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SMART Biosensor for Early Diagnostic Detection of Metal Ion Release in Orthopedic Patients: Initial Outcome

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Abstract

Metal ion release from the orthopedic implants is a great concern for the clinicians and patients. Currently, the inductive coupled plasma-mass spectroscopy (ICP-MS) technique is used to detect and estimate the metal ions in the blood or synovial fluid, which is expensive and needs technical assistance. Hence, the aim of the current work is to develop a biosensor based on the electrochemistry to measure the metal release to the body fluids (blood or synovial fluid) from the implants. This will work very similar to a glucometer (by function), as a patient-driven technique, if it is optimized for the blood samples, and for clinical purpose, in case of the synovial fluid estimation. As a proof of concept effort, the present study has two objectives: (1) To study the effectiveness of using a micro-chip biosensor as a diagnostic technique for the early detection of the released metal particles in the synovial fluid solution (study 1), and (2) to investigate the corrosion kinetics of CoCrMo alloy in the presence of metal particles in synovial fluid solution (study 2). A series of tests were done with biosensor prototype with increasing concentration of metal release (particles and ions), which is generated from a hip simulator (study 1). The impedance variation (delta Z) shows a very close correlation with increased amount of metal release (particles and ions) level (study 2). Although the study has several limitations, the initial findings indicate that a biosensor could be developed as a diagnostic tool to detect the metal release (particles and ions) levels.

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References

  1. Cook RB et al (2013) Pseudotumour formation due to tribocorrosion at the taper interface of large diameter metal on polymer modular total hip replacements. J Arthroplasty 28:1430–1436

    Article  Google Scholar 

  2. Sansone V, Pagani D, Melato M (2013) The effects on bone cells of metal ions released from orthopaedic implants. A review. Clin Cases Miner Bone Metab 10:34–40

    Google Scholar 

  3. Hallab NJ (2009) A review of the biologic effects of spine implant debris: fact from fiction. SAS J 3:143–160

    Article  Google Scholar 

  4. Mathew MT, Jacobs JJ, Wimmer MA (2012) Wear-corrosion synergism in a CoCrMo hip bearing alloy is influenced by proteins. Clin Orthop 470:3109–3117

    Article  Google Scholar 

  5. Yan Y et al (2010) M-16 a new tool to assess corrosion and metal ion release in artificial hip joints. J Biomech 43, (Supplement 1):S58

    Article  Google Scholar 

  6. Mistry JB et al (2016) Trunnionosis in total hip arthroplasty: a review. J Orthop Traumatol 17:1–6

    Article  Google Scholar 

  7. Gilbert JL, Buckley CA, Jacobs JJ (1993) In vivo corrosion of modular hip prosthesis components in mixed and similar metal combinations. The effect of crevice, stress, motion, and alloy coupling. J Biomed Mater Res 27:1533–1544

    Article  CAS  Google Scholar 

  8. Hallab NJ, Messina C, Skipor A, Jacobs JJ (2004) Differences in the fretting corrosion of metal-metal and ceramic-metal modular junctions of total hip replacements. J Orthop Res 22:250–259

    Article  CAS  Google Scholar 

  9. Bosker BH et al (2015) Pseudotumor formation and serum ions after large head metal-on-metal stemmed total hip replacement. Risk factors, time course and revisions in 706 hips. Arch Orthop Trauma Surg 135:417–425

    Article  CAS  Google Scholar 

  10. Davies AP (2005) An unusual lymphocytic perivascular infiltration in tissues around contemporary metal-on-metal joint replacements. J Bone Joint Surg 87:18

    Article  CAS  Google Scholar 

  11. Huber M, Reinisch G, Trettenhahn G, Zweymüller K, Lintner F (2009) Presence of corrosion products and hypersensitivity-associated reactions in periprosthetic tissue after aseptic loosening of total hip replacements with metal bearing surfaces. Acta Biomater 5:172–180

    Article  CAS  Google Scholar 

  12. Robinson PG, Wilkinson AJ, Meek RMD (2014) Metal ion levels and revision rates in metal-on-metal hip resurfacing arthroplasty: a comparative study. Hip Int J Clin Exp Res Hip Pathol Ther 24:123–128

    Google Scholar 

  13. Hart A et al (2014) Surveillance of patients with metal-on-metal hip resurfacing and total hip prostheses: a prospective cohort study to investigate the relationship between blood metal ion levels and implant failure. J Bone Joint Surg 96:1091–1099

