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Problem Statement. The purpose of this project is to design an interference screw for ACL reconstruction that will promote and foster the growth of tissue and secure the graft.. Problem Motivation. Currently, the majority of interference screws are made of titanium or partially bio-degradable material. These materials may inhibit tissue growth or cause unwanted debris in the patellar region of the body.A minority of interference screws are composed of a mixture of bioactive materials and poly9459
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1. A Bioactive Interference Screw for ACL Reconstruction
3. Problem Statement The purpose of this project is to design an interference screw for ACL reconstruction that will promote and foster the growth of tissue and secure the graft.
4. Problem Motivation Currently, the majority of interference screws are made of titanium or partially bio-degradable material. These materials may inhibit tissue growth or cause unwanted debris in the patellar region of the body.
A minority of interference screws are composed of a mixture of bioactive materials and polymers. These screws only promote tissue growth of small magnitudes.
5. Design Constraints The screw must be:
bioactive
biocompatible
easily sterilized or autoclaved
biodegradable as tissue re-grows
able to withstand the stresses involved in surgery and limited postoperative activity
6. Background – ACL Reconstruction
7. Background – Current Screws Most interference screws are titanium
Bioactive interference screws are starting to be utilized
Current bioactive screws degrade incompletely and asynchronously with tissue formation
Both types have varying geometries and sizes
Multiple companies produce these types of screws
8. Background – Hydrogel Templates Water-based scaffolds used to mimic extracellular fluid
Promote cell proliferation and tissue growth
Can be differentiated with growth factors, nutrients, metabolites, etc.
A mineralization process calcifies the hydrogel to meet mechanical demands
Ultimate degradation replaces hydrogel with tissue
9. Hollow Screw Shaft
10. Producing The Hollow Screw Shaft
11. Technique Alternative 1:Diffusive Membrane Application Mold is split into two halves
Shaft-fitting semi-permeable membrane
Hydrogel monomer injected into threads
12. Technique Alternative 1:Diffusive Membrane Application Crosslinker poured onto membrane
Induces gel state
Re-attach mold halves
Mineralization hardens gel (i.e. Ca2+)
Remove membrane after setting
Apply thermoplastic
Hollow shaft
13. Technique Alternative 2: Static UV Application Tube inserted into mold
UV-activated crosslinker/hydrogel mixture
UV light activates crosslinker
Tube removed, mineralization occurs
Thermoplastic application is carried out
Mold is unhinged and screw is removed
14. Technique Alternative 3:Rotational Application Hydrogel and UV-activated crosslinker
The mold is rotated allowing solution to fill threads
UV light polymerizes hydrogel
Mineralization and thermoplastic application
15. Technique Matrix
16. Future Work Research methods for fabricating molds
Continue researching the hydrogel process
Develop a prototype mold
Test various facets of molded interference screws
Biocompatibility
Degradation
Structural Integrity
Ease of development
17. ?QUESTIONS?