Silver ion doped ceramic nano-powder coated nails prevent infection in open fractures: In vivo study.

BACKGROUND: Despite improvement in operative techniques and antibiotic therapy, septic complications still occur in open fractures. We developed silver ion containing ceramic nano powder for implant coating to provide not only biocompatibility but also antibacterial activity to the orthopaedic implants. QUESTIONS/PURPOSES: We hypothesised silver ion doped calcium phosphate based ceramic nano-powder coated titanium nails may prevents bacterial colonisation and infection in open fractures as compared with uncoated nails. METHODS: 33 rabbits divided into three groups. In the first group uncoated, in the second group hydroxyapatite coated, and in the third group silver doped hydroxyapatite coated titanium nails were inserted left femurs of animals from knee regions with retrograde fashion. Before implantation of nails 50 µl solution containing 10(6)CFU/ml methicillin resistance Staphylococcus aureus (MRSA) injected intramedullary canal. Rabbits were monitored for 10 weeks. Blood was taken from rabbits before surgery and on 2nd, 6th and 10th weeks. Blood was analysed for biochemical parameters, blood count, C-reactive protein and silver levels. At the end of the 10 weeks animals were sacrificed and rods were extracted in a sterile fashion. Swab cultures were taken from intramedullary canal. Bacteria on titanium rods were counted. Liver, heart, spleen, kidney and central nervous tissues samples were taken for determining silver levels. Histopathological evaluation of bone surrounding implants was also performed. RESULTS: No significant difference was detected between the groups from hematologic, biochemical, and toxicological aspect. Microbiological results showed that less bacterial growth was detected with the use of silver doped ceramic coated implants compared to the other two groups (p=0.003). Accumulation of silver was not detected. No cellular inflammation was observed around the silver coated prostheses. No toxic effect of silver on bone cells was seen. CONCLUSION: Silver ion doped calcium phosphate based ceramic nano powder coating to orthopaedic implants may prevents bacterial colonisation and infection in open fractures compared with those for implants without any coating.

Utilization of sepiolite materials as a bottom liner material in solid waste landfills.

Landfill bottom liners are generally constructed with natural clay soils due to their high strength and low hydraulic conductivity characteristics. However, in recent years it is increasingly difficult to find locally available clay soils that satisfy the required engineering properties. Fine grained soils such as sepiolite and zeolite may be used as alternative materials in the constructions of landfill bottom liners. A study was conducted to investigate the feasibility of using natural clay rich in kaolinite, sepiolite, zeolite, and their mixtures as a bottom liner material. Unconfined compression tests, swell tests, hydraulic conductivity tests, batch and column adsorption tests were performed on each type of soil and sepiolite-zeolite mixtures. The results of the current study indicate that sepiolite is the dominant material that affects both the geomechanical and geoenvironmental properties of these alternative liners. An increase in sepiolite content in the sepiolite-zeolite mixtures increased the strength, swelling potential and metal adsorption capacities of the soil mixtures. Moreover, hydraulic conductivity of the mixtures decreased significantly with the addition of sepiolite. The utilization of sepiolite-zeolite materials as a bottom liner material allowed for thinner liners with some reduction in construction costs compared to use of a kaolinite-rich clay.