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Liu A, Qin Y, Dai J, Song F, Tian Y, Zheng Y, Wen P. Fabrication and performance of Zinc-based biodegradable metals: From conventional processes to laser powder bed fusion. Bioact Mater 2024; 41:312-335. [PMID: 39161793 PMCID: PMC11331728 DOI: 10.1016/j.bioactmat.2024.07.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2023] [Revised: 05/25/2024] [Accepted: 07/15/2024] [Indexed: 08/21/2024] Open
Abstract
Zinc (Zn)-based biodegradable metals (BMs) fabricated through conventional manufacturing methods exhibit adequate mechanical strength, moderate degradation behavior, acceptable biocompatibility, and bioactive functions. Consequently, they are recognized as a new generation of bioactive metals and show promise in several applications. However, conventional manufacturing processes face formidable limitations for the fabrication of customized implants, such as porous scaffolds for tissue engineering, which are future direction towards precise medicine. As a metal additive manufacturing technology, laser powder bed fusion (L-PBF) has the advantages of design freedom and formation precision by using fine powder particles to reliably fabricate metallic implants with customized structures according to patient-specific needs. The combination of Zn-based BMs and L-PBF has become a prominent research focus in the fields of biomaterials as well as biofabrication. Substantial progresses have been made in this interdisciplinary field recently. This work reviewed the current research status of Zn-based BMs manufactured by L-PBF, covering critical issues including powder particles, structure design, processing optimization, chemical compositions, surface modification, microstructure, mechanical properties, degradation behaviors, biocompatibility, and bioactive functions, and meanwhile clarified the influence mechanism of powder particle composition, structure design, and surface modification on the biodegradable performance of L-PBF Zn-based BM implants. Eventually, it was closed with the future perspectives of L-PBF of Zn-based BMs, putting forward based on state-of-the-art development and practical clinical needs.
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Affiliation(s)
- Aobo Liu
- State Key Laboratory of Clean and Efficient Turbomachinery Power Equipment, Department of Mechanical Engineering, Tsinghua University, Beijing, 100084, China
| | - Yu Qin
- School of Materials Science and Engineering, Peking University, Beijing, 100871, China
| | - Jiabao Dai
- State Key Laboratory of Clean and Efficient Turbomachinery Power Equipment, Department of Mechanical Engineering, Tsinghua University, Beijing, 100084, China
| | - Fei Song
- Department of Orthopedics, Beijing Tsinghua Changgung Hospital, Beijing, 102218, China
| | - Yun Tian
- Department of Orthopedics, Peking University Third Hospital, Beijing, 100191, China
| | - Yufeng Zheng
- School of Materials Science and Engineering, Peking University, Beijing, 100871, China
| | - Peng Wen
- State Key Laboratory of Clean and Efficient Turbomachinery Power Equipment, Department of Mechanical Engineering, Tsinghua University, Beijing, 100084, China
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Rao J, Gao H, Sun J, Yu R, Zhao D, Ding Y. A Critical Review of Biodegradable Zinc Alloys toward Clinical Applications. ACS Biomater Sci Eng 2024; 10:5454-5473. [PMID: 39082869 DOI: 10.1021/acsbiomaterials.4c00210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/03/2024]
Abstract
Biodegradable zinc (Zn) alloys stand out as promising contenders for biomedical applications due to their favorable mechanical properties and appropriate degradation rates, offering the potential to mitigate the risks and expenses associated with secondary surgeries. While current research predominantly centers on the in vitro examination of Zn alloys, notable disparities often emerge between in vivo and in vitro findings. Consequently, conducting in vivo investigations on Zn alloys holds paramount significance in advancing their clinical application. Different element compositions and processing methods decide the mechanical properties and biological performance of Zn alloys, thus affecting their suitability for specific medical applications. This paper presents a comprehensive overview of recent strides in the development of biodegradable Zn alloys, with a focus on key aspects such as mechanical properties, toxicity, animal experiments, biological properties, and molecular mechanisms. By summarizing these advancements, the paper aims to broaden the scope of research directions and enhance the understanding of the clinical applications of biodegradable Zn alloys.
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Affiliation(s)
- Jiahui Rao
- Department of Stomatology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
- School of Stomatology, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
- Hubei Province Key Laboratory of Oral and Maxillofacial Development and Regeneration, Wuhan, 430022, China
| | - Hairui Gao
- School of Materials Science and Engineering, Huazhong University of Science and Technology, Wuhan 430074, China
| | - Jiwei Sun
- Department of Stomatology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
- School of Stomatology, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
- Hubei Province Key Laboratory of Oral and Maxillofacial Development and Regeneration, Wuhan, 430022, China
| | - Ran Yu
- Department of Stomatology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
- School of Stomatology, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
- Hubei Province Key Laboratory of Oral and Maxillofacial Development and Regeneration, Wuhan, 430022, China
| | - Danlei Zhao
- Department of Mechanical Engineering, The University of Hong Kong, Pokfulam Road, Hong Kong, China
| | - Yumei Ding
- Department of Stomatology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
- School of Stomatology, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
- Hubei Province Key Laboratory of Oral and Maxillofacial Development and Regeneration, Wuhan, 430022, China
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Diaa AA, El-Mahallawy N, Shoeib M, Mouillard F, Ferté T, Masson P, Carradò A. Biodegradable PMMA coated Zn-Mg alloy with bimodal grain structure for orthopedic applications - A promising alternative. Bioact Mater 2024; 39:479-491. [PMID: 38883318 PMCID: PMC11179251 DOI: 10.1016/j.bioactmat.2024.05.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2023] [Revised: 05/01/2024] [Accepted: 05/16/2024] [Indexed: 06/18/2024] Open
Abstract
The study examines the impact of microstructure and polymethyl methacrylate (PMMA) grafting on the degradability of Zn-Mg alloys. The mechanical properties of a Zn alloy containing 0.68 wt% Mg and extruded at 200 °C are enhanced for degradable load-bearing applications, addressing a crucial need in the field. The material exhibits a bimodal grain size distribution that is random texture, consisting of secondary phases, grains, and sub-grains. With an elongation to failure of 16 %, the yield and ultimate tensile strengths are 325.9 and 414.5 MPa, respectively, and the compressive yield strength is 450.5 MPa. The "grafting-from" method was used to coat a few micrometers thick of PMMA on both bulk and scaffold Zn alloys to mitigate the corrosion rate. The last one is a porous structure, with a porosity of 65.8 %, considered as in the first approach of an orthopedic implant. After being immersed for 720 h, the PMMA-grafted bulk alloy's corrosion rate decreased from 0.43 to 0.25 mm/y. Similarly, the scaffold alloy's corrosion rate reduced from 1.24 to 0.49 mm/y. These results indicate that the method employed could be used for future orthopedic applications.
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Affiliation(s)
- Alia A Diaa
- Design and Production Engineering Department, Faculty of Engineering, Ain Shams University, Cairo, 11517, Egypt
- Department of Design and Production Engineering, Faculty of Engineering and Materials Science, German University in Cairo, Cairo, 11835, Egypt
| | - Nahed El-Mahallawy
- Design and Production Engineering Department, Faculty of Engineering, Ain Shams University, Cairo, 11517, Egypt
- Department of Design and Production Engineering, Faculty of Engineering and Materials Science, German University in Cairo, Cairo, 11835, Egypt
| | - Madiha Shoeib
- Central Metallurgical Research and Development Institute, El Tebbin, Cairo, 11722, Egypt
| | - Flavien Mouillard
- Institut de Physique et Chimie des Matériaux de Strasbourg, IPCMS, UMR 7504 CNRS, Université de Strasbourg, 67000, Strasbourg, France
| | - Tom Ferté
- Institut de Physique et Chimie des Matériaux de Strasbourg, IPCMS, UMR 7504 CNRS, Université de Strasbourg, 67000, Strasbourg, France
| | - Patrick Masson
- Institut de Physique et Chimie des Matériaux de Strasbourg, IPCMS, UMR 7504 CNRS, Université de Strasbourg, 67000, Strasbourg, France
| | - Adele Carradò
- Institut de Physique et Chimie des Matériaux de Strasbourg, IPCMS, UMR 7504 CNRS, Université de Strasbourg, 67000, Strasbourg, France
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Meng F, Du Y. Research Progress on Laser Powder Bed Fusion Additive Manufacturing of Zinc Alloys. MATERIALS (BASEL, SWITZERLAND) 2024; 17:4309. [PMID: 39274701 PMCID: PMC11395926 DOI: 10.3390/ma17174309] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/16/2024] [Revised: 08/25/2024] [Accepted: 08/27/2024] [Indexed: 09/16/2024]
Abstract
Zinc, along with magnesium and iron, is considered one of the most promising biodegradable metals. Compared with magnesium and iron, pure Zn exhibits poor mechanical properties, despite its mild biological corrosion behavior and beneficial biocompatibility. Laser powder bed fusion (LPBF), unlike traditional manufacturing techniques, has the capability to rapidly manufacture near-net-shape components. At present, although the combination of LPBF and Zn has made great progress, it is still in its infancy. Element loss and porosity are common processing problems for LPBF Zn, mainly due to evaporation during melting under a high-energy beam. The formation quality and properties of the final material are closely related to the alloy composition, design and processing. This work reviews the state of research and future perspective on LPBF zinc from comprehensive assessments such as powder characteristics, alloy composition, processing, formation quality, microstructure, and properties. The effects of powder characteristics, process parameters and evaporation on formation quality are introduced. The mechanical, corrosion, and biocompatibility properties of LPBF Zn and their test methodologies are introduced. The effects of microstructure on mechanical properties and corrosion properties are analyzed in detail. The practical medical application of Zn is introduced. Finally, current research status is summarized together with suggested directions for advancing knowledge about LPBF Zn.
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Affiliation(s)
- Fuxiang Meng
- School of Mechanical Engineering, Nanjing University of Science and Technology, Nanjing 210094, China
| | - Yulei Du
- School of Mechanical Engineering, Nanjing University of Science and Technology, Nanjing 210094, China
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Zheng Y, Huang C, Li Y, Gao J, Yang Y, Zhao S, Che H, Yang Y, Yao S, Li W, Zhou J, Zadpoor AA, Wang L. Mimicking the mechanical properties of cortical bone with an additively manufactured biodegradable Zn-3Mg alloy. Acta Biomater 2024; 182:139-155. [PMID: 38750914 DOI: 10.1016/j.actbio.2024.05.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2023] [Revised: 05/03/2024] [Accepted: 05/09/2024] [Indexed: 05/26/2024]
Abstract
Additively manufactured (AM) biodegradable zinc (Zn) alloys have recently emerged as promising porous bone-substituting materials, due to their moderate degradation rates, good biocompatibility, geometrically ordered microarchitectures, and bone-mimicking mechanical properties. While AM Zn alloy porous scaffolds mimicking the mechanical properties of trabecular bone have been previously reported, mimicking the mechanical properties of cortical bone remains a formidable challenge. To overcome this challenge, we developed the AM Zn-3Mg alloy. We used laser powder bed fusion to process Zn-3Mg and compared it with pure Zn. The AM Zn-3Mg alloy exhibited significantly refined grains and a unique microstructure with interlaced α-Zn/Mg2Zn11 phases. The compressive properties of the solid Zn-3Mg specimens greatly exceeded their tensile properties, with a compressive yield strength of up to 601 MPa and an ultimate strain of >60 %. We then designed and fabricated functionally graded porous structures with a solid core and achieved cortical bone-mimicking mechanical properties, including a compressive yield strength of >120 MPa and an elastic modulus of ≈20 GPa. The biodegradation rates of the Zn-3Mg specimens were lower than those of pure Zn and could be adjusted by tuning the AM process parameters. The Zn-3Mg specimens also exhibited improved biocompatibility as compared to pure Zn, including higher metabolic activity and enhanced osteogenic behavior of MC3T3 cells cultured with the extracts from the Zn-3Mg alloy specimens. Altogether, these results marked major progress in developing AM porous biodegradable metallic bone substitutes, which paved the way toward clinical adoption of Zn-based scaffolds for the treatment of load-bearing bony defects. STATEMENT OF SIGNIFICANCE: Our study presents a significant advancement in the realm of biodegradable metallic bone substitutes through the development of an additively manufactured Zn-3Mg alloy. This novel alloy showcases refined grains and a distinctive microstructure, enabling the fabrication of functionally graded porous structures with mechanical properties resembling cortical bone. The achieved compressive yield strength and elastic modulus signify a critical leap toward mimicking the mechanical behavior of load-bearing bone. Moreover, our findings reveal tunable biodegradation rates and enhanced biocompatibility compared to pure Zn, emphasizing the potential clinical utility of Zn-based scaffolds for treating load-bearing bony defects. This breakthrough opens doors for the wider adoption of zinc-based materials in regenerative orthopedics.
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Affiliation(s)
- Yuzhe Zheng
- Beijing Advanced Innovation Center for Materials Genome Engineering, School of Materials Science and Engineering, University of Science and Technology Beijing, 30 Xueyuan Road, Haidian District, Beijing, 100083, China
| | - Chengcong Huang
- Beijing Advanced Innovation Center for Materials Genome Engineering, School of Materials Science and Engineering, University of Science and Technology Beijing, 30 Xueyuan Road, Haidian District, Beijing, 100083, China
| | - Yageng Li
- Beijing Advanced Innovation Center for Materials Genome Engineering, School of Materials Science and Engineering, University of Science and Technology Beijing, 30 Xueyuan Road, Haidian District, Beijing, 100083, China; Institute of Materials Intelligent Technology, Liaoning Academy of Materials, Shenyang, 110004, China.
| | - Jiaqi Gao
- Beijing Advanced Innovation Center for Materials Genome Engineering, School of Materials Science and Engineering, University of Science and Technology Beijing, 30 Xueyuan Road, Haidian District, Beijing, 100083, China
| | - Youwen Yang
- Institute of Additive Manufacturing, Jiangxi University of Science and Technology, Nanchang 330013, China
| | - Shangyan Zhao
- Beijing Advanced Innovation Center for Materials Genome Engineering, School of Materials Science and Engineering, University of Science and Technology Beijing, 30 Xueyuan Road, Haidian District, Beijing, 100083, China
| | - Haodong Che
- Beijing Advanced Innovation Center for Materials Genome Engineering, School of Materials Science and Engineering, University of Science and Technology Beijing, 30 Xueyuan Road, Haidian District, Beijing, 100083, China
| | - Yabin Yang
- School of Materials Science and Engineering, Sun Yat-Sen University, Guangzhou 510275, China
| | - Shenglian Yao
- Beijing Advanced Innovation Center for Materials Genome Engineering, School of Materials Science and Engineering, University of Science and Technology Beijing, 30 Xueyuan Road, Haidian District, Beijing, 100083, China
| | - Weishi Li
- Department of Orthopaedics, Peking University Third Hospital, No. 49 NorthGarden Road, Haidian District, Beijing, 100191, China; Beijing Key Laboratory of Spinal Disease Research, Beijing, 100191, China; Engineering Research Center of Bone and Joint Precision Medicine, Ministry of Education, Beijing, 100191, China
| | - Jie Zhou
- Department of Biomechanical Engineering, Delft University of Technology, Delft 2628 CD, the Netherlands
| | - Amir A Zadpoor
- Department of Biomechanical Engineering, Delft University of Technology, Delft 2628 CD, the Netherlands
| | - Luning Wang
- Beijing Advanced Innovation Center for Materials Genome Engineering, School of Materials Science and Engineering, University of Science and Technology Beijing, 30 Xueyuan Road, Haidian District, Beijing, 100083, China; Institute of Materials Intelligent Technology, Liaoning Academy of Materials, Shenyang, 110004, China.
