner had coarse carbides embedded in it and nanocrystals were formed in a very limited region no deeper than 1 µm. Comparative investigation of an unused head and a liner of identical type showed that although the chemical compositions of the liner and head were nearly identical, their microstructures were significantly different. Specifically, the grain size in the liner was larger than that in the head on average, and the grain boundaries of the liner were decorated with coarse carbides. Moreover, X-ray diffraction analysis revealed a large tensile residual stress only in the liner. These differences are possibly responsible for the wear damage on the liner being more serious than that on the head.


Assuntos
Cromo/química , Cobalto/química , Artroplastia de Quadril , Artroplastia do Joelho , Ligas de Cromo/química , Humanos , Microscopia Eletrônica de Transmissão , Nanopartículas/química , Espectroscopia Fotoeletrônica , Propriedades de Superfície , Resistência à Tração , Difração de Raios X
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