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Orlando JD, Li L, Limbu TB, Deng C, Wolf ME, Vickery WM, Yan F, Sydlik SA. Calcium phosphate graphene and Ti 3C 2T x MXene scaffolds with osteogenic and antibacterial properties. J Biomed Mater Res B Appl Biomater 2024; 112:e35434. [PMID: 38874589 DOI: 10.1002/jbm.b.35434] [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: 09/11/2023] [Revised: 03/26/2024] [Accepted: 05/18/2024] [Indexed: 06/15/2024]
Abstract
Bioactive degradable scaffolds that facilitate bone healing while fighting off initial bacterial infection have the potential to change established strategies of dealing with traumatic bone injuries. To achieve this a composite material made from calcium phosphate graphene (CaPG), and MXene was synthesized. CaPG was created by functionalizing graphene oxide with phosphate groups in the presence of CaBr with a Lewis acid catalyst. Through this transformation, Ca2+ and PO4 3- inducerons are released as the material degrades thereby aiding in the process of osteogenesis. The 2D MXene sheets, which have shown to have antibacterial properties, were made by etching the Al from a layered Ti3AlC2 (MAX phase) using HF. The hot-pressed scaffolds made of these materials were designed to combat the possibility of infection during initial surgery and failure of osteogenesis to occur. These two failure modes account for a large percentage of issues that can arise during the treatment of traumatic bone injuries. These scaffolds were able to retain induceron-eluting properties in various weight percentages and bring about osteogenesis with CaPG alone and 2 wt% MXene scaffolds demonstrating increased osteogenic activity as compared to no treatment. Additionally, added MXene provided antibacterial properties that could be seen at as little as 2 wt%. This CaPG and MXene composite provides a possible avenue for developing osteogenic, antibacterial materials for treating bone injuries.
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Affiliation(s)
- Jason D Orlando
- Department of Chemistry, Carnegie Mellon University, Pittsburgh, Pennsylvania, USA
| | - Li Li
- Department of Chemistry, Carnegie Mellon University, Pittsburgh, Pennsylvania, USA
| | - Tej B Limbu
- Department of Physical and Applied Sciences, University of Houston-Clear Lake, Houston, Texas, USA
- Department of Chemistry and Biochemistry, North Carolina Central University, Durham, USA
| | - Chenyun Deng
- Department of Biomedical Engineering, Carnegie Mellon University, Pittsburgh, PA, USA
| | - Michelle E Wolf
- Department of Chemistry, Carnegie Mellon University, Pittsburgh, Pennsylvania, USA
| | - Walker M Vickery
- Department of Chemistry, Carnegie Mellon University, Pittsburgh, Pennsylvania, USA
| | - Fei Yan
- Department of Chemistry and Biochemistry, North Carolina Central University, Durham, USA
| | - Stefanie A Sydlik
- Department of Chemistry, Carnegie Mellon University, Pittsburgh, Pennsylvania, USA
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2
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Jackson ND, Nyska A, Palmanovich E, Nyska M. The biointegration profile of fiber-reinforced plates following tibial implantation in sheep. J Orthop Res 2024; 42:360-372. [PMID: 37593823 DOI: 10.1002/jor.25682] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/12/2023] [Revised: 06/17/2023] [Accepted: 08/14/2023] [Indexed: 08/19/2023]
Abstract
Biointegrative, mineral fiber-reinforced bone fixation implants recently introduced in orthopedic surgery have expanded available treatment options for fractures and bone deformities. This new technology aims to address the disadvantages of permanent metallic implants while overcoming inherent concerns of adverse inflammatory reactions when using polymer-based orthopedic implants. The purpose of this double-arm preclinical study was to evaluate the safety, biocompatibility, and biointegration of fiber-reinforced plates, following implantation on the tibias of eight sheep. Left tibias underwent periosteal elevation, allowing for implant attachment directly onto the cortical surface; right tibia plates were implanted over intact periosteum. Microcomputed tomography and histopathology were performed at 13, 26, 52, 78, 104, and 134 weeks postimplantation. All animals were evaluated clinically at each time point, with no evidence of local adverse reactions. Histopathology demonstrated anti-inflammatory M2-like macrophages and multinucleated giant cells corresponding to implant bioabsorption, similar for both groups at each time point, and indicating expected implant biocompatibility. Inflammatory cells (i.e., eosinophils, lymphophyctes, plasma cells, and M1-like macrophages) were absent throughout the study. The bioabsorption process had started at 13 W, with the highest rate at 52-78 W. At 104 W, only residual polymer material was left (∼5% of implant area). Low amounts of mineral fibers were evident at 78 W and were absent (fully remodeled) by 104 W. At 134 W, implants at both sites were fully bioabsorbed. In conclusion, these new fiber-reinforced implants demonstrated bone remodeling and complete biointegration, with no adverse tissue response. Clinical significance: In this double-arm, 2.5-year study, a biointegrative, fiber-reinforced plate implanted on the tibias of sheep was fully absorbed within 134 weeks, with no adverse tissue reaction. Bioabsorption was similar, with or without periosteal elevation, mimicking conditions like those observed in traumatic injuries disrupting the periosteum, open reduction and internal fixation, or minimally invasive surgeries. These results demonstrate the feasibility, versatility, and safety of this new class of biointegrative bone implants. This newly developed technology avoids the complications of the removal of metal implants.