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6
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Hussain M, Khan SM, Shafiq M, Abbas N, Sajjad U, Hamid K. Advances in biodegradable materials: Degradation mechanisms, mechanical properties, and biocompatibility for orthopedic applications. Heliyon 2024; 10:e32713. [PMID: 39027458 PMCID: PMC11254538 DOI: 10.1016/j.heliyon.2024.e32713] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2023] [Revised: 06/06/2024] [Accepted: 06/07/2024] [Indexed: 07/20/2024] Open
Abstract
Mg-based and Zn-based biodegradable materials have the potential to become the next-generation implant materials to treat bone diseases, because of their desired degradation and mechanical properties. This article reviews the status of these implant materials. The required properties of biodegradable materials such as biodegradability, mechanical properties, and biocompatibility for performance evaluation were briefly discussed. The influence of fabrication techniques, microstructure, alloying elements, and post-processing techniques on the properties of Mg and Zn-based materials was addressed. The degradation mechanism by dissolution, oxidation, and interaction with human body cells was discussed. The biocompatibility of Mg and Zn-based biodegradable materials was analyzed. The significance of in vitro and in vivo biocompatibility testing was highlighted, emphasizing the superiority of in vivo results over cell line studies. This article identifies the many Mg and Zn-based biodegradable materials and summarizes the key findings.
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Affiliation(s)
- Muzamil Hussain
- Institute of Polymer & Textile Engineering, University of the Punjab, Lahore, 54000, Pakistan
| | - Shahzad Maqsood Khan
- Institute of Polymer & Textile Engineering, University of the Punjab, Lahore, 54000, Pakistan
| | - Muhammad Shafiq
- Institute of Polymer & Textile Engineering, University of the Punjab, Lahore, 54000, Pakistan
| | - Naseem Abbas
- Department of Mechanical Engineering, Sejong University, Seoul, 05006, Republic of Korea
| | - Uzair Sajjad
- Department of Energy and Refrigerating Air-Conditioning Engineering, National Taipei University of Technology, Taipei, 10608, Taiwan
| | - Khalid Hamid
- Process and Power Research Group, Department of Energy and Process Engineering, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
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Cao X, Wang X, Chen J, Geng X, Tian H. 3D Printing of a Porous Zn-1Mg-0.1Sr Alloy Scaffold: A Study on Mechanical Properties, Degradability, and Biosafety. J Funct Biomater 2024; 15:109. [PMID: 38667566 PMCID: PMC11051303 DOI: 10.3390/jfb15040109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2024] [Revised: 04/09/2024] [Accepted: 04/10/2024] [Indexed: 04/28/2024] Open
Abstract
In recent years, the use of zinc (Zn) alloys as degradable metal materials has attracted considerable attention in the field of biomedical bone implant materials. This study investigates the fabrication of porous scaffolds using a Zn-1Mg-0.1Sr alloy through a three-dimensional (3D) printing technique, selective laser melting (SLM). The results showed that the porous Zn-1Mg-0.1Sr alloy scaffold featured a microporous structure and exhibited a compressive strength (CS) of 33.71 ± 2.51 MPa, a yield strength (YS) of 27.88 ± 1.58 MPa, and an elastic modulus (E) of 2.3 ± 0.8 GPa. During the immersion experiments, the immersion solution showed a concentration of 2.14 ± 0.82 mg/L for Zn2+ and 0.34 ± 0.14 mg/L for Sr2+, with an average pH of 7.61 ± 0.09. The porous Zn-1Mg-0.1Sr alloy demonstrated a weight loss of 12.82 ± 0.55% and a corrosion degradation rate of 0.36 ± 0.01 mm/year in 14 days. The Cell Counting Kit-8 (CCK-8) assay was used to check the viability of the cells. The results showed that the 10% and 20% extracts significantly increased the activity of osteoblast precursor cells (MC3T3-E1), with a cytotoxicity grade of 0, which indicates safety and non-toxicity. In summary, the porous Zn-1Mg-0.1Sr alloy scaffold exhibits outstanding mechanical properties, an appropriate degradation rate, and favorable biosafety, making it an ideal candidate for degradable metal bone implants.
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Affiliation(s)
- Xiangyu Cao
- Department of Orthopedics, Peking University Third Hospital, Beijing 100191, China; (X.C.); (X.W.); (J.C.)
- Engineering Research Center of Bone and Joint Precision Medicine, Ministry of Education, Beijing 100191, China
| | - Xinguang Wang
- Department of Orthopedics, Peking University Third Hospital, Beijing 100191, China; (X.C.); (X.W.); (J.C.)
- Engineering Research Center of Bone and Joint Precision Medicine, Ministry of Education, Beijing 100191, China
| | - Jiazheng Chen
- Department of Orthopedics, Peking University Third Hospital, Beijing 100191, China; (X.C.); (X.W.); (J.C.)
- Engineering Research Center of Bone and Joint Precision Medicine, Ministry of Education, Beijing 100191, China
| | - Xiao Geng
- Department of Orthopedics, Peking University Third Hospital, Beijing 100191, China; (X.C.); (X.W.); (J.C.)
- Engineering Research Center of Bone and Joint Precision Medicine, Ministry of Education, Beijing 100191, China
| | - Hua Tian
- Department of Orthopedics, Peking University Third Hospital, Beijing 100191, China; (X.C.); (X.W.); (J.C.)
- Engineering Research Center of Bone and Joint Precision Medicine, Ministry of Education, Beijing 100191, China
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Wang X, Liu A, Zhang Z, Hao D, Liang Y, Dai J, Jin X, Deng H, Zhao Y, Wen P, Li Y. Additively Manufactured Zn-2Mg Alloy Porous Scaffolds with Customizable Biodegradable Performance and Enhanced Osteogenic Ability. ADVANCED SCIENCE (WEINHEIM, BADEN-WURTTEMBERG, GERMANY) 2024; 11:e2307329. [PMID: 38059810 PMCID: PMC10837348 DOI: 10.1002/advs.202307329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/02/2023] [Revised: 11/18/2023] [Indexed: 12/08/2023]
Abstract
The combination of bioactive Zn-2Mg alloy and additively manufactured porous scaffold is expected to achieve customizable biodegradable performance and enhanced bone regeneration. Herein, Zn-2Mg alloy scaffolds with different porosities, including 40% (G-40-2), 60% (G-60-2), and 80% (G-80-2), and different unit sizes, including 1.5 mm (G-60-1.5), 2 mm (G-60-2), and 2.5 mm (G-60-2.5), are manufactured by a triply periodic minimal surface design and a reliable laser powder bed fusion process. With the same unit size, compressive strength (CS) and elastic modulus (EM) of scaffolds substantially decrease with increasing porosities. With the same porosity, CS and EM just slightly decrease with increasing unit sizes. The weight loss after degradation increases with increasing porosities and decreasing unit sizes. In vivo tests indicate that Zn-2Mg alloy scaffolds exhibit satisfactory biocompatibility and osteogenic ability. The osteogenic ability of scaffolds is mainly determined by their physical and chemical characteristics. Scaffolds with lower porosities and smaller unit sizes show better osteogenesis due to their suitable pore size and larger surface area. The results indicate that the biodegradable performance of scaffolds can be accurately regulated on a large scale by structure design and the additively manufactured Zn-2Mg alloy scaffolds have improved osteogenic ability for treating bone defects.
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Affiliation(s)
- Xuan Wang
- Postgraduate Training BaseJinzhou Medical University and The Fourth Medical CentreChinese PLA General HospitalBeijing100048China
- Department of Stomatologythe Fourth Medical CentreChinese PLA General HospitalBeijing100048China
| | - Aobo Liu
- State Key Laboratory of Tribology in Advanced EquipmentBeijing100084China
- Department of Mechanical EngineeringTsinghua UniversityBeijing100084China
| | - Zhenbao Zhang
- Department of Stomatologythe Fourth Medical CentreChinese PLA General HospitalBeijing100048China
| | - Dazhong Hao
- State Key Laboratory of Tribology in Advanced EquipmentBeijing100084China
- Department of Mechanical EngineeringTsinghua UniversityBeijing100084China
| | - Yijie Liang
- Department of Stomatologythe Fourth Medical CentreChinese PLA General HospitalBeijing100048China
| | - Jiabao Dai
- State Key Laboratory of Tribology in Advanced EquipmentBeijing100084China
- Department of Mechanical EngineeringTsinghua UniversityBeijing100084China
| | - Xiang Jin
- Department of Stomatologythe Fourth Medical CentreChinese PLA General HospitalBeijing100048China
| | - Huanze Deng
- Department of Stomatologythe Fourth Medical CentreChinese PLA General HospitalBeijing100048China
| | - Yantao Zhao
- Department of Stomatologythe Fourth Medical CentreChinese PLA General HospitalBeijing100048China
- Senior Department of Orthopedicsthe Fourth Medical CentrePLA General HospitalBeijing100048China
- Beijing Engineering Research Center of Orthopedics ImplantsBeijing100048China
| | - Peng Wen
- State Key Laboratory of Tribology in Advanced EquipmentBeijing100084China
- Department of Mechanical EngineeringTsinghua UniversityBeijing100084China
| | - Yanfeng Li
- Postgraduate Training BaseJinzhou Medical University and The Fourth Medical CentreChinese PLA General HospitalBeijing100048China
- Department of Stomatologythe Fourth Medical CentreChinese PLA General HospitalBeijing100048China
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Kiselevskiy MV, Anisimova NY, Kapustin AV, Ryzhkin AA, Kuznetsova DN, Polyakova VV, Enikeev NA. Development of Bioactive Scaffolds for Orthopedic Applications by Designing Additively Manufactured Titanium Porous Structures: A Critical Review. Biomimetics (Basel) 2023; 8:546. [PMID: 37999187 PMCID: PMC10669447 DOI: 10.3390/biomimetics8070546] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2023] [Revised: 11/01/2023] [Accepted: 11/09/2023] [Indexed: 11/25/2023] Open
Abstract
We overview recent findings achieved in the field of model-driven development of additively manufactured porous materials for the development of a new generation of bioactive implants for orthopedic applications. Porous structures produced from biocompatible titanium alloys using selective laser melting can present a promising material to design scaffolds with regulated mechanical properties and with the capacity to be loaded with pharmaceutical products. Adjusting pore geometry, one could control elastic modulus and strength/fatigue properties of the engineered structures to be compatible with bone tissues, thus preventing the stress shield effect when replacing a diseased bone fragment. Adsorption of medicals by internal spaces would make it possible to emit the antibiotic and anti-tumor agents into surrounding tissues. The developed internal porosity and surface roughness can provide the desired vascularization and osteointegration. We critically analyze the recent advances in the field featuring model design approaches, virtual testing of the designed structures, capabilities of additive printing of porous structures, biomedical issues of the engineered scaffolds, and so on. Special attention is paid to highlighting the actual problems in the field and the ways of their solutions.
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Affiliation(s)
- Mikhail V. Kiselevskiy
- N.N. Blokhin National Medical Research Center of Oncology (N.N. Blokhin NMRCO), Ministry of Health of the Russian Federation, 115478 Moscow, Russia;
- Department of Casting Technologies and Artistic Processing of Materials, National University of Science and Technology “MISIS”, 119049 Moscow, Russia
| | - Natalia Yu. Anisimova
- N.N. Blokhin National Medical Research Center of Oncology (N.N. Blokhin NMRCO), Ministry of Health of the Russian Federation, 115478 Moscow, Russia;
- Department of Casting Technologies and Artistic Processing of Materials, National University of Science and Technology “MISIS”, 119049 Moscow, Russia
| | - Alexei V. Kapustin
- Laboratory for Metals and Alloys under Extreme Impacts, Ufa University of Science and Technology, 450076 Ufa, Russia (A.A.R.); (D.N.K.); (V.V.P.); (N.A.E.)
| | - Alexander A. Ryzhkin
- Laboratory for Metals and Alloys under Extreme Impacts, Ufa University of Science and Technology, 450076 Ufa, Russia (A.A.R.); (D.N.K.); (V.V.P.); (N.A.E.)
| | - Daria N. Kuznetsova
- Laboratory for Metals and Alloys under Extreme Impacts, Ufa University of Science and Technology, 450076 Ufa, Russia (A.A.R.); (D.N.K.); (V.V.P.); (N.A.E.)
| | - Veronika V. Polyakova
- Laboratory for Metals and Alloys under Extreme Impacts, Ufa University of Science and Technology, 450076 Ufa, Russia (A.A.R.); (D.N.K.); (V.V.P.); (N.A.E.)
| | - Nariman A. Enikeev
- Laboratory for Metals and Alloys under Extreme Impacts, Ufa University of Science and Technology, 450076 Ufa, Russia (A.A.R.); (D.N.K.); (V.V.P.); (N.A.E.)
