RESUMEN
Titanium and titanium alloys remain the gold standard for dental and orthopedic implants. These materials are heavily used because of their bioinert nature, robust mechanical properties, and seamless integration with bone. However, implant-associated infections (IAIs) remain one of the leading causes of implant failure. Eradicating an IAI can be difficult since bacteria can form biofilms on the medical implant, protecting the bacterial cells against systemic antibiotics and the host's immune system. If the infection is not treated promptly and aggressively, device failure is inevitable, leading to costly multi-step revision surgeries. To circumvent this dire situation, scientists and engineers continue to develop novel strategies to protect the surface of medical implants from bacteria. In this review, details on emerging strategies to prevent infection in titanium implants are reported. These strategies include anti-adhesion properties provided by polymers, superhydrophobic, superhydrophilic, and liquid-infused surface coatings, as well as strategies and coatings employed to lyse the bacteria. Additionally, commercially available technologies and those under preclinical trials are examined while discussing current and future trends.
RESUMEN
BACKGROUND: Poor balance, lack of neuromuscular control, and movement ability are predictors of performance and injury risk in sports and physical activity participation. The Functional Movement Screen™ (FMS™) and lower quarter Y-Balance Test (YBT) have been used by clinicians to evaluate balance, functional symmetry, and static and dynamic movement patterns, yet little information exists regarding the relationship between the FMS™, YBT, and physical performance tests (e.g. vertical jump) within the high school population. PURPOSE: The purpose of this study was to investigate the relationship between the FMSTM, dynamic balance as measured by the YBT and physical performance tests (standing long jump, vertical jump, Pro Agility Test) in male and female high school athletes. STUDY DESIGN: Cohort study. METHODS: Fifty-six high school athletes (28 females, 28 males; mean age 16.4 ± 0.1) who participated in organized team sports were tested. Participants performed the FMS™, YBT, and three physical performance tests (standing long jump, vertical jump, Pro Agility Test). RESULTS: Females outperformed males on the FMS™ and YBT, while males outperformed females on the performance tests. In both sexes, the composite FMSTM score was positively correlated with the left and composite YBT scores. Agility was negatively correlated with composite FMSTM in males (p < 0.05) and the left and composite YBT in females (p < 0.05). CONCLUSIONS: The FMSTM and YBT may evaluate similar underlying constructs in high school athletes, such as dynamic balance and lower extremity power. The results of this study demonstrate the utility of the FMS and YBT to relate multiple constructs of muscular power to an individual's ability to balance. Furthermore, establishing the need for the utilization and application of multiple field-based tests by sports medicine professionals and strength and conditioning coaches when evaluating an athlete's movement and physical performance capabilities. Utilization of multiple field-based tests may provide the first step for the development of injury prevention strategies and long-term athlete development programs. LEVEL OF EVIDENCE: 2b.