    Article  CAS  Google Scholar 

  14. Posada OM, Tate RJ, Grant MH (2015) Toxicity of cobalt–chromium nanoparticles released from a resurfacing hip implant and cobalt ions on primary human lymphocytes in vitro. J Appl Toxicol 35:614–622

    Article  CAS  Google Scholar 

  15. Hosman AH et al (2012) The influence of Co–Cr and UHMWPE particles on infection persistence: an in vivo study in mice. J Orthop Res 30:341–347

    Article  CAS  Google Scholar 

  16. Wagner P et al (2012) Metal-on-metal joint bearings and hematopoetic malignancy. Acta Orthop 83:553–558

    Article  Google Scholar 

  17. Ba M, Ng LM, S. & Jj S (2016) Progressive cardiomyopathy in a patient with elevated cobalt ion levels and bilateral metal-on-metal hip arthroplasties. Am J Orthop Belle Mead NJ 45:E132–E135

    Google Scholar 

  18. Amstutz HC et al (2013) Do ion concentrations after metal-on-metal hip resurfacing increase over time? A prospective study. J Arthroplasty 28:695–700

    Article  Google Scholar 

  19. Kunze J, Wimmer MA, Reich M, Koelling S, Jacobs JJ. (2005) The effects of residual carbon on the determination of chromium in blood and tissue sample using Quadrupole ICP-MS. At Spectrosc 26, 8–13

    CAS  Google Scholar 

  20. Bansod B, Kumar T, Thakur R, Rana S, Singh I (2017) A review on various electrochemical techniques for heavy metal ions detection with different sensing platforms. Biosens Bioelectron 94:443–455

    Article  CAS  Google Scholar 

  21. Pichetsurnthorn P, Vattipalli K, Prasad S (2012) Nanoporous impedemetric biosensor for detection of trace atrazine from water samples. Biosens Bioelectron 32:155–162

    Article  CAS  Google Scholar 

  22. Comeaux R, Novotny P (2009) Biosensors: properties, materials and applications. Nova Sci Publ

  23. Shanmugam NR, Muthukumar S, Prasad S (2016) Ultrasensitive and low-volume point-of-care diagnostics on flexible strips—a study with cardiac troponin biomarkers. Sci Rep 6

  24. Panneer Selvam A, Muthukumar S, Kamakoti V, Prasad S (2016) A wearable biochemical sensor for monitoring alcohol consumption lifestyle through Ethyl glucuronide (EtG) detection in human sweat. Sci Rep 6

  25. Munje RD, Muthukumar S, Selvam AP, Prasad S (2015) Flexible nanoporous tunable electrical double layer biosensors for sweat diagnostics. Sci Rep 5:srep14586

    Article  Google Scholar 

  26. Munje RD, Muthukumar S, Jagannath B, Prasad S (2017) A new paradigm in sweat based wearable diagnostics biosensors using Room Temperature Ionic Liquids (RTILs). Sci Rep 7:1950

    Article  Google Scholar 

  27. Atrey A et al (2017) 601 metal-on-metal total hip replacements with 36 mm heads a 5 minimum year follow up: levels of ARMD remain low despite a comprehensive screening program. J Orthop 14:108–114

    Article  Google Scholar 

  28. Cooper HJ (2016) Diagnosis and treatment of adverse local tissue reactions at the head-neck junction. J Arthroplasty. https://doi.org/10.1016/j.arth.2016.02.082

    Article  Google Scholar 

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Acknowledgements

The authors would like to thank NIH (R03 AR064005), NSF (FDN 1160951), Prof. Kunze, Hamburg, Germany (ICP-MS metal ion estimation) and Dean’s Fellowship (RUSH). Special thanks to Dr. Michel Laurent (Rush Orthopedics) for the valuable suggestion to improve this project and other collaborators of this project Prof. K. Shull (Northwestern University), Dr. Danieli Rodrigues (UTD, Dallas) and Dr. Asimina Kiourti (OSU, Columbus).

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Correspondence to Mathew T. Mathew.

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Mathew, M.T., Chaudhary, T., Jacobs, M. et al. SMART Biosensor for Early Diagnostic Detection of Metal Ion Release in Orthopedic Patients: Initial Outcome. J Bio Tribo Corros 4, 74 (2018). https://doi.org/10.1007/s40735-018-0188-2

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  • DOI: https://doi.org/10.1007/s40735-018-0188-2

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