- Laboratory for Dynamics and Extreme Characteristics of Promising Nanostructured Materials, Saint Petersburg State University, 199034 St. Petersburg, Russia
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10
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Shunmugasamy VC, AbdelGawad M, Sohail MU, Ibrahim T, Khan T, Seers TD, Mansoor B. In vitro and in vivo study on fine-grained Mg-Zn-RE-Zr alloy as a biodegradeable orthopedic implant produced by friction stir processing. Bioact Mater 2023; 28:448-466. [PMID: 37408797 PMCID: PMC10319224 DOI: 10.1016/j.bioactmat.2023.06.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Revised: 05/31/2023] [Accepted: 06/16/2023] [Indexed: 07/07/2023] Open
Abstract
Magnesium alloys containing biocompatible components show tremendous promise for applications as temporary biomedical devices. However, to ensure their safe use as biodegradeable implants, it is essential to control their corrosion rates. In concentrated Mg alloys, a microgalvanic coupling between the α-Mg matrix and secondary precipitates exists which results in increased corrosion rate. To address this challenge, we engineered the microstructure of a biodegradable Mg-Zn-RE-Zr alloy by friction stir processing (FSP), improving its corrosion resistance and mechanical properties simultaneously. The FS processed alloy with refined grains and broken and uniformly distributed secondary precipitates showed a relatively uniform corrosion morphology accompanied with the formation of a stable passive layer on the alloy surface. In vivo corrosion evaluation of the processed alloy in a small animal model showed that the material was well-tolerated with no signs of inflammation or harmful by-products. Remarkably, the processed alloy supported bone until it healed till eight weeks with a low in vivo corrosion rate of 0.7 mm/year. Moreover, we analyzed blood and histology of the critical organs such as liver and kidney, which showed normal functionality and consistent ion and enzyme levels, throughout the 12-week study period. These results demonstrate that the processed Mg-Zn-RE-Zr alloy offers promising potential for osseointegration in bone tissue healing while also exhibiting controlled biodegradability due to its engineered microstructure. The results from the present study will have profound benefit for bone fracture management, particularly in pediatric and elderly patients.
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Affiliation(s)
| | - Marwa AbdelGawad
- Mechanical Engineering Program, Texas A&M University at Qatar, Education City, Doha, Qatar
- Department of Mechanical Engineering, Texas A&M University, 3123 TAMU, College Station, TX 77843, USA
| | | | - Talal Ibrahim
- Department of Surgery, Division of Orthopedic Surgery, Sidra Medicine, Doha, Qatar
- Clinical Orthopedic Surgery, Weill Cornell Medicine, Education City, Doha, Qatar
| | - Talha Khan
- Petroleum Engineering Program, Texas A&M University at Qatar, Education City, Doha, Qatar
| | - Thomas Daniel Seers
- Petroleum Engineering Program, Texas A&M University at Qatar, Education City, Doha, Qatar
| | - Bilal Mansoor
- Mechanical Engineering Program, Texas A&M University at Qatar, Education City, Doha, Qatar
- Department of Mechanical Engineering, Texas A&M University, 3123 TAMU, College Station, TX 77843, USA
- Department of Materials Science and Engineering, Texas A&M University, 3003 TAMU, College Station, TX 77843, USA
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11
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Liu A, Lu Y, Dai J, Wen P, Xia D, Zheng Y. Mechanical properties, in vitro biodegradable behavior, biocompatibility and osteogenic ability of additively manufactured Zn-0.8Li-0.1Mg alloy scaffolds. BIOMATERIALS ADVANCES 2023; 153:213571. [PMID: 37562158 DOI: 10.1016/j.bioadv.2023.213571] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/30/2023] [Revised: 06/29/2023] [Accepted: 07/25/2023] [Indexed: 08/12/2023]
Abstract
Alloying and structural design provide flexibility to modulate performance of biodegradable porous implants manufactured by laser powder bed fusion (L-PBF). Herein, bulk Zn-0.8Li-0.1Mg was first fabricated to indicate the influence of the ternary alloy system on strengthening effect. Porous scaffolds with different porosities, including 60 % (P60), 70 % (P70) and 80 % (P80), were designed and fabricated to study the influence of porosity on mechanical properties, in vitro degradation behavior, biocompatibility and osteogenic ability. Pure Zn (Zn-P70) scaffolds with a porosity of 70 % were utilized for the comparison. The results showed Zn-0.8Li-0.1Mg bulks had an ultimate tensile strength of 460.78 ± 5.79 MPa, which was more than 3 times that of pure Zn ones and was the highest value ever reported for Zn alloys fabricated by L-PBF. The compressive strength (CS) and elastic modulus (E) of scaffolds decreased with increasing porosities. The CS of P70 scaffolds was 24.59 MPa, more than 2 times that of Zn-P70. The weight loss of scaffolds during in vitro immersion increased with increasing porosities. Compared with Zn-P70, a lower weight loss, better biocompatibility and improved osteogenic ability were observed for P70 scaffolds. P70 scaffolds also exhibited the best biocompatibility and osteogenic ability among all the used porosities. Influence mechanism of alloying elements and structural porosities on mechanical behaviors, in vitro biodegradation behavior, biocompatibility and osteogenic ability of scaffolds were discussed using finite element analysis and the characterization of degradation products. The results indicated that the proper design of alloying and porosity made Zn-0.8Li-0.1Mg scaffolds promising for biodegradable applications.
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Affiliation(s)
- Aobo Liu
- State Key Laboratory of Tribology in Advanced Equipment, Tsinghua University, Beijing 100084, China; Department of Mechanical Engineering, Tsinghua University, Beijing 100084, China
| | - Yupu Lu
- Department of Dental Materials, Peking University School and Hospital of Stomatology, National Center for Stomatology, National Clinical Research Center for Oral Diseases, National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing Key Laboratory of Digital Stomatology, Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health, NMPA Key Laboratory for Dental Materials, Beijing 100081, China
| | - Jiabao Dai
- State Key Laboratory of Tribology in Advanced Equipment, Tsinghua University, Beijing 100084, China; Department of Mechanical Engineering, Tsinghua University, Beijing 100084, China
| | - Peng Wen
- State Key Laboratory of Tribology in Advanced Equipment, Tsinghua University, Beijing 100084, China; Department of Mechanical Engineering, Tsinghua University, Beijing 100084, China.
| | - Dandan Xia
- Department of Dental Materials, Peking University School and Hospital of Stomatology, National Center for Stomatology, National Clinical Research Center for Oral Diseases, National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing Key Laboratory of Digital Stomatology, Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health, NMPA Key Laboratory for Dental Materials, Beijing 100081, China.
| | - Yufeng Zheng
- School of Materials Science and Engineering, Peking University, Beijing 100871, China..
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12
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Zhou J, Georgas E, Su Y, Zhou J, Kröger N, Benn F, Kopp A, Qin Y, Zhu D. Evolution from Bioinert to Bioresorbable: In Vivo Comparative Study of Additively Manufactured Metal Bone Scaffolds. ADVANCED SCIENCE (WEINHEIM, BADEN-WURTTEMBERG, GERMANY) 2023; 10:e2302702. [PMID: 37424385 PMCID: PMC10502659 DOI: 10.1002/advs.202302702] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Indexed: 07/11/2023]
Abstract
Additively manufactured scaffolds offer significant potential for treating bone defects, owing to their porous, customizable architecture and functionalization capabilities. Although various biomaterials have been investigated, metals - the most successful orthopedic material - have yet to yield satisfactory results. Conventional bio-inert metals, such as titanium (Ti) and its alloys, are widely used for fixation devices and reconstructive implants, but their non-bioresorbable nature and the mechanical property mismatch with human bones limit their application as porous scaffolds for bone regeneration. Advancements in additive manufacturing have facilitated the use of bioresorbable metals, including magnesium (Mg), zinc (Zn), and their alloys, as porous scaffolds via Laser Powder Bed Fusion (L-PBF) technology. This in vivo study presents a comprehensive, side-by-side comparative analysis of the interactions between bone regeneration and additively manufactured bio-inert/bioresorbable metal scaffolds, as well as their therapeutic outcomes. The research offers an in-depth understanding of the metal scaffold-assisted bone healing process, illustrating that Mg and Zn scaffolds contribute to the bone healing process in distinct ways, but ultimately deliver superior therapeutic outcomes compared to Ti scaffolds. These findings suggest that bioresorbable metal scaffolds hold considerable promise for the clinical treatment of bone defects in the near future.
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Affiliation(s)
- Juncen Zhou
- Department of Biomedical EngineeringUniversity of Stony BrookStony BrookNY11794USA
| | - Elias Georgas
- Department of Biomedical EngineeringUniversity of Stony BrookStony BrookNY11794USA
| | - Yingchao Su
- Department of Biomedical EngineeringUniversity of Stony BrookStony BrookNY11794USA
| | - Jiayi Zhou
- Department of Biomedical EngineeringUniversity of Stony BrookStony BrookNY11794USA
| | - Nadja Kröger
- Division of Plastic‐Reconstructive‐ and Aesthetic SurgeryUniversity Hospital Cologne50937CologneGermany
| | | | | | - Yi‐Xian Qin
- Department of Biomedical EngineeringUniversity of Stony BrookStony BrookNY11794USA
| | - Donghui Zhu
- Department of Biomedical EngineeringUniversity of Stony BrookStony BrookNY11794USA
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13
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Pan X, Ou M, Lu Y, Nie Q, Dai X, Liu O. Immunomodulatory zinc-based materials for tissue regeneration. BIOMATERIALS ADVANCES 2023; 152:213503. [PMID: 37331243 DOI: 10.1016/j.bioadv.2023.213503] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/15/2023] [Revised: 06/04/2023] [Accepted: 06/05/2023] [Indexed: 06/20/2023]
Abstract
Zinc(Zn)-based materials have contributed greatly to the rapid advancements in tissue engineering. The qualities they possess that make them so beneficial include their excellent biodegradability, biocompatibility, anti-bacterial activity, among and several others. Biomedical materials that act as a foreign body, will inevitably cause host immune response when introduced to the human body. As the osteoimmunology develops, the immunomodulatory characteristics of biomaterials have become an appealing concept to improve implant-tissue interaction and tissue restoration. Recently, Zn-based materials have also displayed immunomodulatory functions, especially macrophage polarization states. It can promote the transformation of M1 macrophages into M2 macrophages to enhance the tissue regeneration and reconstruction. This review covers mainly Zn-based materials and their characteristics, including metallic Zn alloys and Zn ceramics. We highlight the current advancements in the type of immune responses, as well as the mechanisms, that are induced by Zn-based biomaterials, most importantly the regulation of innate immunity and the mechanism of promoting tissue regeneration. To this end, we discuss their applications in biomedicine, and conclude with an outlook on future research challenges.
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Affiliation(s)
- Xiaoman Pan
- Xiangya Stomatological Hospital & Xiangya School of Stomatology, Central South University, Changsha 410005, China
| | - Mingning Ou
- Xiangya Hospital & Xiangya School of Medicine, Central South University, Changsha 410005, China
| | - Yixuan Lu
- Xiangya Stomatological Hospital & Xiangya School of Stomatology, Central South University, Changsha 410005, China
| | - Qian Nie
- Xiangya Stomatological Hospital & Xiangya School of Stomatology, Central South University, Changsha 410005, China
| | - Xiaohan Dai
- Xiangya Stomatological Hospital & Xiangya School of Stomatology, Central South University, Changsha 410005, China.
| | - Ousheng Liu
- Xiangya Stomatological Hospital & Xiangya School of Stomatology, Central South University, Changsha 410005, China.
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14
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Hussain M, Ullah S, Raza MR, Abbas N, Ali A. Recent Developments in Zn-Based Biodegradable Materials for Biomedical Applications. J Funct Biomater 2022; 14:1. [PMID: 36662048 PMCID: PMC9865652 DOI: 10.3390/jfb14010001] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2022] [Revised: 12/13/2022] [Accepted: 12/16/2022] [Indexed: 12/24/2022] Open
Abstract
Zn-based biodegradable alloys or composites have the potential to be developed to next-generation orthopedic implants as alternatives to conventional implants to avoid revision surgeries and to reduce biocompatibility issues. This review summarizes the current research status on Zn-based biodegradable materials. The biological function of Zn, design criteria for orthopedic implants, and corrosion behavior of biodegradable materials are briefly discussed. The performance of many novel zinc-based biodegradable materials is evaluated in terms of biodegradation, biocompatibility, and mechanical properties. Zn-based materials perform a significant role in bone metabolism and the growth of new cells and show medium degradation without the release of excessive hydrogen. The addition of alloying elements such as Mg, Zr, Mn, Ca, and Li into pure Zn enhances the mechanical properties of Zn alloys. Grain refinement by the application of post-processing techniques is effective for the development of many suitable Zn-based biodegradable materials.
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Affiliation(s)
- Muzamil Hussain
- Department of Mechanical Engineering, COMSATS University Islamabad, Sahiwal Campus, Punjab 57000, Pakistan
| | - Sami Ullah
- Department of Chemistry, College of Science, King Khalid University, Abha 61413, Saudi Arabia
| | - Muhammad Rafi Raza
- Department of Mechanical Engineering, COMSATS University Islamabad, Sahiwal Campus, Punjab 57000, Pakistan
| | - Naseem Abbas
- Department of Mechanical Engineering, Sejong University, Seoul 05006, Republic of Korea
| | - Ahsan Ali
- Department of Mechanical Engineering, Gachon University, Seongnam-si 13120, Republic of Korea
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15
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Nečas D, Kubásek J, Pinc J, Marek I, Donik Č, Paulin I, Vojtěch D. Ultrafine-Grained Zn-Mg-Sr Alloy Synthesized by Mechanical Alloying and Spark Plasma Sintering. MATERIALS (BASEL, SWITZERLAND) 2022; 15:8379. [PMID: 36499874 PMCID: PMC9736596 DOI: 10.3390/ma15238379] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/10/2022] [Revised: 11/16/2022] [Accepted: 11/18/2022] [Indexed: 06/17/2023]
Abstract
Zinc materials are considered promising candidates for bioabsorbable medical devices used for the fixation of broken bones or stents. Materials for these applications must meet high mechanical property requirements. One of the ways to fulfil these demands is related to microstructure refinement, particularly the decrease in grain size. In the present work, we combine two powder metallurgy techniques (mechanical alloying-MA, and spark plasma sintering-SPS) to prepare Zn-1Mg-0.5Sr nanograin material. The microstructure of compacted material consisted of Zn grains and particles of Mg2Zn11 intermetallic phases from 100 to 500 nm in size, which resulted in high values of hardness and a compressive strength equal to 86 HV1 and 327 MPa, respectively. In this relation, the combination of the suggested techniques provides an innovative way to form extremely fine microstructures without significant coarsening during powder compaction at increased temperatures.