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Spolton-Dean C, Hunter C, Donaldson O. Making fracture fixation teaching Child's play. Surgeon 2024; 22:e1-e2. [PMID: 38072765 DOI: 10.1016/j.surge.2023.10.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2023] [Accepted: 10/30/2023] [Indexed: 01/22/2024]
Affiliation(s)
- C Spolton-Dean
- Royal Devon and Exeter NHS Foundation Trust, Barrack Road, Exeter, EX2 5DW, UK.
| | - C Hunter
- Torbay and South Devon NHS Foundation Trust, Newton Rd, Torquay TQ2 7AA, UK
| | - O Donaldson
- Yeovil District Hospital NHS Foundation Trust, Higher Kingston, Yeovil BA21 4AT, UK
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Xu S, Ding X, Xiong M, Duan P, Zhang H, Li Z. The optimal design of 3D-printed lattice bone plate by considering fracture healing mechanism. INTERNATIONAL JOURNAL FOR NUMERICAL METHODS IN BIOMEDICAL ENGINEERING 2023; 39:e3682. [PMID: 36625630 DOI: 10.1002/cnm.3682] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/24/2022] [Revised: 12/22/2022] [Accepted: 01/06/2023] [Indexed: 06/17/2023]
Abstract
The biomechanical stimulus is the most important factor for fracture healing and mainly determined by the structural stiffness of bone plate. Currently, the materials commonly used in bone plates are stainless steel and titanium, which often lead to stress shielding effects because of their higher elastic modulus compared with the bone. This article suggests an optimal design method of lattice bone plate based on fracture healing theory. First, the mechanical regulation model with deviatoric strain is established to simulate the tissue differentiation process during fracture healing process. The ratio of the average elastic modulus of callus at the 120th day to the elastic modulus of mature bone is used to characterize the fracture healing rate. Second, the optimal elastic modulus of the design domain is obtained by the optimization mathematical model with the maximum fracture healing rate. Then, the design domain is filled with microstructures, the porosity of which is adjusted to make it possible that the equivalent elastic modulus is equal to the optimized value. And the finite element analysis of the bone plate with microstructure is executed. Finally, the designed lattice bone plates are manufactured through 3D printing, and the mechanical test is carried out. The simulation results indicate that the fracture healing rate is maximum when the elastic modulus of material in design domain is 38 GPa under the constraints of fixation stability. And both the finite element analysis and experiment results show that the designed lattice bone plate meet the strength requirements of fracture internal fixation implants.
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Affiliation(s)
- Shipeng Xu
- School of Mechanical Engineering, University of Shanghai for Science and Technology, Shanghai, China
| | - Xiaohong Ding
- School of Mechanical Engineering, University of Shanghai for Science and Technology, Shanghai, China
| | - Min Xiong
- School of Mechanical Engineering, University of Shanghai for Science and Technology, Shanghai, China
| | - Pengyun Duan
- School of Mechanical Engineering, University of Shanghai for Science and Technology, Shanghai, China
| | - Heng Zhang
- School of Mechanical Engineering, University of Shanghai for Science and Technology, Shanghai, China
| | - Zhuoyi Li
- School of Mechanical Engineering, University of Shanghai for Science and Technology, Shanghai, China
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Ferreira-Baptista C, Queirós A, Ferreira R, Fernandes MH, Gomes PS, Colaço B. Retinoic acid induces the osteogenic differentiation of cat adipose tissue-derived stromal cells from distinct anatomical sites. J Anat 2023; 242:277-288. [PMID: 36056547 PMCID: PMC9877480 DOI: 10.1111/joa.13758] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2022] [Revised: 07/07/2022] [Accepted: 08/16/2022] [Indexed: 02/01/2023] Open
Abstract
Mesenchymal stromal cells-based regenerative orthopedic therapies have been used in cats as a promising and innovative therapeutic approach to enhance the repair of bone defects. Adipose tissue-derived stromal cells (ADSCs) can be obtained from two main sites-subcutaneous and visceral-with established differences regarding structure, composition, cell content, and functionality. However, in cats, to the best of the authors' knowledge, no studies have been conducted to compare the functional activity of the ADSCs isolated from the two sites, and the impact of these differences on the induced osteogenic potential. Additionally, retinoic acid has been recently regarded as a new osteogenic inducer within cells of distinct species, with undisclosed functionality on cat-derived cell populations. Thus, the present study aimed to evaluate the functional activity of ADSCs isolated from the subcutaneous and visceral adipose sites (SCAT and VAT, respectively) of the cat, as well as the effects of two osteogenic-inducing conditions-the classic dexamethasone, β-glycerophosphate and ascorbic acid-supplemented media (Dex + β + AAM), and Retinoic Acid-supplemented media (RAM). The adipose tissue of subcutaneous and visceral origin was isolated, characterized, and ADSCs were isolated and grown in the presence of the two osteogenic-inducing conditions, and characterized in terms of proliferation, metabolic activity, morphology, and osteogenic activity. Our results demonstrated a distinct biological profile of the two adipose tissue sites regarding cell size, vascularization, and morphology. Further, osteogenic-induced ADSCs from both sites presented an increased expression of alkaline phosphatase activity (ALP) and cytochemical staining, as compared with control. Overall, RAM induced higher levels of ALP activity than Dex + β + AAM, supporting an increased osteogenic activation. Additionally, VAT was the tissue with the best osteogenic potential, showing higher levels of ALP expression, particularly with RAM. In conclusion, different characteristics were found between the two adipose tissue sites-SCAT and VAT, which probably reflect the differences found in the functionality of isolated ADSCs from both tissues. Furthermore, for cat, VAT shows a greater osteogenic-inductive capacity than SCAT, particularly with RAM, which can be of therapeutic relevance for regenerative medicine applications.
