Clinical Uses of Vitallium

Venable, Charles S.; Stuck, Walter G.

doi:10.1097/00000658-194305000-00016

Cited by 11 publications

(4 citation statements)

References 2 publications

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“…McKeever’s patellar prothesis, designed to articulate with the native trochlea, was fashioned from Vitallium, which is an inert alloy composed predominantly of cobalt and chromium with good resistance to corrosion and well documented use in orthopaedics from the early 1940s. 73 Hanslik utilized a high-density PE variant of McKeever’s design to resurface the patella with the Young hinged knee from 1969 in 46 patients and described good function and pain relief in the majority of cases. 22 Gunston and MacKenzie designed a stainless steel patellar button that articulated with a PE track in the trochlea with the polycentric knee system and described promising results in 1976, but cautioned about potential complications of additional prosthetic components.…”

Section: Methodsmentioning

confidence: 99%

The evolution of patellofemoral prosthetic design in total knee arthroplasty: how far have we come?

Roussot

Haddad

2019

EFORT Open Reviews

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Total knee arthroplasty (TKA) has evolved into a successful, cost-effective treatment for end-stage knee arthrosis. The patellofemoral articulation in TKA has largely been ignored during its development despite being an important determinant of outcome. New technologies still need further development to incorporate the patella in TKA surgical planning and operative technique. Alternative approaches to alignment in TKA will have a secondary impact on patellofemoral mechanics and possibly future implant designs. Technologies that assist with precise implant positioning may alter our understanding and overall practice of TKA. Cite this article: EFORT Open Rev 2019;4:503-512. DOI: 10.1302/2058-5241.4.180094

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Section: Methodsmentioning

confidence: 99%

The evolution of patellofemoral prosthetic design in total knee arthroplasty: how far have we come?

Roussot

Haddad

2019

EFORT Open Reviews

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“…The devices manufactured with Vitallium included dental appliances (partial denture castings), fracture fixation devices (plates, screws, bolts, washers, nails, and pins), orthopedic implants (radial cap, hip cap and socket for arthroplasty), ophthalmic orbital implants, testicle replacements, bile duct tubes, ureter tubes, and colostomy plugs. 17 In the 1950s and 1960s, the cast CoCrMo alloy was used for components in artificial total hip replacements (THRs), which is considered an important breakthrough in the biomedical application of CoCr alloys. 16 These alloys are still used in various total joint replacement components throughout several generations of improvements and advancements.…”

Section: (D) Astm F562mentioning

confidence: 99%

A review on manufacturing processes of cobalt‐chromium alloy implants and its impact on corrosion resistance and biocompatibility

Mani,

Porter,

Collins

et al. 2024

J Biomed Mater Res

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Cobalt‐Chromium (CoCr) alloys are currently used for various cardiovascular, orthopedic, fracture fixation, and dental implants. A variety of processes such as casting, forging, wrought processing, hot isostatic pressing, metal injection molding, milling, selective laser melting, and electron beam melting are used in the manufacture of CoCr alloy implants. The microstructure and precipitates (carbides, nitrides, carbonitrides, and intermetallic compounds) formed within the alloy are primarily determined by the type of manufacturing process employed. Although the effects of microstructure and precipitates on the physical and mechanical properties of CoCr alloys are well reviewed and documented in the literature, the effects on corrosion resistance and biocompatibility are not comprehensively reviewed. This article reviews the various processes used to manufacture CoCr alloy implants and discusses the effects of manufacturing processes on corrosion resistance and biocompatibility. This review concludes that the microstructure and precipitates formed in the alloy are unique to the manufacturing process employed and have a significant impact on the corrosion resistance and biocompatibility of CoCr alloys. Additionally, a historical and scientific overview of corrosion and biocompatibility for metallic implants is included in this review. Specifically, the failure of CoCr alloys when used in metal‐on‐metal bearing surfaces of total hip replacements is highlighted. It is recommended that the type of implant/application (orthopedic, dental, cardiovascular, etc.) should be the first and foremost factor to be considered when selecting biomaterials for medical device development.

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“…With the successful incorporation of Vitallium into dental implants, Venable et al [ 1 , 2 ] began to pursue studies investigating the effects of Vitallium on the body and discovered that this metal was inert to bodily fluids and soft tissue. Following these studies, the cobalt–chromium alloy began to be used in the orthopedic field as the preferred metal for creating plates and screws for internal fixation methods [ 3 , 4 ].…”

Section: Early Historymentioning

confidence: 99%

From amputation to limb salvage reconstruction: evolution and role of the endoprosthesis in musculoskeletal oncology

Hwang

Mehta

Yoon

et al. 2013

J Orthopaed Traumatol

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In 1943, Austin Moore developed the first endoprosthesis fashioned from Vitallium, providing the first alternative to traditional amputation as primary treatment of bone tumors. The success of the Vitallium endoprosthesis has since then led to the development of new materials and designs further advancing limb salvage and reconstructive surgery. Combined with the advent of chemotherapy use and imaging advances, conservative treatment of musculoskeletal tumors has expanded greatly. As the implantable options increased with the development of the Lewis expandable adjustable prosthesis and the noninvasive Phenix Growing prosthesis, receiving the diagnosis of a bone tumor no longer equates to automatic limb loss. Our review details the history and development of endoprostheses throughout orthopedic oncology in the treatment of musculoskeletal tumors.

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Clinical Uses of Vitallium

Cited by 11 publications

References 2 publications

The evolution of patellofemoral prosthetic design in total knee arthroplasty: how far have we come?

The evolution of patellofemoral prosthetic design in total knee arthroplasty: how far have we come?

A review on manufacturing processes of cobalt‐chromium alloy implants and its impact on corrosion resistance and biocompatibility

From amputation to limb salvage reconstruction: evolution and role of the endoprosthesis in musculoskeletal oncology

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