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Affiliation(s)
- David Nečas
- Department of Metals and Corrosion Engineering, Faculty of Chemical Technology, University of Chemistry and Technology, Prague Technická 5, 166 28 Prague, Czech Republic
| | - Jiří Kubásek
- Department of Metals and Corrosion Engineering, Faculty of Chemical Technology, University of Chemistry and Technology, Prague Technická 5, 166 28 Prague, Czech Republic
| | - Jan Pinc
- Department of Functional Materials, Institute of Physics of the Czech Academy of Sciences, Na Slovance 1999/2, 182 21 Prague, Czech Republic
| | - Ivo Marek
- Department of Metals and Corrosion Engineering, Faculty of Chemical Technology, University of Chemistry and Technology, Prague Technická 5, 166 28 Prague, Czech Republic
| | - Črtomir Donik
- Department Physics and Chemistry of Materials, Institute of Metals and Technology, University of Ljubljana, Lepi pot 11, SI-1000 Ljubljana, Slovenia
| | - Irena Paulin
- Department Physics and Chemistry of Materials, Institute of Metals and Technology, University of Ljubljana, Lepi pot 11, SI-1000 Ljubljana, Slovenia
| | - Dalibor Vojtěch
- Department of Metals and Corrosion Engineering, Faculty of Chemical Technology, University of Chemistry and Technology, Prague Technická 5, 166 28 Prague, Czech Republic
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16
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Soni R, Jhavar S, Tyeb S, Gupta SK, Suwas S, Chatterjee K. Wire Arc Additive Manufacturing of Zinc as a Degradable Metallic Biomaterial. J Funct Biomater 2022; 13:jfb13040212. [PMID: 36412853 PMCID: PMC9680225 DOI: 10.3390/jfb13040212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2022] [Revised: 10/23/2022] [Accepted: 10/25/2022] [Indexed: 11/06/2022] Open
Abstract
Wire arc additive manufacturing (WAAM) offers a high rate of material deposition among various additive manufacturing techniques with wire as feedstock material but has not been established for zinc alloys. Zn alloys can be used as degradable biomaterials, in contrast to conventional permanent metallic biomaterials. In this work, commercially pure Zn was processed by WAAM to obtain near-dense parts, and the properties obtained through WAAM-processed Zn were compared with wrought (WR) Zn samples. The microstructure and hardness values of the WAAM (41 ± 1 HV0.3) components were found to be similar to those of the WR (35 ± 2 HV0.3) components. Bulk X-ray diffraction texture measurements suggested that WAAM builds exhibit a heavily textured microstructure compared to the WR counterparts, with peak intensities around <3 3−6 2> or <0 0 0 2> in the directions parallel to the build direction (BD). The corrosion rates in simulated body fluid (SBF) were similar for WAAM (0.45 mmpy) and WR (0.3 mmpy) samples. The weight loss measurements in SBF were found to be marginally higher in the WAAM samples compared to the WR counterparts for a duration of up to 21 days. MC3T3-E1 preosteoblasts were found to be healthy and proliferating in the culture medium containing the degradation products from WAAM-Zn in a manner similar to WR-Zn. This work establishes the feasibility of processing Zn by WAAM for use in bioresorbable metallic implants.
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Affiliation(s)
- Rishabh Soni
- Department of Materials Engineering, Indian Institute of Science, Sir C. V. Raman Avenue, Bangalore 560012, India
| | - Suyog Jhavar
- School of Mechanical Engineering, VIT-AP University, Inavolu, Beside AP Secretariat Amaravati, Amaravati 522237, India
| | - Suhela Tyeb
- Department of Materials Engineering, Indian Institute of Science, Sir C. V. Raman Avenue, Bangalore 560012, India
| | - Saurabh Kumar Gupta
- Department of Materials Engineering, Indian Institute of Science, Sir C. V. Raman Avenue, Bangalore 560012, India
| | - Satyam Suwas
- Department of Materials Engineering, Indian Institute of Science, Sir C. V. Raman Avenue, Bangalore 560012, India
| | - Kaushik Chatterjee
- Department of Materials Engineering, Indian Institute of Science, Sir C. V. Raman Avenue, Bangalore 560012, India
- Correspondence: ; Tel.: +91-80-22933408
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17
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Zhao D, Han C, Peng B, Cheng T, Fan J, Yang L, Chen L, Wei Q. Corrosion fatigue behavior and anti-fatigue mechanisms of an additively manufactured biodegradable zinc-magnesium gyroid scaffold. Acta Biomater 2022; 153:614-629. [PMID: 36162767 DOI: 10.1016/j.actbio.2022.09.047] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2022] [Revised: 08/15/2022] [Accepted: 09/19/2022] [Indexed: 12/16/2022]
Abstract
Additively manufactured biodegradable zinc (Zn) alloy scaffolds constitute an important branch in orthopedic implants because of their moderate degradation behavior and bone-mimicking mechanical properties. This work investigated the corrosion fatigue response of a zinc-magnesium (Zn-Mg) alloy gyroid scaffold fabricated via laser-powder-bed-fusion additive manufacturing at the first time. The high-cycle compression-compression fatigue testing of the printed Zn-Mg scaffold was conducted in simulated body fluid, showing its favorable fatigue strength, structural reliability, and anti-fatigue capability. The printed Zn-Mg scaffold obtained a 227% higher fatigue strength than that of the printed Zn scaffold but 17% lower strain accumulation at 106 cycles. The accumulative strain of the Zn-Mg scaffold at its fatigue strength was dominant by fatigue ratcheting, since the fatigue damage strain of the scaffold was approximately zero. The corrosion products (ZnO and Zn(OH)2) were conducive to the inhibition of fatigue ratcheting and fatigue damage. Dislocation pile-up and solid solution phases at the grain boundaries of the Zn-Mg scaffold could retard the spreading of the crack tip and impede excessive grain coarsening, improving its fatigue endurance limit. Notably, the printed Zn-Mg scaffold could dissipate the fatigue energy through moderate grain boundary migration, thus reducing its plastic deformation. These findings illuminated the anti-fatigue mechanisms related to microstructural features and corrosive environments and highlighted the promising prospects of additively manufactured Zn-Mg scaffolds in orthopedic applications. STATEMENT OF SIGNIFICANCE: : Additive manufacturing (AM) of biodegradable metals shows unprecedented prospects for bone tissue regeneration medicine. The corrosion fatigue property is one of the key determinants in the performance of AM biodegradable scaffolds. In this study, a Zn-Mg gyroid scaffold was additively manufactured with admirable fatigue endurance limit and anti-fatigue capability. We reported that the corrosion fatigue performance was highly relevant to the microstructural features, validating that the grain boundary engineering strategy improved fatigue strength and inhibited crack penetration. Notably, moderate grain boundary migration could dissipate fatigue energy and reduce plastic deformation. Furthermore, corrosion products were conducive to impeding fatigue ratcheting and fatigue damage, indicating the promising potential of AM Zn-Mg scaffolds in treating load-bearing bone defects.
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Affiliation(s)
- Danlei Zhao
- Department of Stomatology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China; State Key Lab of Materials Processing and Die & Mould Technology, School of Materials Science and Engineering, Huazhong University of Science and Technology, Wuhan 430074, China; School of Stomatology, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China; Hubei Province Key Laboratory of Oral and Maxillofacial Development and Regeneration, Wuhan 430022, China
| | - Changjun Han
- School of Mechanical and Automotive Engineering, South China University of Technology, Guangzhou 510640, China.
| | - Bo Peng
- State Key Lab of Materials Processing and Die & Mould Technology, School of Materials Science and Engineering, Huazhong University of Science and Technology, Wuhan 430074, China
| | - Tan Cheng
- State Key Lab of Materials Processing and Die & Mould Technology, School of Materials Science and Engineering, Huazhong University of Science and Technology, Wuhan 430074, China
| | - Junxiang Fan
- State Key Lab of Materials Processing and Die & Mould Technology, School of Materials Science and Engineering, Huazhong University of Science and Technology, Wuhan 430074, China
| | - Lei Yang
- State Key Lab of Materials Processing and Die & Mould Technology, School of Materials Science and Engineering, Huazhong University of Science and Technology, Wuhan 430074, China; School of Transportation and Logistics Engineering, Wuhan University of Technology, Wuhan 430010, China
| | - Lili Chen
- Department of Stomatology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China; School of Stomatology, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China; Hubei Province Key Laboratory of Oral and Maxillofacial Development and Regeneration, Wuhan 430022, China.
| | - Qingsong Wei
- State Key Lab of Materials Processing and Die & Mould Technology, School of Materials Science and Engineering, Huazhong University of Science and Technology, Wuhan 430074, China; Hubei Province Key Laboratory of Oral and Maxillofacial Development and Regeneration, Wuhan 430022, China.
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18
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Nečas D, Marek I, Pinc J, Vojtěch D, Kubásek J. Advanced Zinc–Magnesium Alloys Prepared by Mechanical Alloying and Spark Plasma Sintering. MATERIALS 2022; 15:ma15155272. [PMID: 35955207 PMCID: PMC9369638 DOI: 10.3390/ma15155272] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/24/2022] [Revised: 07/25/2022] [Accepted: 07/26/2022] [Indexed: 11/16/2022]
Abstract
Zinc and its alloys are considered as promising materials for the preparation of biodegradable medical devices (stents and bone fixation screws) due to their enhanced biocompatibility. These materials must achieve an ideal combination of mechanical and corrosion properties that can be influenced by alloying or thermomechanical processes. This paper presents the effects of different mechanical alloying (MA) parameters on the composition of Zn-1Mg powder. At the same time, this study describes the influence of preparation by MA on Zn-6Mg and Zn-16Mg alloys. The selected powders were compacted by the spark plasma sintering (SPS) method. Subsequently, their microstructures were studied and their mechanical properties were tested. The overall process led to a significant grain refinement (629 ± 274 nm for Zn-1Mg) and the formation of new intermetallic phases (Mg2Zn11, MgZn2). The compressive properties of the sintered samples were mainly related to the concentration of the alloying elements, where an increase in concentration led to an improvement in strength but a deterioration in ductility. According to the obtained results, the best properties were obtained for the Zn-1Mg alloy.
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Affiliation(s)
- David Nečas
- Department of Metals and Corrosion Engineering, Faculty of Chemical Technology, University of Chemistry and Technology Prague, Technická 5, 166 28 Prague, Czech Republic; (I.M.); (D.V.)
- Correspondence: (D.N.); (J.K.)
| | - Ivo Marek
- Department of Metals and Corrosion Engineering, Faculty of Chemical Technology, University of Chemistry and Technology Prague, Technická 5, 166 28 Prague, Czech Republic; (I.M.); (D.V.)
| | - Jan Pinc
- Department of Functional Materials, Institute of Physics of the Czech Academy of Sciences, Na Slovance 1999/2, 182 21 Prague, Czech Republic;
| | - Dalibor Vojtěch
- Department of Metals and Corrosion Engineering, Faculty of Chemical Technology, University of Chemistry and Technology Prague, Technická 5, 166 28 Prague, Czech Republic; (I.M.); (D.V.)
| | - Jiří Kubásek
- Department of Metals and Corrosion Engineering, Faculty of Chemical Technology, University of Chemistry and Technology Prague, Technická 5, 166 28 Prague, Czech Republic; (I.M.); (D.V.)
- Correspondence: (D.N.); (J.K.)
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19
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Additive manufacturing of Zn-Mg alloy porous scaffolds with enhanced osseointegration: In vitro and in vivo studies. Acta Biomater 2022; 145:403-415. [PMID: 35381400 DOI: 10.1016/j.actbio.2022.03.055] [Citation(s) in RCA: 33] [Impact Index Per Article: 16.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Revised: 02/19/2022] [Accepted: 03/30/2022] [Indexed: 12/18/2022]
Abstract
Biodegradable metals (BM) and additive manufacturing (AM) are regarded revolutionary biomaterials and biofabrication technologies for bone repairing metal implants, the combination of both, namely AM of BM, is thus expected to solve the dual technical difficulties including "conventional medical metals are biologically inert and exist in the human body permanently" and "conventional manufacturing processes are inadequate to fabricate personalized implants of complicated structure". This work additively manufactured biodegradable Zn-Mg alloy porous scaffolds by laser powder bed fusion (L-PBF). By using the pre-alloyed Zn-xMg (x = 1, 2 and 5 wt.%) powder and the optimized processing conditions, high fusion quality with the relative density greater than 99.5% was confirmed for the L-PBF parts. The influence of Mg content on microstructure, mechanical properties, in vitro corrosion, cytocompatibility, in vivo degradation, biocompatibility and osteogenic effect was investigated. Fine α-Zn grains and precipitation phases including Mg2Zn11 and MgZn2 were observed in the Zn-xMg L-PBF parts. The hardness increased, and the strength increases firstly and then decreased with increasing the Mg content. The compressive strength and elastic modulus of Zn-1Mg porous scaffolds reached the highest as 40.9 ± 0.4 MPa and 1.17 ± 0.11 GPa, respectively, equivalent to those of cancellous bone. The corrosion rate and cell viability slightly rose with increasing the Mg content. Histological analysis after 6-week and 12-week implantation in rabbit femurs showed enhanced bone formation around the Zn-1Mg porous scaffolds compared with pure Zn counterparts. In summary, Zn-1Mg porous scaffolds produced by L-PBF presented promising results to fulfill customized requirements of biodegradable bone implants. STATEMENT OF SIGNIFICANCE: Additive manufacturing of biodegradable metal porous scaffolds is expected to solve the dual challenges from customized structures and bioactive function required for bone implants. It was the first to present a systematic in vitro and in vivo investigation into the compositions, microstructure, mechanical properties, biodegradation, biocompatibility and osteogenic effect of additively manufactured Zn-Mg alloy porous scaffolds. Reliable formation quality and performance evaluation was achieved by using the pre-alloyed Zn-xMg (x = 1, 2 and 5 wt.%) powder and the optimized laser powder bed fusion process. Although the Zn-1Mg scaffolds exhibited promising mechanical strength, biocompatibility, and osteogenic effect, their degradation rate needs to be further accelerated compared with the term of bone reconstruction.
