Orthopaedic metal implant coated with silver in a New Zealand white rabbit model: micro-ct assessment

INTRODUCTION: Implant related infections poses major challenges in orthopaedic surgery. The contamination during implant placement may lead to infection. The infection risks may be overcome by application of orthopaedic metallic implant coated with silver composite (OMICS) as alternative treatment o...

Full description

Bibliographic Details
Main Authors: Mohd Jan, Nurul Hafiza, Zulkifly, Ahmad Hafiz, Ibrahim, Mohd Zulfadzli, Zainal Abdullah, Muhamad Ezham, Che Seman, Che Nor Zarida, Abdul Hamid, Zahana, Abdul Jalil, Rosnani
Format: Article
Language:English
Published: Malaysian Orthopaedic Association (MOA) 2019
Subjects:
Online Access:http://irep.iium.edu.my/81014/
http://irep.iium.edu.my/81014/1/81014%20Orthopaedic%20metal%20implant%20coated%20with%20silver%20in%20a%20New%20Zealand%20white%20rabbit%20model.pdf
_version_ 1848789063843184640
author Mohd Jan, Nurul Hafiza
Zulkifly, Ahmad Hafiz
Ibrahim, Mohd Zulfadzli
Zainal Abdullah, Muhamad Ezham
Che Seman, Che Nor Zarida
Abdul Hamid, Zahana
Abdul Jalil, Rosnani
author_facet Mohd Jan, Nurul Hafiza
Zulkifly, Ahmad Hafiz
Ibrahim, Mohd Zulfadzli
Zainal Abdullah, Muhamad Ezham
Che Seman, Che Nor Zarida
Abdul Hamid, Zahana
Abdul Jalil, Rosnani
author_sort Mohd Jan, Nurul Hafiza
building IIUM Repository
collection Online Access
description INTRODUCTION: Implant related infections poses major challenges in orthopaedic surgery. The contamination during implant placement may lead to infection. The infection risks may be overcome by application of orthopaedic metallic implant coated with silver composite (OMICS) as alternative treatment of implant-infection related. The objective of this study is analyze potential of OMICS through micro-CT evaluation. METHODS: A total of 16 New Zealand White rabbits were implanted with OMICS (N=8) or non-coated implants (N=8) after six hours of tibial bone exposure in open fracture model. The evaluation was done at 3 and 6 weeks of intervals to look at infected area and bone analysis by micro-CT (Bruker®, Skyscan 1176). The samples were scanned using voltage (90Kv), Current (212μA), exposure time (80ms), filter (1mm of aluminium) and 18μm pixel resolutions. The outcome evaluations were analysed through the NRecon® and CTan® software’s. The SPSS (Statistical Package for the Social Sciences) version 21 was orthopaedic implant to reduce infection during implantation. Micro-CT outcome showed that it can support bone healing. The coating technology of OMICS is comparable, effective, and become an alternative option as implanted medical device for orthopaedic patients. Table 1: Illustrated Micro-CT outcome in both implants Study Test parameter OMICS Non- p. used to evaluate the results by using simple pair t-test with 0.05 alpha level (α=0.05). RESULTS: Micro-CT analyser revealed that there is no significant difference between OMICS and non- coated groups (p>0.05) at 3 and 6 weeks of intervals as showed in Table 1. This result demonstrated that OMICS implant is comparable with non-coated implant in promoting bone healing. DISCUSSIONS: Implant related with infections poses major challenges in orthopaedic surgery. Coating technology on implant surfaces is an option of orthopaedic implant to reduce infection during implantation. Micro-CT outcome showed that it can support bone healing. The coating technology of OMICS is comparable, effective, and become an alternative option as implanted medical device for orthopaedic patients. CONCLUSION: In summary, coating technology through orthopaedic metallic implant coated with silver composite (OMICS) implant is suggested to be applied as an implanted device to prevent infection during implant placement in future.
first_indexed 2025-11-14T17:50:46Z
format Article
id iium-81014
institution International Islamic University Malaysia
institution_category Local University
language English
last_indexed 2025-11-14T17:50:46Z
publishDate 2019
publisher Malaysian Orthopaedic Association (MOA)
recordtype eprints
repository_type Digital Repository
