Skip to main content Accesibility Help
×
×
Home
  • Print publication year: 2011
  • Online publication date: June 2012

16 - Soft tissue replacements

from Part III - Case studies
Summary

Inquiry

What methods can be used to keep soft tissue replacements fixed in the body?

A key challenge of developing soft tissue replacements is selecting a method for keeping them in place. Whether the implant is highly load-bearing (such as an artificial ligament) or only minimally (as in artificial cheekbones), implant migration is a serious issue. Because soft tissue replacements are typically made of compliant materials, implant fixation is particularly difficult. Tools such as screws or wires, commonly used in orthopedic implants, will only serve to damage these more delicate materials. Some typical methods for soft tissue replacements include suturing and encouraging tissue ingrowth into porous meshes. Are there ways to incorporate adhesives or less compliant materials for improved fixation?

Historical perspective and overview

Previous chapters in the clinical section of this textbook have described devices used to replace hard tissues (such as bone or teeth) and blood-interfacing implants (including vascular grafts and stents). Hard tissue replacements have their special challenges: for example, the need for a hip implant to be strong enough to withstand loading but have a low stiffness so as to reduce stress shielding. Blood-interfacing devices are required to provide structural support while preventing adhesion of platelets and without damaging blood cells. A third category of implant is soft tissue replacements. These can be further subdivided into mechanical supports (demanding a specific stiffness or strength as in sutures and synthetic ligaments), space fillers (primarily cosmetic implants, but also including artificial skin, which require compliance match and conformability), and highly specialized ophthalmic implants, which have further specifications related to their optical properties.

Recommend this book

Email your librarian or administrator to recommend adding this book to your organisation's collection.