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20
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Processing optimization, mechanical properties, corrosion behavior and cytocompatibility of additively manufactured Zn-0.7Li biodegradable metals. Acta Biomater 2022; 142:388-401. [PMID: 35085796 DOI: 10.1016/j.actbio.2022.01.049] [Citation(s) in RCA: 19] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2021] [Revised: 01/15/2022] [Accepted: 01/20/2022] [Indexed: 12/15/2022]
Abstract
Biodegradable Zn-Li alloys exhibit superior mechanical performance and favorable osteogenic capability for load-bearing bone devices. Additive manufacturing (AM) endows freedom for the fabrication of bone implants of personalized structure to satisfy patient-specific needs. In this paper, AM of Zn-Li alloys was attempted for the first-time using laser powder bed fusion (LPBF), and the fabricated samples exhibited good fusion quality and high dimensional accuracy. The processing optimization, mechanical properties, in vitro corrosion behavior and cytocompatibility were investigated by using Zn-0.7Li bulk and porous samples. The ultimate tensile strength and elastic modulus of bulk samples respectively reached 416.5 MPa and 83.3 GPa, and both were the highest among various additively manufactured Zn alloys reported so far. Porous samples achieved compressive strength (18.2 MPa) and elastic modulus (298.0 MPa), which were comparable to those of cancellous bone. Porous samples exhibited a higher corrosion rate and alleviated the problem of slow degradation of Zn-Li alloys. Nevertheless, osteoblastic cells showed a more spreading and healthier morphology when adhering to the porous samples compared to the bulk samples, thus a better cytocompatibility was confirmed. This work shows tremendous potential to precisely design and modulate biodegradable Zn alloys to fulfill clinical needs by using AM technology. STATEMENT OF SIGNIFICANCE: This paper firstly studied processing optimization during laser powder bed fusion of Zn-Li alloy. Bulk and porous Zn-0.7Li samples in customized design were obtained with high formation quality. The tensile strength of bulk samples reached 416.5 MPa, while the compressive strength and modulus of porous samples reduced to 18.2 MPa and 298.0 MPa, comparable to those of bone. The weight loss of porous samples was roughly 5 times that of bulk samples; osteoblastic cells showed a more spreading and healthier morphology at porous samples, indicating improved biodegradation rate and cytocompatibility. This work shows tremendous potential to precisely design and modulate biodegradable Zn alloy porous scaffolds to fulfill clinical needs by using additive manufacturing technology.
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21
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Nasr Azadani M, Zahedi A, Bowoto OK, Oladapo BI. A review of current challenges and prospects of magnesium and its alloy for bone implant applications. Prog Biomater 2022; 11:1-26. [PMID: 35239157 DOI: 10.1007/s40204-022-00182-x] [Citation(s) in RCA: 20] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Accepted: 01/29/2022] [Indexed: 02/08/2023] Open
Abstract
Medical application materials must meet multiple requirements, and the designed implant must mimic the bone structure in shape and support the formation of bone tissue (osteogenesis). Magnesium (Mg) alloys, as a "smart" biodegradable material and as "the green engineering material in the twenty-first century", have become an outstanding bone implant material due to their natural degradability, smart biocompatibility, and desirable mechanical properties. Magnesium is recognised as the next generation of orthopaedic appliances and bioresorbable scaffolds. At the same time, improving the mechanical properties and corrosion resistance of magnesium alloys is an urgent challenge to promote the application of magnesium alloys. Nevertheless, the excessively quick deterioration rate generally results in premature mechanical integrity disintegration and local hydrogen build-up, resulting in restricted clinical bone restoration applicability. The condition of Mg bone implants is thoroughly examined in this study. The relevant approaches to boost the corrosion resistance, including purification, alloying treatment, surface coating, and Mg-based metal matrix composite, are comprehensively revealed. These characteristics are reviewed to assess the progress of contemporary Mg-based biocomposites and alloys for biomedical applications. The fabricating techniques for Mg bone implants also are thoroughly investigated. Notably, laser-based additive manufacturing fabricates customised forms and complicated porous structures based on its distinctive additive manufacturing conception. Because of its high laser energy density and strong controllability, it is capable of fast heating and cooling, allowing it to modify the microstructure and performance. This review paper aims to provide more insight on the present challenges and continued research on Mg bone implants, highlighting some of the most important characteristics, challenges, and strategies for improving Mg bone implants.
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Affiliation(s)
- Meysam Nasr Azadani
- School of Engineering and Sustainable Development, De Montfort University, Leicester, LE1 9BH, UK.
| | - Abolfazl Zahedi
- School of Engineering and Sustainable Development, De Montfort University, Leicester, LE1 9BH, UK
| | - Oluwole Kingsley Bowoto
- School of Engineering and Sustainable Development, De Montfort University, Leicester, LE1 9BH, UK
| | - Bankole Ibrahim Oladapo
- School of Engineering and Sustainable Development, De Montfort University, Leicester, LE1 9BH, UK
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22
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Mechanical Alloying Process Applied for Obtaining a New Biodegradable Mg-xZn-Zr-Ca Alloy. METALS 2022. [DOI: 10.3390/met12010132] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
The aim of the present paper is to apply the mechanical alloying process to obtain from powder components a new biodegradable Mg-based alloy powder from the system Mg-xZn-Zr-Ca, with high biomechanical and biochemical performance. Various processing parameters for mechanical alloying have been experimented with the ultimate goal to establish an efficient processing route for the production of small biodegradable parts for the medical domain. It has been observed that for the same milling parameters, the composition of the powders has influenced the powder size and shape. On the other hand, for the same composition, the highest experimented milling speed and time conduct to finer powder particles, almost round-shaped, without pores or various inclusions. The most uniform size has been obtained for the powder sample with 10 wt.%Zn. These powders were finally processed by selective laser melting, an additive manufacturing technology, to obtain a homogeneous experimental sample, without cracking, for future more systematical trials.
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23
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Mardina Z, Venezuela J, Maher C, Shi Z, Dargusch M, Atrens A. Design, mechanical and degradation requirements of biodegradable metal mesh for pelvic floor reconstruction. Biomater Sci 2022; 10:3371-3392. [DOI: 10.1039/d2bm00179a] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Pelvic organ prolapse (POP) is the herniation of surrounding tissue and organs into the vagina and or rectum, and is a result of weakening of pelvic floor muscles, connective tissue,...
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Yuan W, Xia D, Wu S, Zheng Y, Guan Z, Rau JV. A review on current research status of the surface modification of Zn-based biodegradable metals. Bioact Mater 2022; 7:192-216. [PMID: 34466727 PMCID: PMC8379348 DOI: 10.1016/j.bioactmat.2021.05.018] [Citation(s) in RCA: 38] [Impact Index Per Article: 19.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2021] [Revised: 05/09/2021] [Accepted: 05/09/2021] [Indexed: 12/13/2022] Open
Abstract
Recently, zinc and its alloys have been proposed as promising candidates for biodegradable metals (BMs), owning to their preferable corrosion behavior and acceptable biocompatibility in cardiovascular, bone and gastrointestinal environments, together with Mg-based and Fe-based BMs. However, there is the desire for surface treatment for Zn-based BMs to better control their biodegradation behavior. Firstly, the implantation of some Zn-based BMs in cardiovascular environment exhibited intimal activation with mild inflammation. Secondly, for orthopedic applications, the biodegradation rates of Zn-based BMs are relatively slow, resulting in a long-term retention after fulfilling their mission. Meanwhile, excessive Zn2+ release during degradation will cause in vitro cytotoxicity and in vivo delayed osseointegration. In this review, we firstly summarized the current surface modification methods of Zn-based alloys for the industrial applications. Then we comprehensively summarized the recent progress of biomedical bulk Zn-based BMs as well as the corresponding surface modification strategies. Last but not least, the future perspectives towards the design of surface bio-functionalized coatings on Zn-based BMs for orthopedic and cardiovascular applications were also briefly proposed.
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Affiliation(s)
- Wei Yuan
- School of Materials Science and Engineering, Peking University, Beijing, 100871, China
| | - Dandan Xia
- School of Materials Science and Engineering, Peking University, Beijing, 100871, China
- National Engineering Laboratory for Digital and Material Technology of Stomatology, National Clinical Research Center for Oral Diseases, Beijing Key Laboratory of Digital Stomatology, National Medical Products Administration Key Laboratory for Dental Materials, Research Center of Engineering and Technology for Digital Dentistry, Ministry of Health, Beijing, 100081, China
| | - Shuilin Wu
- School of Materials Science & Engineering, The Key Laboratory of Advanced Ceramics and Machining Technology by the Ministry of Education of China, Tianjin University, Tianjin, 300072, China
| | - Yufeng Zheng
- School of Materials Science and Engineering, Peking University, Beijing, 100871, China
- National Engineering Laboratory for Digital and Material Technology of Stomatology, National Clinical Research Center for Oral Diseases, Beijing Key Laboratory of Digital Stomatology, National Medical Products Administration Key Laboratory for Dental Materials, Research Center of Engineering and Technology for Digital Dentistry, Ministry of Health, Beijing, 100081, China
| | - Zhenpeng Guan
- Orthopedics Department, Peking University Shougang Hospital, No. 9 Jinyuanzhuang Rd, Shijingshan District, Beijing, 100144, China
| | - Julietta V. Rau
- Istituto di Struttura della Materia, Consiglio Nazionale delle Ricerche (ISM-CNR), Via del Fosso del Cavaliere, 100-00133, Rome, Italy
- Sechenov First Moscow State Medical University, Institute of Pharmacy, Department of Analytical, Physical and Colloid Chemistry, Trubetskaya 8, build. 2, 119991, Moscow, Russia
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25
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Zinc-nutrient element based alloys for absorbable wound closure devices fabrication: Current status, challenges, and future prospects. Biomaterials 2021; 280:121301. [PMID: 34922270 DOI: 10.1016/j.biomaterials.2021.121301] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2021] [Revised: 11/25/2021] [Accepted: 11/29/2021] [Indexed: 01/22/2023]
Abstract
The need for the development of load-bearing, absorbable wound closure devices is driving the research for novel materials that possess both good biodegradability and superior mechanical characteristics. Biodegradable metals (BMs), namely: magnesium (Mg), zinc (Zn) and iron (Fe), which are currently being investigated for absorbable vascular stent and orthopaedic implant applications, are slowly gaining research interest for the fabrication of wound closure devices. The current review presents an overview of the traditional and novel BM-based intracutaneous and transcutaneous wound closure devices, and identifies Zn as a promising substitute for the traditional materials used in the fabrication of absorbable load-bearing sutures, internal staples, and subcuticular staples. In order to further strengthen Zn to be used in highly stressed situations, nutrient elements (NEs), including calcium (Ca), Mg, Fe, and copper (Cu), are identified as promising alloying elements for the strengthening of Zn-based wound closure device material that simultaneously provide potential therapeutic benefit to the wound healing process during implant biodegradation process. The influence of NEs on the fundamental characteristics of biodegradable Zn are reviewed and critically assessed with regard to the mechanical properties and biodegradability requirements of different wound closure devices. The opportunities and challenges in the development of Zn-based wound closure device materials are presented to inspire future research on this rapidly growing field.
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26
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Wang Y, Venezuela J, Dargusch M. Biodegradable shape memory alloys: Progress and prospects. Biomaterials 2021; 279:121215. [PMID: 34736144 DOI: 10.1016/j.biomaterials.2021.121215] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2021] [Revised: 09/20/2021] [Accepted: 10/20/2021] [Indexed: 01/08/2023]
Abstract
Shape memory alloys (SMAs) have a wide range of potential novel medical applications due to their superelastic properties and ability to restore and retain a 'memorised' shape. However, most SMAs are permanent and do not degrade in the body when used in implantable devices. The use of non-degrading metals may lead to the requirement for secondary removal surgery and this in turn may introduce both short and long-term health risks, or additional waste disposal requirements. Biodegradable SMAs can effectively eliminate these issues by gradually degrading inside the human body while providing the necessary support for healing purposes, therefore significantly alleviating patient discomfort and improving healing efficiency. This paper reviews the current progress in biodegradable SMAs from the perspective of biodegradability, mechanical properties, and biocompatibility. By providing insights into the status of SMAs and biodegradation mechanisms, the prospects for Mg- and Fe-based biodegradable SMAs to advance biodegradable SMA-based medical devices are explored. Finally, the remaining challenges and potential solutions in the biodegradable SMAs area are discussed, providing suggestions and research frameworks for future studies on this topic.
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Affiliation(s)
- Yuan Wang
- Centre for Advanced Materials Processing and Manufacturing (AMPAM), The University of Queensland, Brisbane, Queensland, 4072, Australia
| | - Jeffrey Venezuela
- Centre for Advanced Materials Processing and Manufacturing (AMPAM), The University of Queensland, Brisbane, Queensland, 4072, Australia
| | - Matthew Dargusch
- Centre for Advanced Materials Processing and Manufacturing (AMPAM), The University of Queensland, Brisbane, Queensland, 4072, Australia.
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Bühring J, Voshage M, Schleifenbaum JH, Jahr H, Schröder KU. Influence of Degradation Product Thickness on the Elastic Stiffness of Porous Absorbable Scaffolds Made from an Bioabsorbable Zn-Mg Alloy. MATERIALS 2021; 14:ma14206027. [PMID: 34683618 PMCID: PMC8539330 DOI: 10.3390/ma14206027] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/19/2021] [Revised: 10/07/2021] [Accepted: 10/08/2021] [Indexed: 12/02/2022]
Abstract
For orthopaedic applications, additive manufactured (AM) porous scaffolds made of absorbable metals such as magnesium, zinc or iron are of particular interest. They do not only offer the potential to design and fabricate bio-mimetic or rather bone-equivalent mechanical properties, they also do not need to be removed in further surgery. Located in a physiological environment, scaffolds made of absorbable metals show a decreasing Young’s modulus over time, due to product dissolution. For magnesium-based scaffolds during the first days an increase of the smeared Young’s modulus can be observed, which is mainly attributed to a forming substrate layer of degradation products on the strut surfaces. In this study, the influence of degradation products on the stiffness properties of metallic scaffolds is investigated. For this, analytical calculations and finite-element simulations are performed to study the influence of the substrate layer thickness and Young’s modulus for single struts and for a new scaffold geometry with adapted polar cubic face-centered unit cells with vertical struts (f2cc,z). The finite-element model is further validated by compression tests on AM scaffolds made from Zn1Mg (1 wt% Mg). The results show that even low thicknesses and Young’s moduli of the substrate layer significantly increases the smeared Young’s modulus under axial compression.