spelling iium-810142020-06-24T08:46:06Z http://irep.iium.edu.my/81014/ Orthopaedic metal implant coated with silver in a New Zealand white rabbit model: micro-ct assessment Mohd Jan, Nurul Hafiza Zulkifly, Ahmad Hafiz Ibrahim, Mohd Zulfadzli Zainal Abdullah, Muhamad Ezham Che Seman, Che Nor Zarida Abdul Hamid, Zahana Abdul Jalil, Rosnani RD Surgery RD701 Orthopedics INTRODUCTION: Implant related infections poses major challenges in orthopaedic surgery. The contamination during implant placement may lead to infection. The infection risks may be overcome by application of orthopaedic metallic implant coated with silver composite (OMICS) as alternative treatment of implant-infection related. The objective of this study is analyze potential of OMICS through micro-CT evaluation. METHODS: A total of 16 New Zealand White rabbits were implanted with OMICS (N=8) or non-coated implants (N=8) after six hours of tibial bone exposure in open fracture model. The evaluation was done at 3 and 6 weeks of intervals to look at infected area and bone analysis by micro-CT (Bruker®, Skyscan 1176). The samples were scanned using voltage (90Kv), Current (212μA), exposure time (80ms), filter (1mm of aluminium) and 18μm pixel resolutions. The outcome evaluations were analysed through the NRecon® and CTan® software’s. The SPSS (Statistical Package for the Social Sciences) version 21 was orthopaedic implant to reduce infection during implantation. Micro-CT outcome showed that it can support bone healing. The coating technology of OMICS is comparable, effective, and become an alternative option as implanted medical device for orthopaedic patients. Table 1: Illustrated Micro-CT outcome in both implants Study Test parameter OMICS Non- p. used to evaluate the results by using simple pair t-test with 0.05 alpha level (α=0.05). RESULTS: Micro-CT analyser revealed that there is no significant difference between OMICS and non- coated groups (p>0.05) at 3 and 6 weeks of intervals as showed in Table 1. This result demonstrated that OMICS implant is comparable with non-coated implant in promoting bone healing. DISCUSSIONS: Implant related with infections poses major challenges in orthopaedic surgery. Coating technology on implant surfaces is an option of orthopaedic implant to reduce infection during implantation. Micro-CT outcome showed that it can support bone healing. The coating technology of OMICS is comparable, effective, and become an alternative option as implanted medical device for orthopaedic patients. CONCLUSION: In summary, coating technology through orthopaedic metallic implant coated with silver composite (OMICS) implant is suggested to be applied as an implanted device to prevent infection during implant placement in future. Malaysian Orthopaedic Association (MOA) 2019-05 Article PeerReviewed application/pdf en http://irep.iium.edu.my/81014/1/81014%20Orthopaedic%20metal%20implant%20coated%20with%20silver%20in%20a%20New%20Zealand%20white%20rabbit%20model.pdf Mohd Jan, Nurul Hafiza and Zulkifly, Ahmad Hafiz and Ibrahim, Mohd Zulfadzli and Zainal Abdullah, Muhamad Ezham and Che Seman, Che Nor Zarida and Abdul Hamid, Zahana and Abdul Jalil, Rosnani (2019) Orthopaedic metal implant coated with silver in a New Zealand white rabbit model: micro-ct assessment. Malaysian Orthopaedic Journal, 13 (Supplement A). p. 1. ISSN 1985-2533 E-ISSN 2232-111X https://www.morthoj.org/supplements/moa-2019/BBS01-metal-implant-microct-assessment.pdf
spellingShingle RD Surgery
RD701 Orthopedics
Mohd Jan, Nurul Hafiza
Zulkifly, Ahmad Hafiz
Ibrahim, Mohd Zulfadzli
Zainal Abdullah, Muhamad Ezham
Che Seman, Che Nor Zarida
Abdul Hamid, Zahana
Abdul Jalil, Rosnani
Orthopaedic metal implant coated with silver in a New Zealand white rabbit model: micro-ct assessment
title Orthopaedic metal implant coated with silver in a New Zealand white rabbit model: micro-ct assessment
title_full Orthopaedic metal implant coated with silver in a New Zealand white rabbit model: micro-ct assessment
title_fullStr Orthopaedic metal implant coated with silver in a New Zealand white rabbit model: micro-ct assessment
title_full_unstemmed Orthopaedic metal implant coated with silver in a New Zealand white rabbit model: micro-ct assessment
title_short Orthopaedic metal implant coated with silver in a New Zealand white rabbit model: micro-ct assessment
title_sort orthopaedic metal implant coated with silver in a new zealand white rabbit model: micro-ct assessment
topic RD Surgery
RD701 Orthopedics
url http://irep.iium.edu.my/81014/
http://irep.iium.edu.my/81014/
http://irep.iium.edu.my/81014/1/81014%20Orthopaedic%20metal%20implant%20coated%20with%20silver%20in%20a%20New%20Zealand%20white%20rabbit%20model.pdf