BACKGROUND Infection at the pin tract is a frequent and feared complication of external fixators(EF).The type of pin material and coatings have been regarded as possibly influencing infection rates.Over the last 20 ye...BACKGROUND Infection at the pin tract is a frequent and feared complication of external fixators(EF).The type of pin material and coatings have been regarded as possibly influencing infection rates.Over the last 20 years,few prospective clinical studies and systematic reviews addressed the role of coated pins on the rate of pin site infection in human clinical studies.AIM To assess the EF literature over the past 20 years on the clinical benefits of pins manufactured from varied materials and coating systems and their possible role in pin tract infection rates.METHODS We performed a systematic review according to the PRISMA and PICOS guidelines using four scientific platforms:PubMed,LiLacs,SciELO,and Cochrane.We searched the literature for related publications over the past 20 years.RESULTS A literature search yielded 29 articles,among which seven met the inclusion criteria.These studies compared stainless-steel pins and pins coated with hydroxyapatite(HA),titanium and silver.The pin tract infection definitions were arbitrary and not standardized among studies.Most studies included a low number of patients in the analysis and used a short follow-up time.Three metaanalyses were carried out,comparing stainless steel vs silver pins,stainless steel vs HA-coated pins,and titanium vs HA-coated pins.None of this analysis resulted in statistically significant differences in pin tract infection rates.CONCLUSION Currently,no clinical evidence supports the advantage of EF pins manufactured with materials other than stainless steel or coated over uncoated pins in reducing the rates of pin tract infections.A standardized definition of pin tract infection in external fixation is still lacking.展开更多
Three kinds of single layer coatings of Zn,Zn15Al,316L stainless steel and two kinds of double layer coatings with inner layer of Zn or Zn15Al and outer layer of 316L stainless steel by arc spraying were developed to ...Three kinds of single layer coatings of Zn,Zn15Al,316L stainless steel and two kinds of double layer coatings with inner layer of Zn or Zn15Al and outer layer of 316L stainless steel by arc spraying were developed to protect the metal ends of prestressed high-strength concrete(PHC)pipe piles against soil corrosion.The corrosion behaviors of the coated Q235 steel samples in the simulated Dagang soil solution were investigated by potentiodynamic polarization,electrochemical impedance spectroscopy(EIS) and natural immersion tests.The results show that the corrosion of the matrix Q235 steel is effectively inhibited by Zn,Zn15Al, Zn+316L and Zn15Al+316L coatings.The corrosion rate value of Zn15Al coated samples is negative.The corrosion products on Zn and Zn15Al coated samples are compact and firm.The corrosion resistance indexes of both Zn and Zn15Al coated samples are improved significantly with corrosion time,and the latter are more outstanding than the former.But the corrosion resistance of 316L coated samples is decreased quickly with the increase in immersion time.When the coatings are sealed with epoxy resin,the corrosion resistance of the coatings will be enhanced significantly.展开更多
Corrosion is one of the main causes of incidents occurred in hazardous liquid and gas transmission pipelines in the USA,resulting in a loss of over $12 billion per year.In this study,the corrosion resistance of pipeli...Corrosion is one of the main causes of incidents occurred in hazardous liquid and gas transmission pipelines in the USA,resulting in a loss of over $12 billion per year.In this study,the corrosion resistance of pipeline steel coated with five types of enamel was investigated in 3.5 wt%NaCl solution with Unear polarization resistance and electrochemical impedance spectroscopy tests.Steel coupons were cut from API 5L X65 pipeline steel and coated with five types of enamels using the wet process.The microstructures of all enamel samples were examined by scanning electron microscopy.Experimental results indicate that all enamel coatings increase the corrosion resistance of pipeline steel,and pure enamel PE2,mixed enamels ME1 and ME2 have higher corrosion resistances than pure enamel PE1 and mixed enamel ME3.展开更多
文摘BACKGROUND Infection at the pin tract is a frequent and feared complication of external fixators(EF).The type of pin material and coatings have been regarded as possibly influencing infection rates.Over the last 20 years,few prospective clinical studies and systematic reviews addressed the role of coated pins on the rate of pin site infection in human clinical studies.AIM To assess the EF literature over the past 20 years on the clinical benefits of pins manufactured from varied materials and coating systems and their possible role in pin tract infection rates.METHODS We performed a systematic review according to the PRISMA and PICOS guidelines using four scientific platforms:PubMed,LiLacs,SciELO,and Cochrane.We searched the literature for related publications over the past 20 years.RESULTS A literature search yielded 29 articles,among which seven met the inclusion criteria.These studies compared stainless-steel pins and pins coated with hydroxyapatite(HA),titanium and silver.The pin tract infection definitions were arbitrary and not standardized among studies.Most studies included a low number of patients in the analysis and used a short follow-up time.Three metaanalyses were carried out,comparing stainless steel vs silver pins,stainless steel vs HA-coated pins,and titanium vs HA-coated pins.None of this analysis resulted in statistically significant differences in pin tract infection rates.CONCLUSION Currently,no clinical evidence supports the advantage of EF pins manufactured with materials other than stainless steel or coated over uncoated pins in reducing the rates of pin tract infections.A standardized definition of pin tract infection in external fixation is still lacking.
基金Projects(20080440043)supported by China Postdoctoral Science FoundationProject supported by Guangdong Sanhe Pipe-pile Co.Ltd.,China
文摘Three kinds of single layer coatings of Zn,Zn15Al,316L stainless steel and two kinds of double layer coatings with inner layer of Zn or Zn15Al and outer layer of 316L stainless steel by arc spraying were developed to protect the metal ends of prestressed high-strength concrete(PHC)pipe piles against soil corrosion.The corrosion behaviors of the coated Q235 steel samples in the simulated Dagang soil solution were investigated by potentiodynamic polarization,electrochemical impedance spectroscopy(EIS) and natural immersion tests.The results show that the corrosion of the matrix Q235 steel is effectively inhibited by Zn,Zn15Al, Zn+316L and Zn15Al+316L coatings.The corrosion rate value of Zn15Al coated samples is negative.The corrosion products on Zn and Zn15Al coated samples are compact and firm.The corrosion resistance indexes of both Zn and Zn15Al coated samples are improved significantly with corrosion time,and the latter are more outstanding than the former.But the corrosion resistance of 316L coated samples is decreased quickly with the increase in immersion time.When the coatings are sealed with epoxy resin,the corrosion resistance of the coatings will be enhanced significantly.
基金financial support provided by the US Department of Transportation under Award No.DTPH5615HCAP10
文摘Corrosion is one of the main causes of incidents occurred in hazardous liquid and gas transmission pipelines in the USA,resulting in a loss of over $12 billion per year.In this study,the corrosion resistance of pipeline steel coated with five types of enamel was investigated in 3.5 wt%NaCl solution with Unear polarization resistance and electrochemical impedance spectroscopy tests.Steel coupons were cut from API 5L X65 pipeline steel and coated with five types of enamels using the wet process.The microstructures of all enamel samples were examined by scanning electron microscopy.Experimental results indicate that all enamel coatings increase the corrosion resistance of pipeline steel,and pure enamel PE2,mixed enamels ME1 and ME2 have higher corrosion resistances than pure enamel PE1 and mixed enamel ME3.