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Affiliation(s)
- Jannik Bühring
- Institute of Structural Mechanics and Lightweight Design, RWTH Aachen University, 52062 Aachen, Germany;
- Correspondence: ; Tel.: +49-241-80-96842
| | - Maximilian Voshage
- Digital Additive Production, RWTH Aachen University, 52074 Aachen, Germany; (M.V.); (J.H.S.)
| | | | - Holger Jahr
- Institute of Anatomy and Cell Biology, University Hospital, RWTH Aachen University, 52074 Aachen, Germany;
| | - Kai-Uwe Schröder
- Institute of Structural Mechanics and Lightweight Design, RWTH Aachen University, 52062 Aachen, Germany;
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28
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Marvi-Mashhadi M, Ali W, Li M, González C, LLorca J. Simulation of corrosion and mechanical degradation of additively manufactured Mg scaffolds in simulated body fluid. J Mech Behav Biomed Mater 2021; 126:104881. [PMID: 34702672 DOI: 10.1016/j.jmbbm.2021.104881] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2021] [Revised: 08/28/2021] [Accepted: 10/02/2021] [Indexed: 10/20/2022]
Abstract
A simulation strategy based in the finite element model was developed to model the corrosion and mechanical properties of biodegradable Mg scaffolds manufactured by laser power bed fusion after immersion in simulated body fluid. Corrosion was simulated through a phenomenological, diffusion-based model which can take into account pitting. The elements in which the concentration of Mg was below a certain threshold (representative of the formation of Mg(OH)2) after the corrosion simulation were deleted for the mechanical simulations, in which Mg was assumed to behave as an isotropic, elastic-perfectly plastic solid and fracture was introduced through a ductile failure model. The parameters of the models were obtained from previous experimental results and the numerical predictions of the strength and fracture mechanisms of WE43 Mg alloy porous scaffolds in the as-printed condition and after immersion in simulated body fluid were in good agreement with the experimental results. Thus, the simulation strategy is able to assess the effect of corrosion on the mechanical behavior of biodegradable scaffolds, which is critical for design of biodegradable scaffolds for biomedical applications.
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Affiliation(s)
| | - Wahaaj Ali
- Carlos III University of Madrid, Av. de La Universidad 30, 28911, Leganés, Madrid, Spain; IMDEA Materials Institute, C/Eric Kandel 2, 28906, Getafe, Madrid, Spain
| | - Muzi Li
- IMDEA Materials Institute, C/Eric Kandel 2, 28906, Getafe, Madrid, Spain
| | - Carlos González
- IMDEA Materials Institute, C/Eric Kandel 2, 28906, Getafe, Madrid, Spain; Department of Materials Science, Polytechnic University of Madrid, 28040, Madrid, Spain
| | - Javier LLorca
- IMDEA Materials Institute, C/Eric Kandel 2, 28906, Getafe, Madrid, Spain; Department of Materials Science, Polytechnic University of Madrid, 28040, Madrid, Spain.
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29
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Huang CC, Lam TN, Amalia L, Chen KH, Yang KY, Muslih MR, Singh SS, Tsai PI, Lee YT, Jain J, Lee SY, Lai HJ, Huang WC, Chen SY, Huang EW. Tailoring grain sizes of the biodegradable iron-based alloys by pre-additive manufacturing microalloying. Sci Rep 2021; 11:9610. [PMID: 33953260 PMCID: PMC8100099 DOI: 10.1038/s41598-021-89022-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2021] [Accepted: 04/13/2021] [Indexed: 02/07/2023] Open
Abstract
We demonstrated the design of pre-additive manufacturing microalloying elements in tuning the microstructure of iron (Fe)-based alloys for their tunable mechanical properties. We tailored the microalloying stoichiometry of the feedstock to control the grain sizes of the metallic alloy systems. Two specific microalloying stoichiometries were reported, namely biodegradable iron powder with 99.5% purity (BDFe) and that with 98.5% (BDFe-Mo). Compared with the BDFe, the BDFe-Mo powder was found to have lower coefficient of thermal expansion (CTE) value and better oxidation resistance during consecutive heating and cooling cycles. The selective laser melting (SLM)-built BDFe-Mo exhibited high ultimate tensile strength (UTS) of 1200 MPa and fair elongation of 13.5%, while the SLM-built BDFe alloy revealed a much lower UTS of 495 MPa and a relatively better elongation of 17.5%, indicating the strength enhancement compared with the other biodegradable systems. Such an enhanced mechanical behavior in the BDFe-Mo was assigned to the dominant mechanism of ferrite grain refinement coupled with precipitate strengthening. Our findings suggest the tunability of outstanding strength-ductility combination by tailoring the pre-additive manufacturing microalloying elements with their proper concentrations.
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Affiliation(s)
- Chih-Chieh Huang
- Department of Materials Science and Engineering, National Yang Ming Chiao Tung University, Hsinchu, 30013, Taiwan
| | - Tu-Ngoc Lam
- Department of Materials Science and Engineering, National Yang Ming Chiao Tung University, Hsinchu, 30013, Taiwan
- Department of Physics, College of Education, Can Tho University, Can Tho City, 900000, Vietnam
| | - Lia Amalia
- Department of Materials Science and Engineering, National Yang Ming Chiao Tung University, Hsinchu, 30013, Taiwan
- Teknik Material dan Metalurgi, Institut Teknologi Kalimantan, Balikpapan, 76127, Indonesia
| | - Kuan-Hung Chen
- Department of Materials Science and Engineering, National Yang Ming Chiao Tung University, Hsinchu, 30013, Taiwan
| | - Kuo-Yi Yang
- Biomedical Technology and Device Research Laboratories, Industrial Technology Research Institute, Hsinchu, 310, Taiwan
| | - M Rifai Muslih
- Neutron Scattering Lab. PSTBM-BATAN, Kawasan PUSPIPTEK Serpong, 15314, Indonesia
| | - Sudhanshu Shekhar Singh
- Department of Materials Science and Engineering, Indian Institute of Technology Kanpur, Kanpur, UP, 208016, India
| | - Pei-I Tsai
- Biomedical Technology and Device Research Laboratories, Industrial Technology Research Institute, Hsinchu, 310, Taiwan
| | - Yuan-Tzu Lee
- Department of Materials Science and Engineering, National Taiwan University, Taipei, 10607, Taiwan
| | - Jayant Jain
- Department of Materials Science and Engineering, Indian Institute of Technology, New Delhi, 110016, India.
| | - Soo Yeol Lee
- Department of Materials Science and Engineering, Chungnam National University, Daejeon, 34134, Republic of Korea.
| | - Hong-Jen Lai
- Material and Chemical Research Laboratories, Industrial Technology Research Institute, Hsinchu, 310, Taiwan
| | - Wei-Chin Huang
- Laser and Additive Manufacturing Technology Center, Industrial Technology Research Institute, Hsinchu, 31040, Taiwan
| | - San-Yuan Chen
- Department of Materials Science and Engineering, National Yang Ming Chiao Tung University, Hsinchu, 30013, Taiwan
| | - E-Wen Huang
- Department of Materials Science and Engineering, National Yang Ming Chiao Tung University, Hsinchu, 30013, Taiwan.
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30
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Kabir H, Munir K, Wen C, Li Y. Recent research and progress of biodegradable zinc alloys and composites for biomedical applications: Biomechanical and biocorrosion perspectives. Bioact Mater 2021; 6:836-879. [PMID: 33024903 PMCID: PMC7530311 DOI: 10.1016/j.bioactmat.2020.09.013] [Citation(s) in RCA: 91] [Impact Index Per Article: 30.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2020] [Revised: 09/16/2020] [Accepted: 09/17/2020] [Indexed: 12/22/2022] Open
Abstract
Biodegradable metals (BMs) gradually degrade in vivo by releasing corrosion products once exposed to the physiological environment in the body. Complete dissolution of biodegradable implants assists tissue healing, with no implant residues in the surrounding tissues. In recent years, three classes of BMs have been extensively investigated, including magnesium (Mg)-based, iron (Fe)-based, and zinc (Zn)-based BMs. Among these three BMs, Mg-based materials have undergone the most clinical trials. However, Mg-based BMs generally exhibit faster degradation rates, which may not match the healing periods for bone tissue, whereas Fe-based BMs exhibit slower and less complete in vivo degradation. Zn-based BMs are now considered a new class of BMs due to their intermediate degradation rates, which fall between those of Mg-based BMs and Fe-based BMs, thus requiring extensive research to validate their suitability for biomedical applications. In the present study, recent research and development on Zn-based BMs are reviewed in conjunction with discussion of their advantages and limitations in relation to existing BMs. The underlying roles of alloy composition, microstructure, and processing technique on the mechanical and corrosion properties of Zn-based BMs are also discussed.
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Affiliation(s)
- Humayun Kabir
- School of Engineering, RMIT University, Melbourne, Victoria, 3001, Australia
| | - Khurram Munir
- School of Engineering, RMIT University, Melbourne, Victoria, 3001, Australia
| | - Cuie Wen
- School of Engineering, RMIT University, Melbourne, Victoria, 3001, Australia
| | - Yuncang Li
- School of Engineering, RMIT University, Melbourne, Victoria, 3001, Australia
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31
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He J, Fang J, Wei P, Li Y, Guo H, Mei Q, Ren F. Cancellous bone-like porous Fe@Zn scaffolds with core-shell-structured skeletons for biodegradable bone implants. Acta Biomater 2021; 121:665-681. [PMID: 33242640 DOI: 10.1016/j.actbio.2020.11.032] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2020] [Revised: 11/19/2020] [Accepted: 11/19/2020] [Indexed: 12/31/2022]
Abstract
Three-dimensional (3D) porous zinc (Zn) with a moderate degradation rate is a promising candidate for biodegradable bone scaffolds. However, fabrication of such scaffolds with adequate mechanical properties remains a challenge. Moreover, the composition, crystallography and microstructure of the in vivo degradation products formed at or near the implant-bone interface are still not precisely known. Here, we have fabricated porous Fe@Zn scaffolds with skeletons consisting of an inner core layer of Fe and an outer shell layer of Zn using template-assisted electrodeposition technique, and systematically evaluated their porous structure, mechanical properties, degradation mechanism, antibacterial ability and in vitro and in vivo biocompatibility. In situ site-specific focused ion beam micromilling and transmission electron microscopy were used to identify the in vivo degradation products at the nanometer scale. The 3D porous Fe@Zn scaffolds show similar structure and comparable mechanical properties to human cancellous bone. The degradation rates can be adjusted by varying the layer thickness of Zn and Fe. The antibacterial rates reach over 95% against S. aureus and almost 100% against E. coli. A threshold of released Zn ion concentration (~ 0.3 mM) was found to determine the in vitro biocompatibility. Intense new bone formation and ingrowth were observed despite with a slight inflammatory response. The in vivo degradation products were identified to be equiaxed nanocrystalline zinc oxide with dispersed zinc carbonate. This study not only demonstrates the feasibility of porous Fe@Zn for biodegradable bone implants, but also provides significant insight into the degradation mechanism of porous Zn in physiological environment.
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Affiliation(s)
- Jin He
- Department of Materials Science and Engineering, Southern University of Science and Technology, Shenzhen, Guangdong 518055, China; School of Power and Mechanical Engineering, Wuhan University, Wuhan, Hubei 430072, China
| | - Ju Fang
- Department of Materials Science and Engineering, Southern University of Science and Technology, Shenzhen, Guangdong 518055, China
| | - Pengbo Wei
- Department of Materials Science and Engineering, Southern University of Science and Technology, Shenzhen, Guangdong 518055, China
| | - Yulei Li
- Department of Materials Science and Engineering, Southern University of Science and Technology, Shenzhen, Guangdong 518055, China
| | - Hui Guo
- Centre of experimental animal, Southern University of Science and Technology, Shenzhen, Guangdong 518055, China
| | - Qingsong Mei
- School of Power and Mechanical Engineering, Wuhan University, Wuhan, Hubei 430072, China
| | - Fuzeng Ren
- Department of Materials Science and Engineering, Southern University of Science and Technology, Shenzhen, Guangdong 518055, China.
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32
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Li Y, Jahr H, Zhou J, Zadpoor AA. Additively manufactured biodegradable porous metals. Acta Biomater 2020; 115:29-50. [PMID: 32853809 DOI: 10.1016/j.actbio.2020.08.018] [Citation(s) in RCA: 54] [Impact Index Per Article: 13.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2020] [Revised: 07/27/2020] [Accepted: 08/13/2020] [Indexed: 12/20/2022]
Abstract
Partially due to the unavailability of ideal bone substitutes, the treatment of large bony defects remains one of the most important challenges of orthopedic surgery. Additively manufactured (AM) biodegradable porous metals that have emerged since 2018 provide unprecedented opportunities for fulfilling the requirements of an ideal bone implant. First, the multi-scale geometry of these implants can be customized to mimic the human bone in terms of both micro-architecture and mechanical properties. Second, a porous structure with interconnected pores possesses a large surface area, which is favorable for the adhesion and proliferation of cells and, thus, bony ingrowth. Finally, the freeform geometrical design of such biomaterials could be exploited to adjust their biodegradation behavior so as to maintain the structural integrity of the implant during the healing process while ensuring that the implant disappears afterwards, paving the way for full bone regeneration. While the AM biodegradable porous metals that have been studied so far have shown many unique properties as compared to their solid counterparts, the unprecedented degree of flexibility in their geometrical design has not yet been fully exploited to optimize their properties and performance. In order to develop the ideal bone implants, it is important to take advantage of the full potential of AM biodegradable porous metals through detailed and systematic study on their biodegradation behavior, mechanical properties, biocompatibility, and bone regeneration performance. This review paper presents the state of the art in AM biodegradable porous metals and is focused on the effects of material type, processing, geometrical design, and post-AM treatments on the mechanical properties, biodegradation behavior, in vitro biocompatibility, and in vivo bone regeneration performance of AM porous Mg, Fe, and Zn as well as their alloys. We also identify a number of knowledge gaps and the challenges encountered in adopting AM biodegradable porous metals for orthopedic applications and suggest some promising areas for future research.
