Titanium Nickelide in Midface Fractures Treatment

Shamanaeva, L.S.; Diachkova, Ekaterina; Petruk, Pavel; Polyakov, Kirill; Cherkesov, Igor'; Ivanov, S. Yu.

doi:10.3390/jfb11030052

Cited by 2 publications

(1 citation statement)

References 27 publications

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“…With additional research, nitinol was found to have distinctive properties such as unique memory of geometric shapes, superelasticity, high strength, resistance to rust, non-magnetic properties, wear resistance, and fatigue resistance ( 20 ). Due to its non-toxic resistance to human medium corrosion and good cell adhesion, nitinol is widely used in orthopedics ( 21 ), gastrointestinal and facial surgery ( 22 , 23 ), cardiac surgery ( 24 ), etc.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the mechanical properties and clinical application of nickel–titanium shape memory alloy anal fistula clip

Deng,

Li,

Fang

et al. 2023

Front. Surg.

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ObjectiveThe study investigates the mechanical properties of a nickel–titanium shape memory alloy anal fistula clip (NiTi-AFC), studies the surgical method of treating anal fistula, and evaluates its clinical efficacy.MethodsThe anal fistula clip was formed in nickel–titanium alloy with a titanium content of 50.0%–51.8%. The mechanical properties and chemical properties were tested. A total of 31 patients with anal fistula were enrolled between 1 January 2020 and 1 January 2023. All patients underwent internal orifice closure surgery using NiTi-AFC, and anorectal magnetic resonance or ultrasound was performed before surgery and 6 months after surgery for diagnosis and evaluation. Fistula cure rates, length of stay, perianal pain, and Wexner incontinence scores were retrospectively compared between patients treated with NiTi-AFC and patients treated with other surgical methods.ResultNiTi-AFC has a density of 6.44–6.50 g·cm−3, with a shape-restoring force of 63.8 N. The corrosion rate of NiTi-AFC in 0.05% hydrochloric acid solution at atmospheric pressure and 20°C is approximately 6.8 × 10−5 g·(m·h)−1. A total of 31 patients (male/female: 19/12, age: 43.7 ± 17.8 years) were included. Among them, 22.6% (7) had multiple anal fistula, 16.1% (5) had high anal fistula, and 48.3% (15) had perianal fistula Crohn's disease. In total, 12.9% (4/31) did not achieve primary healing, underwent fistula resection, and eventually recovered. A retrospective analysis showed that the fistula healing rate, length of stay, and anal pain of NiTi-AFC treatment were similar to those of other traditional surgeries, but the Wexner incontinence score was significantly lower.ConclusionNiTi-AFC has shape memory properties, corrosion resistance, superelastic effect, and surface cell adhesion. It is applied to internal orifice closure surgery of anal fistula, with good therapeutic effect, and can protect the anal function.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the mechanical properties and clinical application of nickel–titanium shape memory alloy anal fistula clip

Deng,

Li,

Fang

et al. 2023

Front. Surg.

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Results of treatment of patients with midfacial fractures

Grigorov

2021

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Background. Fractures of the bones of the facial skeleton, in particular the midface area, are one of the most frequent reasons for patients to apply to maxillofacial inpatient care, not only in Ukraine but also abroad. Along with more modern treatment technologies (osteosynthesis using titanium miniplates and minigrid for fixation bone fragments), methods of repositioning of fragments with subsequent tamponade of the maxillary sinus with iodoform tampon and without tamponade and fixation of fragments are used. A certain group of patients is treated conservatively, which is associated with their reluctance to undergo surgery, minimal displacement of fragments or minimal cosmetic and functional impairments. The purpose of the study. Comparative evaluation of the results of treatment of patients with fractures of the midface area by repositioning the fragments of the zygomatic-orbital complex without fixating the fragments and their subsequent fixation by tamponade of the maxillary sinus with iodoform tampon. Object and methods of research. The comparison was made of the results of treatment of 70 patients with fractures of the midface area, among which 13 patients were treated by the method of repositioning fragments of the zygomatic-orbital complex (ZOC) without fixation and without maxillary sinus tamponade, 29 patients underwent repositioning of ZOC fragments with subsequent fixation of fragments with iodoform tampon – the tamponade of the maxillary sinus was performed on the affected side. For comparison, the results of conservative treatment of 28 patients with fractures of the midface area were used. Results. It was found that the reliable (χ2=11.43; p<0.05) majority of patients (64%) sought treatment within 0-3 days after injury. 83-89% of patients who underwent repositioning of the fragments had fresh small-fragment fractures. The reliable (χ2=11.43; p<0.05) majority of them simultaneously had 3-4 sites of bone fractures of the midfacearea, hemosinus of varying degrees and paresthesia in the infraorbital area. In the majority of patients who underwent repositioning of bone fragments with and without tamponade (85% and 93%, respectively), the final displacements ranged from 3.1 to 6 mm. In patients treated conservatively, in most cases (93%) the displacements were greater than 3.1 mm, which remained after treatment. Conclusion. In the majority of patients treated with the studied methods, in the long term, the displacement of bone fragments remained, which had functional and cosmetic consequences. In all studied groups, a certain cosmetic effect was achieved over time, as evidenced by a reliable (χ2=160.9; p=0.00000) decrease in the indicator by the visual analogue scale .

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Titanium Nickelide in Midface Fractures Treatment

Cited by 2 publications

References 27 publications

Evaluation of the mechanical properties and clinical application of nickel–titanium shape memory alloy anal fistula clip

Evaluation of the mechanical properties and clinical application of nickel–titanium shape memory alloy anal fistula clip

Results of treatment of patients with midfacial fractures

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