Mechanics of Biomaterials
  • Online ISBN: 9780511977923
  • Book DOI: https://doi.org/10.1017/CBO9780511977923
Please enter your name
Please enter a valid email address
Who would you like to send this to *
×
References
Aldredge, O.C.Krachmer, J.H. 1981 Clinical types of corneal transplant rejectionArchives of Opthalmology 99 599
Altman, G.H.Horan, R.L. 2006 Tissue engineering of ligamentsAn Introduction to BiomaterialsGuelcher, S.AHollinger, J.OBoca Raton, FLCRC Press499
American Academy of Cosmetic Surgeons 2009
American Academy of Ophthalmology 2009
American Burn Association 2007
American Society of Plastic Surgeons 2009
Amis, A.A. 2006 Artificial ligamentsRepair and Regeneration of Ligaments, Tendons, and Joint CapsuleWalsh, WRTotowa, NJHumana Press233
Arnauw, G.Verdonk, R.Harth, A.Moerman, J.Vorlat, P.Bataillie, F.Claessens, H. 1991 Prosthetic versus tendon allograft replacement of ACL-deficient kneesActa Orthopaedica Belgica 57 67
Arnott, E.J. 2007 A New Beginning in SightLondonRoyal Society of Medicine Press
Becker, S.Saint-Cyr, M.Wong, C.Dauwe, P.Nagarkar, P.Thornton, J.F.Peng, Y. 2009 AlloDerm versus Dermamatrix in immediate expander-based breast reconstruction: a preliminary comparison of complication profiles and material compliancePlastic and Reconstructive Surgery 123 1
Bello, Y.M.Falabella, A.F.Eaglstein, W.F. 2001 Tissue-engineered skin: current status in wound healingAmerican Journal of Clinical Dermatology 2 305
Bhat, S.V. 2005 BiomaterialsMiddlesex, UKAlpha Science
Binder, W.J.Azzizadeh, B.Tobias, G.W. 2009 Aesthetic facial implantsFacial Plastic and Reconstructive SurgeryPapel, I.DFrodel, J.LHolt, G.RNew YorkThieme Medical Publishers389
Boahene, K.D.O. 2009 Synthetic implantsFacial Plastic and Reconstructive SurgeryPapel, I.DFrodel, J.LHolt, G. RNew YorkThieme Medical Publishers67
Braun Brochure 2007
Braun press release 2008
Bruning, N. 2002 Breast Implants: Everything You Need to KnowAlameda, CAHunter House
Brunk, C.G. 1998 Managing risks in the restructured corporation: the case of Dow Corning and silicone breast implantsThe Ethics of the New Economy: Restructuring and BeyondGroarke, LOntario, CanadaWilfrid Laurier University Press189
Bryant, M.R.Szerenyi, K.Schmotzer, H.McDonnell, P.J. 1994 Corneal tensile strength in fully healed radial keratotomy woundsInvestigative Opthalmology and Visual Science 35 3022
Chu, C.C. 2002 Textile-based biomaterials for surgical applicationsPolymeric BiomaterialsDumitriu, SNew YorkMarcel Dekker491
Cross, F.W.Ryan, J.M. 2006 The severely injured patientGeneral Surgical OperationsKirk, R.MPhiladelphia, PAElsevier28
Curtis, J.Colas, A. 2004 Medical applications of siliconesBiomaterials ScienceRatner, B.DHoffman, A.SSchoen, F.JLemons, J.ESan Diego, CAElsevier Academic Press698
Dauner, M.Planck, H. 1996 Ligament replacement polymers (biocompatibility, technology and designPolymeric Materials EncyclopediaSalamone, J.CBoca Raton, FLCRC Press3579
Dominkus, M.Sabeti, M.Toma, C.Abdolvahab, F.Trieb, K.Kotz, R.I. 2006 Reconstructing the extensor apparatus with a new polyester ligamentClinical Orthopaedics and Related Research 453 328
Enoch, S.Grey, J.E.Harding, K.G. 2006 Recent advances and emerging treatmentsBritish Medical Journal 332 962
Fanous, N.Samaha, M.Yoskovitch, A. 2002 Dacron implants in rhinoplastyArchives of Facial Plastic Surgery 4 149
Food and Drug Administration 1993
Food and Drug Administration 1994
Food and Drug Administration 1997
Food and Drug Administration 1999
Food and Drug Administration 2001
Food and Drug Administration 2003
Food and Drug Administration 2006
Gokhale, N. 2009 Late corneal edema due to retained foldable lens fragmentIndian Journal of Opthalmology 57 230
Handel, N.Cordray, T.Guttierrez, J.Jensen, J.A. 2006 A long-term study of outcomes, complications, and patient satisfaction with breast implantsPlastic and Reconstructive Surgery 117 757
Institute of Medicine 2000 Information for Women About the Safety of Silicone Breast ImplantsGriggs, MBondurant, SErnster, V. LHerdman, RWashington, DCNational Academy Press