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Affiliation(s)
- Yageng Li
- Department of Biomechanical Engineering, Delft University of Technology, Delft 2628 CD, Netherlands.
| | - Holger Jahr
- Department of Anatomy and Cell Biology, University Hospital RWTH Aachen, Aachen 52074, Germany; Department of Orthopedic Surgery, Maastricht UMC+, Maastricht 6202 AZ, Netherlands
| | - Jie Zhou
- Department of Biomechanical Engineering, Delft University of Technology, Delft 2628 CD, Netherlands
| | - Amir Abbas Zadpoor
- Department of Biomechanical Engineering, Delft University of Technology, Delft 2628 CD, Netherlands
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Effect of strain on degradation behaviors of WE43, Fe and Zn wires. Acta Biomater 2020; 113:627-645. [PMID: 32574860 DOI: 10.1016/j.actbio.2020.06.028] [Citation(s) in RCA: 31] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2020] [Revised: 06/13/2020] [Accepted: 06/16/2020] [Indexed: 11/23/2022]
Abstract
The biodegradable metallic devices undergo stress/strain-induced corrosion when they are used for load-bearing applications. The stress/strain induced-corrosion behavior causes differences in corrosion rate, corrosion morphology, strain distribution and mechanical performance of the devices. One representative example is the biodegradable stent. Biodegradable stents undergo complex inhomogeneous deformation that can cause dramatic non-uniform stent degradation, resulting in stress concentration and stents failure. The degradation of biodegradable devices requires special attention to the mutual effect between the applied strain and degradation. The quantitative relationship between strain and corrosion of the sample alloys (WE43, Fe and Zn), selected from three typical biodegradable metals, is firstly investigated and compared in this study. The in vitro degradation and the strength retention of WE43, Fe and Zn wires were investigated under different elastic and plastic strain levels ranging from 0.1% to 30%. The results indicated that the applied strain could bring down the corrosion potential, increase corrosion current and accelerate the degradation of three biodegradable metals. Specifically, remarkable enhanced localized corrosion was observed for plastic strained WE43 compared with those with elastic strains. This localized corrosion morphology significantly accelerated the strength decline at first, while the differences diminished with longer immersion period. Fe and Zn exhibited increased degradation with plastic strain applications than those under elastic strains. However, the degradation was not further increased with the increasing magnitude of plastic strains. Moreover, the bended wires were subcutaneously implanted in the dorsal aspect of the rats and the effect of bending deformation on in vitro and in vivo degradation of three metallic wires were also compared. The U-bended WE43 wires suffered more severe in vitro degradation at the stress concentrated region. Surprisingly, the early fracture of the undeformed regions was observed in the in vivo test. In conclusion, the corrosion rate, corrosion morphology and mechanical properties of WE43, Fe and Zn was sensitive to magnitude of the applied strains. The quantification results provided new insights into understanding the strain-dependent corrosion of three biodegradable metals both in vitro and in vivo. STATEMENT OF SIGNIFICANCE: Biodegradable implants are subjected to various mechanical environment during the deployment and subsequent physiological activity. It is necessary to have a clear understanding of the effects of the applied stress on degradation. This study addresses the quantitative effects of applied strain/stress on the in vitro and in vivo degradation of three typical biodegradable metals (Mg, Fe and Zn). These quantification results provide new insights into understanding the strain-induced corrosion of three metals.
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Lietaert K, Zadpoor AA, Sonnaert M, Schrooten J, Weber L, Mortensen A, Vleugels J. Mechanical properties and cytocompatibility of dense and porous Zn produced by laser powder bed fusion for biodegradable implant applications. Acta Biomater 2020; 110:289-302. [PMID: 32348917 DOI: 10.1016/j.actbio.2020.04.006] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2020] [Revised: 03/30/2020] [Accepted: 04/02/2020] [Indexed: 02/02/2023]
Abstract
In this work, the macrotexture of dense Zn produced by laser powder bed fusion (LPBF) was studied and the mechanical properties for different tensile bar orientations were measured. The compressive strength of LPBF Zn scaffolds with five different unit cells was measured for a relative density of 20-51%. In addition, the response of mesenchymal stem cells to the LPBF Zn scaffolds was studied. The elastic modulus and yield strength of dense LPBF Zn were 110.0 ± 0.2 GPa and 78.0 ± 0.4 MPa, respectively in the vertical and 81.0 ± 0.4 GPa and 55.0 ± 0.7 MPa in the horizontal direction. This could be explained by the preferential orientation of the 〈0001〉 direction in the building plane. For LPBF Zn scaffolds, the plateau stress for the different unit cells varied between 8 and 33 MPa for a 30% relative density. Calcein staining, lactate production and DNA measurements over a 13-day period showed that mesenchymal stem cell viability was low for Zn scaffolds. This work forms a basis for further research into the LPBF texture formation of metals with hexagonal crystal structure, guides implant designers in scaffold unit cell and relative density selection and motivates further research into the cytocompatibility of LPBF Zn. STATEMENT OF SIGNIFICANCE: Laser powder bed fusion (LPBF) is a manufacturing technology which allows the seamless combination of porous and non-porous volumes in a metallic implant and is used in the orthopedic manufacturing industry today. The production of highly dense Zn with LPBF has been described earlier, but the mechanical properties of the resulting material have not been studied in detail yet. This study is the first to report on (i) the influence of different scanning strategies on the macrotexture of dense LPBF Zn and the resulting anisotropy of its mechanical properties, (ii) the relationship between the relative density and strength for LPBF Zn scaffolds with five different unit cells and (iii) the in vitro response of mesenchymal stem cells to these scaffolds.
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Mesquita-Guimarães J, Detsch R, Souza A, Henriques B, Silva F, Boccaccini A, Carvalho O. Cell adhesion evaluation of laser-sintered HAp and 45S5 bioactive glass coatings on micro-textured zirconia surfaces using MC3T3-E1 osteoblast-like cells. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2020; 109:110492. [DOI: 10.1016/j.msec.2019.110492] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/08/2019] [Revised: 11/16/2019] [Accepted: 11/25/2019] [Indexed: 02/07/2023]
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Zhang B, Guo L, Chen H, Ventikos Y, Narayan RJ, Huang J. Finite element evaluations of the mechanical properties of polycaprolactone/hydroxyapatite scaffolds by direct ink writing: Effects of pore geometry. J Mech Behav Biomed Mater 2020; 104:103665. [DOI: 10.1016/j.jmbbm.2020.103665] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2019] [Revised: 01/20/2020] [Accepted: 01/27/2020] [Indexed: 12/13/2022]
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Shuai C, Zan J, Yang Y, Peng S, Yang W, Qi F, Shen L, Tian Z. Surface modification enhances interfacial bonding in PLLA/MgO bone scaffold. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2020; 108:110486. [DOI: 10.1016/j.msec.2019.110486] [Citation(s) in RCA: 33] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/05/2019] [Revised: 11/11/2019] [Accepted: 11/22/2019] [Indexed: 12/18/2022]
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Li Y, Pavanram P, Zhou J, Lietaert K, Taheri P, Li W, San H, Leeflang M, Mol J, Jahr H, Zadpoor A. Additively manufactured biodegradable porous zinc. Acta Biomater 2020; 101:609-623. [PMID: 31672587 DOI: 10.1016/j.actbio.2019.10.034] [Citation(s) in RCA: 51] [Impact Index Per Article: 12.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2019] [Revised: 10/16/2019] [Accepted: 10/24/2019] [Indexed: 12/24/2022]
Abstract
Additively manufacturing (AM) opens up the possibility for biodegradable metals to possess uniquely combined characteristics that are desired for bone substitution, including bone-mimicking mechanical properties, topologically ordered porous structure, pore interconnectivity and biodegradability. Zinc is considered to be one of the promising biomaterials with respect to biodegradation rate and biocompatibility. However, no information regarding the biodegradability and biocompatibility of topologically ordered AM porous zinc is yet available. Here, we applied powder bed fusion to fabricate porous zinc with a topologically ordered diamond structure. An integrative study was conducted on the static and dynamic biodegradation behavior (in vitro, up to 4 weeks), evolution of mechanical properties with increasing immersion time, electrochemical performance, and biocompatibility of the AM porous zinc. The specimens lost 7.8% of their weight after 4 weeks of dynamic immersion in a revised simulated body fluid. The mechanisms of biodegradation were site-dependent and differed from the top of the specimens to the bottom. During the whole in vitro immersion time of 4 weeks, the elastic modulus values of the AM porous zinc (E = 700-1000 MPa) even increased and remained within the scope of those of cancellous bone. Indirect cytotoxicity revealed good cellular activity up to 72 h according to ISO 10,993-5 and -12. Live-dead staining confirmed good viability of MG-63 cells cultured on the surface of the AM porous zinc. These important findings could open up unprecedented opportunities for the development of multifunctional bone substituting materials that will enable reconstruction and regeneration of critical-size load-bearing bone defects. STATEMENT OF SIGNIFICANCE: No information regarding the biodegradability and biocompatibility of topologically ordered AM porous zinc is available. We applied selective laser melting to fabricate topologically ordered porous zinc and conducted a comprehensive study on the biodegradation behavior, electrochemical performance, time-dependent mechanical properties, and biocompatibility of the scaffolds. The specimens lost 7.8% of their weight after4 weeks dynamic biodegradation while their mechanical properties surprisingly increased after 4 weeks. Indirect cytotoxicity revealed good cellular activity up to 72 h. Intimate contact between MG-63 cells and the scaffolds was also observed. These important findings could open up unprecedented opportunities for the development of multifunctional bone substituting materials that mimic bone properties and enable full regeneration of critical-size load-bearing bony defects.
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Crystallinity and Reinforcement in Poly-L-Lactic Acid Scaffold Induced by Carbon Nanotubes. ADVANCES IN POLYMER TECHNOLOGY 2019. [DOI: 10.1155/2019/8625325] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Poly-L-Lactic Acid (PLLA) is a bioabsorbable implant material due to its favorable biocompatibility and inherent degradability, while the insufficient mechanical strength hinders its further bone repair application. In present work, carbon nanotubes (CNTs) were introduced into PLLA scaffolds fabricated via selective laser sintering. It was found that the crystallinity of PLLA increased considerably since CNTs could promote the orderly stacking of its molecular chains, thereby improving the mechanical strength of PLLA scaffold. Furthermore, the fracture surface analysis revealed that CNTs acted as a bridge across the cracks and hindered their further expansion. Moreover, CNTs pulled out from the matrix to consume a large amount of fracture energy, which enhanced the resistance to external forces. As a consequence, the compressive strength, Vickers hardness and tensile strength of the scaffold were enhanced by 22.7%, 58.8% and 17.6%, respectively. Besides, the cells exhibited good attachment, spreading and proliferation on the scaffold. This study demonstrated that PLLA/CNTs scaffold was a promising candidate as bone implant.
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Distortion of Thin-Walled Structure Fabricated by Selective Laser Melting Based on Assumption of Constraining Force-Induced Distortion. METALS 2019. [DOI: 10.3390/met9121281] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Metal additive manufacturing has shown great potential in aerospace, medical, and automobile industries; however, distortion of metal part has been an obstacle in widespread application of metal additive manufacturing. The mechanism of thin-walled structure distortion remains unrevealed. In this study, the origin of distortion of thin-walled structure was discussed, based on the previously proposed assumption of constraining force-induced distortion. The relation between the microstructure and macro-distortion has been linked via the constraining force. The influence of scan directions and structure sizes on the distortion was also studied, and the approaches to decrease the thin-walled structure were discussed. Use of the alternant scan strategy has been validated as an effective approach if the structure sizes cannot be adjusted.
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Response of human periosteal cells to degradation products of zinc and its alloy. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2019; 108:110208. [PMID: 31924034 DOI: 10.1016/j.msec.2019.110208] [Citation(s) in RCA: 26] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/11/2019] [Revised: 09/05/2019] [Accepted: 09/15/2019] [Indexed: 12/13/2022]
Abstract
Zinc (Zn) and its alloys are proposed as promising resorbable materials for osteosynthesis implants. Detailed studies should be undertaken to clarify their properties in terms of degradability, biocompatibility and osteoinductivity. Degradation products of Zn alloys might affect directly adjacent cellular and tissue responses. Periosteal stem cells are responsible for participating in intramembranous ossification during fracture healing. The present study aims at examining possible effects emanating from Zn or Zn-4Ag (wt%) alloy degradation products on cell viability and osteogenic differentiation of a human immortalized cranial periosteal cell line (TAg cells). Therefore, a modified extraction method was used to investigate the degradation behavior of Zn and Zn-4Ag alloys under cell culture conditions. Compared with pure Zn, Zn-4Ag alloy showed almost fourfold higher degradation rates under cell culture conditions, while the associated degradation products had no adverse effects on cell viability. Osteogenic induction of TAg cells revealed that high concentration extracts significantly reduced calcium deposition of TAg cells, while low concentration extracts enhanced calcium deposition, indicating a dose-dependent effect of Zn ions. Our results give evidence that the observed cytotoxicity effects were determined by the released degradation products of Zn and Zn-4Ag alloys, rather than by degradation rates calculated by weight loss. Extracellular Zn ion concentration was found to modulate osteogenic differentiation of TAg cells. These findings provide significant implications and guidance for the development of Zn-based alloys with an optimized degradation behavior for Zn-based osteosynthesis implants.
