Etude par des méthodes nucléaires et physico-chimiques de la contamination des tissus situés autour de biomatériaux métalliques implantés. Mesure de la contribution à la toxicité par la radioactivité résiduelle de plusieurs biomatériaux

Abstract : Implants used as biomaterials fulfill conditions of functionality, compatibility and occasionally bio-activity. There are four main families of biomaterials: metals and metal alloys, polymers, bioceramics and natural materials. Because of corrosion and friction in the human body, implants generate debris. These debris develop different problems: toxicity, inflammatory reactions, prosthetic unsealing by osseous dissolution. Nature, size, morphology and amount of debris are the parameters which have an influence on tissue response. We characterize metallic contamination coming from knee prosthesis into surrounding capsular tissue by depth migration, in vivo behaviours, content, size and nature of debris. The PIXE-RBS and STEM-EDXS methods, that we used, are complementary, especially about characterization scale. Debris contamination distributed in the whole articulation is very heterogeneous. Debris migrate on several thousands µm in tissue. Solid metallic particles, ~ µm, are found in the most polluted samples, for both kinds of alloys TA6V and CrCoMo. In the mean volume analysed by PIXE, the in vivo mass ratios [Ti]/[V] and [Co]/[Cr] confirm the chemical stability of TA6V debris and chemical evolution of CrCoMo debris. Complementary measures of TA6V grains, on a nanometric scale by STEM-EDXS, show a dissolution of coarse grain (~ µm) in smaller grains (~ nm). Locally, TA6V grains of α phase are detected and could indicate a preferential dissolution of β phase (grain boundaries) with dropping of Al and V, both toxic and carcinogenic elements. A thin target protocol development correlates PIXE and histological analysis on the same zone. This protocol allows to locate other pathologies in relationship with weaker metal contamination, ~ µg/g, thanks to the great sensitivity of PIXE method. Harmlessness with respect to the residual radioactivity of several natural or synthetic biomaterials is established, using ultra low background noise γ detection system.
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Biological Physics. Université Blaise Pascal - Clermont-Ferrand II, 2004. French


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Submitted on : Monday, October 11, 2004 - 3:02:56 PM
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  • HAL Id : tel-00007082, version 1

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Geoffroy Guibert. Etude par des méthodes nucléaires et physico-chimiques de la contamination des tissus situés autour de biomatériaux métalliques implantés. Mesure de la contribution à la toxicité par la radioactivité résiduelle de plusieurs biomatériaux. Biological Physics. Université Blaise Pascal - Clermont-Ferrand II, 2004. French. <tel-00007082>

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