Current concepts for tissue transplant services for developing countries

Rheological Analysis and Evaluation of Measurement Techniques for Curing Poly(Methyl Methacrylate) Bone Cement in Vertebroplasty

Vertebroplasty is a minimally invasive surgical procedure used to treat vertebral fractures, which conventionally involves injecting poly(methyl methacrylate) (PMMA) bone cement into the fractured vertebra. A common risk associated with vertebroplasty is cement leaking out of the vertebra during the injection, which may occur due to a lack of understanding of the complex flow behavior. Therefore, experiments to quantify the cement's flow properties are necessary for understanding and proper handling of the bone cement. In this study, we aimed to characterize the behavior of PMMA bone cement in its curing stages to obtain parameters that govern the flow behavior during injection. We used rotational and oscillatory rheometry for our measurements, as well as a custom-made injector setup that replicated a typical vertebroplasty setting. Our results showed that the complex viscoelastic behavior of bone cement is significantly affected by deformations and temperature. We found that the results from rotational tests, often used for characterizing the bone cement, are susceptible to measurement artifacts caused by wall slip and "ridge"-like formations in the test sample. We also found the Cox-Merz rule to be conditionally valid, which affects the use of oscillatory tests to obtain the shear-thinning characteristics of bone cement. Our findings identify important differences in the measured flow behavior of PMMA bone cement when assessed by different rheological methods, an understanding that is crucial for its risk-free usage in downstream medical applications.

Osteogenic potential of PHB-lignin/cellulose nanofiber electrospun scaffold as a novel bone regeneration construct

The electrospun scaffolds could mimic the highly hierarchical structure of extracellular matrix (ECM). Modern tissue engineering focuses on the properties of these microstructures, influencing the biological responses. This research investigates the variation of morphology, crystallinity, bioactivity, mechanical properties, contact angle, mass loss rate, roughness, cell behavior, biomineralization, and the efficacy of polyhydroxybutyrate (PHB)-based nanocomposite. Hence, 6 wt% lignin and 3 wt% cellulose nanofiber were added to the 9 wt% of PHB to prepare a novel electrospun nanocomposite structure (PLC). The outputs indicated more symmetrical circular fibers for PLC mat, higher surface roughness (326 to 389 nm), better hydrophilicity (120 to 60°), smaller crystal size (24 to 16 nm), and more reasonable biodegradability compared to PHB. These changes lead to the improvement of mechanical properties (toughness factor from 300 to 1100), cell behavior (viability from 60 to 100 %), bioactivity (from Ca/P ratio of 0.77 and 1.67), and higher level of alizarin red, and ALP enzyme secretion. Eventually, the osteopontin and alkaline phosphatase expression was also enhanced from ≃2.35 ± 0.15 and 2.1 ± 0.1 folds on the 1st day to ≃12.05 ± 0.35 and 7.95 ± 0.35 folds on 2nd week in PLCs. Accordingly, this newly developed structure could enhance biological responses and promote osteogenesis compared to PHB.

Optimization and characterization of polyhydroxybutyrate/lignin electro-spun scaffolds for tissue engineering applications

The tissue engineering scaffolds requires efficient combination of materials, appropriate method of preparation, and precise characterization of final product. In this study, the optimal electrospinning process conditions of polyhydroxybutyrate (PHB) were investigated by Taguchi design. Then, the initial PHB solution characteristics in the presence of lignin were optimized and then electro-spun. In this regard, the uniformity of electro-spun nanofibers, observed by SEM, confirmed that 9 w/v % is the optimum concentration of PHB in Trifluoro acetic acid. Addition of 6 wt% of lignin to PHB, could alleviate both the brittleness and hydrophobicity of PHB, as DSC, XRD, and WCA results indicated decrement in crystallinity (from 46 to 39 %), crystal size (from 21.8 to 15.2 nm), and WCA (from 118 to 73°). On the other hand, FESEM results represented diameter reduction from 1318 ± 202.07 to 442 ± 111.04 nm, and transformation of nanofiber physical structure from ribbon-like to cylindrical fiber by adding lignin. In addition, the mechanical properties of PHB including elongation at break, toughness, young modulus, and tensile strength were also improved (up to twice) by adding lignin. Ultimately, reviewing the outputs of degradation, bioactivity, MG63 cell viability, proliferation, mineralization, and antioxidant activity confirm that PHB/lignin electrospun scaffold has potential application in tissue engineering.