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Mechanical Properties of In-Situ Synthesis of Ti-Ti3Al Metal Composite Prepared by Selective Laser Melting. METALS 2019. [DOI: 10.3390/met9101121] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Titanium composite strengthened by Ti3Al precipitations is considered to be one of the excellent materials that is widely used in engineering. In this work, we prepared a kind of Ti-Ti3Al metallic composite by in-situ synthesis technology during the SLM (selective laser melting) process, and analyzed its microstructure, wear resistance, microhardness, and compression properties. The results showed that the Ti-Ti3Al composite, prepared by in-situ synthesis technology based on SLM, had more homogeneous Ti3Al-enhanced phase dispersion strengthening structure. The grain size of the workpiece was about 1 μm, and that of the Ti3Al particle was about 200 nm. Granular Ti3Al was precipitated after the aluminum-containing workpiece formed, with a relatively uniform distribution. Regarding the mechanical properties, the hardness (539 HV) and the wear resistance were significantly improved when compared with the Cp-Ti workpiece. The compressive strength of the workpiece increased from 886.32 MPa to 1568 MPa, and the tensile strength of the workpiece increased from 531 MPa to 567 MPa after adding aluminum. In the future, the combination of in-situ synthesis technology and SLM technology can be used to flexibly adjust the properties of Ti-based materials.
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Qin Y, Wen P, Guo H, Xia D, Zheng Y, Jauer L, Poprawe R, Voshage M, Schleifenbaum JH. Additive manufacturing of biodegradable metals: Current research status and future perspectives. Acta Biomater 2019; 98:3-22. [PMID: 31029830 DOI: 10.1016/j.actbio.2019.04.046] [Citation(s) in RCA: 82] [Impact Index Per Article: 16.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2018] [Revised: 04/10/2019] [Accepted: 04/22/2019] [Indexed: 12/23/2022]
Abstract
The combination of biodegradable metals and additive manufacturing (AM) leads to a revolutionary change of metal implants in many aspects including materials, design, manufacturing, and clinical applications. The AM of nondegradable metals such as titanium and CoCr alloys has proven to be a tremendous success in clinical applications. The AM of biodegradable metals including magnesium (Mg), iron (Fe), and zinc (Zn) is still in its infancy, although much progress has been made in the research field. Element loss and porosity are common processing problems for AM of biodegradable metals like Zn and Mg, which are mainly caused by evaporation during melting under a high-energy beam. The resulting formation quality and properties are closely related to material, design, and processing, making AM of biodegradable metals a typical interdisciplinary subject involving biomaterials, mechanical engineering, and medicine. This work reviews the state of research and future perspective on AM of biodegradable metals from extensive viewpoints such as material, processing, formation quality, design, microstructure, and properties. Effects of powder properties and processing parameters on formation quality are characterized in detail. The microstructure and metallurgical defects encountered in the AM parts are described. Mechanical and biodegradable properties of AM samples are introduced. Design principles and potential applications of biodegradable metal implants produced by AM are discussed. Finally, current research status is summarized together with some proposed future perspectives for advancing knowledge about AM of biodegradable metals. STATEMENT OF SIGNIFICANCE: Rapid development of research and applications on biodegradable metals and additive manufacturing (AM) has been made in recent years. Customized geometric shapes of medical metals with porous structure can be realized accurately and efficiently by laser powder bed fusion (L-PBF), which is beneficial to achieve reliable stress conduction and balanced properties. This review introduces the development history and current status of AM of biodegradable metals and then critically surveys L-PBF of Mg-, Fe-, and Zn-based metals from multiple viewpoints including materials, processing, formation quality, structural design, microstructure, and mechanical and biological properties. The present findings are summarized together with some proposed future challenges for advancing AM of biodegradable metals into real clinical applications.
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Shuai C, Liu G, Yang Y, Yang W, He C, Wang G, Liu Z, Qi F, Peng S. Functionalized BaTiO 3 enhances piezoelectric effect towards cell response of bone scaffold. Colloids Surf B Biointerfaces 2019; 185:110587. [PMID: 31648118 DOI: 10.1016/j.colsurfb.2019.110587] [Citation(s) in RCA: 48] [Impact Index Per Article: 9.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2019] [Revised: 10/12/2019] [Accepted: 10/14/2019] [Indexed: 12/12/2022]
Abstract
Piezoelectric effect of polyvinylidene fluoride (PVDF) plays a crucial role in restoring the endogenous electrical microenvironment of bone tissue, whereas more β phase in PVDF leads to higher piezoelectric performance. Nanoparticles can induce the nucleation of the β phase. However, they are prone to aggregate in PVDF matrix, resulting in weakened nucleation ability of β phase. In this work, the hydroxylated BaTiO3 nanoparticles were functionalized with polydopamine to promote their dispersion in PVDF scaffolds fabricated via selective laser sintering. On one hand, the catechol groups of polydopamine could form hydrogen bonding with the hydroxyl groups of the BaTiO3. On the other hand, the amino groups of polydopamine were able to bond with CF group of PVDF. As a result, the functionalized BaTiO3 nanoparticles homogeneously distributed in PVDF matrix, which significantly increased the β phase fraction from 46% to 59% with an enhanced output voltage by 356%. Cell testing confirmed the enhanced surface electric cues significantly promoted cell adhesion, proliferation and differentiation. Furthermore, the scaffolds exhibited enhanced tensile strength and modulus, which was ascribed to the rigid particle strengthening effect and the improved interfacial adhesion. This study suggested that the piezoelectric scaffolds shown a potential application in bone repair.
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Affiliation(s)
- Cijun Shuai
- Jiangxi University of Science and Technology, Ganzhou, 341000, China; State Key Laboratory of High Performance Complex Manufacturing, Central South University, Changsha, 410083, China
| | - Guofeng Liu
- Jiangxi University of Science and Technology, Ganzhou, 341000, China
| | - Youwen Yang
- Jiangxi University of Science and Technology, Ganzhou, 341000, China
| | - Wenjing Yang
- Jiangxi University of Science and Technology, Ganzhou, 341000, China
| | - Chongxian He
- Jiangxi University of Science and Technology, Ganzhou, 341000, China
| | - Guoyong Wang
- Jiangxi University of Science and Technology, Ganzhou, 341000, China
| | - Zheng Liu
- Jiangxi University of Science and Technology, Ganzhou, 341000, China
| | - Fangwei Qi
- Jiangxi University of Science and Technology, Ganzhou, 341000, China.
| | - Shuping Peng
- NHC Key Laboratory of Carcinogenesis and The Key Laboratory of Carcinogenesis and Cancer Invasion of the Chinese Ministry of Education, Xiangya Hospital, Central South University, Changsha, 410078, China; Cancer Research Institute, School of Basic Medical Sciences, Central South University, Changsha, 410078, China.
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Hernández-Escobar D, Champagne S, Yilmazer H, Dikici B, Boehlert CJ, Hermawan H. Current status and perspectives of zinc-based absorbable alloys for biomedical applications. Acta Biomater 2019; 97:1-22. [PMID: 31351253 DOI: 10.1016/j.actbio.2019.07.034] [Citation(s) in RCA: 78] [Impact Index Per Article: 15.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2019] [Revised: 07/01/2019] [Accepted: 07/19/2019] [Indexed: 12/22/2022]
Abstract
Absorbable metals have the potential to serve as the next generation of temporary medical implant devices by safely dissolving in the human body upon vascular tissue healing and bone regeneration. Their implementation in the market could greatly reduce the need of costly and risky additional surgeries for either implant replacement or removal, often required in current permanent implants. Despite the extensive research done over the last two decades on magnesium (Mg) and iron (Fe) based alloys, they have not generally shown a satisfactory combination of mechanical properties, biocompatibility and controlled degradation rate in the physiological environment. Consequently, zinc (Zn) based alloys were introduced in the last few years as alternative materials to overcome the limitations of Fe and Mg-based alloys. The blend of different alloying elements and processing conditions have led to a wide variety of Zn-based alloys having tunable mechanical properties and corrosion rates. This review provides the most recent progress in the development of absorbable Zn-based alloys for biomedical implant applications, primarily for cardiovascular and orthopedic devices. Their biocompatibility, processability and metallurgical aspects, as well as their mechanical behavior and corrosion properties are presented and discussed, including their opportunities, limitations and future research directions. STATEMENT OF SIGNIFICANCE: Temporary orthopedic bioimplants have become increasingly popular as they offer an alternative to prevent complications, like infections or secondary surgeries, often related to the implantation of permanent devices. Iron and magnesium alloys were extensively studied as candidates for absorbable medical applications, but they generally failed to provide a desirable mechanical performance and corrosion characteristics in the physiological environment. Zinc was introduced in the last decade as a potential implant material after showing outstanding biocompatibility and biodegradability. This review summarizes the research advances to date and provides a thorough discussion of the future challenges of absorbable zinc alloys to satisfy the demanding clinical benchmarks for absorbable medical applications. Their biocompatibility, mechanical, and corrosion aspects, both in vitro and in vivo, are comprehensively reviewed and assessed accordingly.
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Venezuela JJD, Johnston S, Dargusch MS. The Prospects for Biodegradable Zinc in Wound Closure Applications. Adv Healthc Mater 2019; 8:e1900408. [PMID: 31267693 DOI: 10.1002/adhm.201900408] [Citation(s) in RCA: 31] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2019] [Revised: 05/28/2019] [Indexed: 12/16/2022]
Abstract
Zinc is identified as a promising biodegradable metal along with magnesium and iron. In the last 5 years, considerable progress is made on understanding the mechanical properties, biodegradability, and biocompatibility of zinc and its alloys. A majority of these studies have focused on using zinc for absorbable cardiovascular and orthopedic device applications. However, it is likely that zinc is also suitable for other biomedical applications. In this work, the prospects for zinc in the fabrication of wound closure devices such as absorbable sutures, staples, and surgical tacks are critically assessed, with the aim of inspiring future research on biodegradable Zn for this medical application.
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Affiliation(s)
- Jeffrey Jones D. Venezuela
- Queensland Centre for Advanced Materials Processing and Manufacturing (AMPAM) School of Mechanical and Mining Engineering The University of Queensland St Lucia QLD 4072 Australia
| | - Sean Johnston
- Queensland Centre for Advanced Materials Processing and Manufacturing (AMPAM) School of Mechanical and Mining Engineering The University of Queensland St Lucia QLD 4072 Australia
| | - Matthew Simon Dargusch
- Queensland Centre for Advanced Materials Processing and Manufacturing (AMPAM) School of Mechanical and Mining Engineering The University of Queensland St Lucia QLD 4072 Australia
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Venezuela J, Dargusch M. The influence of alloying and fabrication techniques on the mechanical properties, biodegradability and biocompatibility of zinc: A comprehensive review. Acta Biomater 2019; 87:1-40. [PMID: 30660777 DOI: 10.1016/j.actbio.2019.01.035] [Citation(s) in RCA: 155] [Impact Index Per Article: 31.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2018] [Revised: 01/14/2019] [Accepted: 01/16/2019] [Indexed: 01/14/2023]
Abstract
Zinc has been identified as one of the most promising biodegradable metals along with magnesium and iron. Zinc appears to address some of the core engineering problems associated with magnesium and iron when applied to biomedical implant applications; hence the increase in the amount of research investigations on the metal in the last few years. In this review, the current state-of-the-art on biodegradable Zn, including recent developments, current opportunities and future directions of research are discussed. The discussions are presented with a specific focus on reviewing the relationships that exist between mechanical properties, biodegradability, and biocompatibility of zinc with alloying and fabrication techniques. This work hopes to guide future studies on biodegradable Zn that will help in advancing this field of research. STATEMENT OF SIGNIFICANCE: (i) The review offers an up-to-date and comprehensive review of the influence of alloying and fabrication technique on mechanical properties, biodegradability and biocompatibility of Zn; (ii) the work cites the most relevant biodegradable Zn fabrication processes including additive manufacturing techniques; (iii) the review includes a listing of research gap and future research directions for the field of biodegradable Zn.
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Yang Y, Wang G, Liang H, Gao C, Peng S, Shen L, Shuai C. Additive manufacturing of bone scaffolds. Int J Bioprint 2018; 5:148. [PMID: 32596528 PMCID: PMC7294697 DOI: 10.18063/ijb.v5i1.148] [Citation(s) in RCA: 40] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2018] [Accepted: 07/09/2018] [Indexed: 12/14/2022] Open
Abstract
Additive manufacturing (AM) can obtain not only customized external shape but also porous internal structure for scaffolds, both of which are of great importance for repairing large segmental bone defects. The scaffold fabrication process generally involves scaffold design, AM, and post-treatments. Thus, this article firstly reviews the state-of-the-art of scaffold design, including computer-aided design, reverse modeling, topology optimization, and mathematical modeling. In addition, the current characteristics of several typical AM techniques, including selective laser sintering, fused deposition modeling (FDM), and electron beam melting (EBM), especially their advantages and limitations are presented. In particular, selective laser sintering is able to obtain scaffolds with nanoscale grains, due to its high heating rate and a short holding time. However, this character usually results in insufficient densification. FDM can fabricate scaffolds with a relative high accuracy of pore structure but with a relative low mechanical strength. EBM with a high beam-material coupling efficiency can process high melting point metals, but it exhibits a low-resolution and poor surface quality. Furthermore, the common post-treatments, with main focus on heat and surface treatments, which are applied to improve the comprehensive performance are also discussed. Finally, this review also discusses the future directions for AM scaffolds for bone tissue engineering.
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Affiliation(s)
- Youwen Yang
- Jiangxi University of Science and Technology, Nanchang 330013, China
- State Key Laboratory of High Performance Complex Manufacturing, Central South University, Changsha 410083, China
| | - Guoyong Wang
- Jiangxi University of Science and Technology, Nanchang 330013, China
| | - Huixin Liang
- College of Mechanical and Electrical Engineering, Nanjing University of Aeronautics and Astronautics, 210016 Nanjing, China
| | - Chengde Gao
- State Key Laboratory of High Performance Complex Manufacturing, Central South University, Changsha 410083, China
| | - Shuping Peng
- Hunan Provincial Tumor Hospital and the Affiliated Tumor Hospital of Xiangya School of Medicine, Central South University, Changsha 410013, China
| | - Lida Shen
- College of Mechanical and Electrical Engineering, Nanjing University of Aeronautics and Astronautics, 210016 Nanjing, China
| | - Cijun Shuai
- Jiangxi University of Science and Technology, Nanchang 330013, China
- State Key Laboratory of High Performance Complex Manufacturing, Central South University, Changsha 410083, China
- Key Laboratory of Organ Injury, Aging and Regenerative Medicine of Hunan Province, Changsha 410008, China
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