Jackson, D.W.Evans, N.A. 2003 Arthroscopic treatment of anterior cruciate ligament injuriesOperative ArthroscopyMcGinty, J.BBurkhart, S.SJackson, R.WJohnson, D.HRichmond, J.CPhiladelphia, PALippincott, Williams & Wilkins347
Jenkins, D.H.R.Forster, I.W.McKibbin, B.Ralis, Z.A. 1977 Induction of tendon and ligament formation by carbon implantsJournal of Bone and Joint Surgery (Br) 59B 53
Jenkins, D.H.R.McKibbin, B. 1980 The role of flexible carbon-fibre implants as tendon and ligament substitutes in clinical practiceJournal of Bone and Joint Surgery (Br) 62B 497
Kirkpatrick, J.N.P.Cook, S.D. 1992 Broken intraocular lens during cataract surgeryBritish Journal of Opthalmology 76 509
Kurtz, S.M. 2009 Composite UHMWPE biomaterials and fibersUHMWPE Biomaterials HandbookKurtz, S.MBurlington, MAAcademic Press249
LaFerriere, K.A.Castellano, R.D. 2009 Surgical approaches to the midface complexFacial Plastic and Reconstructive SurgeryPapel, INew YorkThieme Medical Publishers243
Legnani, C.Ventura, A.Terzaghi, C.Borgo, E.Albisetti, W. 2010 Anterior cruciate ligament reconstruction with synthetic grafts. A review of literatureInternational Orthopaedics 34 465
Leyshon, R.L.Channon, G.M.Jenkins, D.H.R.Ralis, Z.A. 1984 Flexible carbon fibre in late ligamentous reconstruction for instability of the kneeJournal of Bone and Joint Surgery (Br) 66B 196
Liu, J.Roberts, C.J. 2005 Influence of corneal biomechanical properties on intraocular pressure measurement: quantitative analysisJournal of Cataract and Refractive Surgery 31 146
Marten, L.Wang, M.X.Karp, C.L.Selkin, R.P.Azar, D.T. 2009 Corneal surgeryOphthalmologyYanof, MDuker, J.SPhiladelphia, PAElsevier351
Mascarenhas, R.MacDonald, P. 2008 Anterior cruciate ligament reconstruction: a look at prosthetics – past, present and possible futureMcGill Journal of Medicine 11 29
Meek, K.M. 2008 The cornea and scleraCollagen: Structure and MechanicsFratzl, PNew YorkSpringer Science+Business Media359
Morgan, J.R.Sheridan, R.L.Tompkins, R.G.Yarmush, M.L.Burke, J.F. 2004 Burn dressing and skin substitutesBiomaterials ScienceRatner, B.DHoffman, A.SSchoen, F.JLemons, J.ESan Diego, CAElsevier Academic Press603
Park, J.B.Lakes, R.S. 2007 Biomaterials: An IntroductionNew YorkPlenum Press
Patel, A.S. 2004 Intraocular lense implants: a scientific perspectiveBiomaterials ScienceRatner, B.DHoffman, A.SSchoen, F.JLemons, J.ESan Diego, CAElsevier Academic Press592
Refojo, M.F. 2004 Ophthalmological applicationsBiomaterials ScienceRatner, B.DHoffman, A.SSchoen, F.JLemons, J.ESan Diego, CAElsevier Academic Press584
Roby, M.S.Kennedy, J. 2004 SuturesBiomaterials ScienceRatner, B.DHoffman, A.SSchoen, F.JLemons, J.ESan Diego, CAElsevier Academic Press615
Rushton, N.Dandy, D.J.Naylor, C.P.E. 1983 The clinical, arthroscopic and histological findings after replacement of the anterior cruciate ligament with carbon-fibreJournal of Bone and Joint Surgery (Br) 65 308
Scheffler, S.U.Gonnerman, J.Kamp, J.Przybilla, D.Pruss, A. 2008 Remodeling of ACL allografts is inhibited by peracetic acid sterilizationClinical Orthopaedics and Related Research 466 1810
Silver, F.H. 1994 Biomaterials, Medical Devices, and Tissue Engineering: An Integrated ApproachLondonChapman and Hall
Snell, R.S.Lemp, M.A. 1998 Clinical Anatomy of the EyeOxford, UKBlackwell Science, Inc
Smith, D. C. 2004 Adhesives and sealantsBiomaterials ScienceRatner, B.DHoffman, A.SSchoen, F.JLemons, J.ESan Diego, CAElsevier Academic Press572
Stucker, F.J.Lian, T.S. 2009 Biological tissue implantsFacial Plastic and Reconstructive SurgeryPapel, I.DFrodel, J.LHolt, G.RNew YorkThieme Medical Publishers77
United States Pharmacopeia 2006
Ventre, M.Netti, P.A.Urciuolo, F.Ambrosio, L. 2009 Soft tissues characteristics and strategies for their replacement and regenerationStrategies in Regenerative Medicine: Integrating Biology with Materials DesignSantin, MNew YorkSpringer34
Zaulyanov, L.Kirsner, R.S. 2007 A review of a bi-layered living cell treatment (Apligraf) in the treatment of venous leg ulcers and diabetic foot ulcersClinical Interventions in Aging 2 93