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Affiliation(s)
- Carla Ferreira-Baptista
- Centre for the Research and Technology of Agro-Environmental and Biological Sciences (CITAB), University of Trás-os-Montes e Alto Douro (UTAD), Vila Real, Portugal.,BoneLab - Laboratory for Bone Metabolism and Regeneration, Faculty of Dental Medicine, University of Porto, Porto, Portugal.,REQUIMTE/LAQV, University of Porto, Porto, Portugal.,REQUIMTE/LAQV, Department of Chemistry University of Aveiro, Aveiro, Portugal
| | | | - Rita Ferreira
- REQUIMTE/LAQV, Department of Chemistry University of Aveiro, Aveiro, Portugal
| | - Maria Helena Fernandes
- BoneLab - Laboratory for Bone Metabolism and Regeneration, Faculty of Dental Medicine, University of Porto, Porto, Portugal.,REQUIMTE/LAQV, University of Porto, Porto, Portugal
| | - Pedro Sousa Gomes
- BoneLab - Laboratory for Bone Metabolism and Regeneration, Faculty of Dental Medicine, University of Porto, Porto, Portugal.,REQUIMTE/LAQV, University of Porto, Porto, Portugal
| | - Bruno Colaço
- Centre for the Research and Technology of Agro-Environmental and Biological Sciences (CITAB), University of Trás-os-Montes e Alto Douro (UTAD), Vila Real, Portugal.,REQUIMTE/LAQV, University of Porto, Porto, Portugal.,CECAV-Animal and Veterinary Research Centre UTAD, University of Trás-os-Montes and Alto Douro, Vila Real, Portugal.,Associate Laboratory for Animal and Veterinary Sciences (AL4AnimalS), Vila Real, Portugal
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6
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Liu Y, Du T, Qiao A, Mu Y, Yang H. Zinc-Based Biodegradable Materials for Orthopaedic Internal Fixation. J Funct Biomater 2022; 13:jfb13040164. [PMID: 36278633 PMCID: PMC9589944 DOI: 10.3390/jfb13040164] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2022] [Revised: 09/15/2022] [Accepted: 09/21/2022] [Indexed: 11/16/2022] Open
Abstract
Traditional inert materials used in internal fixation have caused many complications and generally require removal with secondary surgeries. Biodegradable materials, such as magnesium (Mg)-, iron (Fe)- and zinc (Zn)-based alloys, open up a new pathway to address those issues. During the last decades, Mg-based alloys have attracted much attention by researchers. However, the issues with an over-fast degradation rate and release of hydrogen still need to be overcome. Zn alloys have comparable mechanical properties with traditional metal materials, e.g., titanium (Ti), and have a moderate degradation rate, potentially serving as a good candidate for internal fixation materials, especially at load-bearing sites of the skeleton. Emerging Zn-based alloys and composites have been developed in recent years and in vitro and in vivo studies have been performed to explore their biodegradability, mechanical property, and biocompatibility in order to move towards the ultimate goal of clinical application in fracture fixation. This article seeks to offer a review of related research progress on Zn-based biodegradable materials, which may provide a useful reference for future studies on Zn-based biodegradable materials targeting applications in orthopedic internal fixation.
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Affiliation(s)
- Yang Liu
- Department of Biomedical Engineering, Faculty of Environment and Life, Beijing University of Technology, Beijing 100124, China
| | - Tianming Du
- Department of Biomedical Engineering, Faculty of Environment and Life, Beijing University of Technology, Beijing 100124, China
| | - Aike Qiao
- Department of Biomedical Engineering, Faculty of Environment and Life, Beijing University of Technology, Beijing 100124, China
| | - Yongliang Mu
- School of Metallurgy, Northeastern University, Shenyang 110819, China
| | - Haisheng Yang
- Department of Biomedical Engineering, Faculty of Environment and Life, Beijing University of Technology, Beijing 100124, China
- Correspondence: ; Tel.: +86-(010)-6739-6657
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7
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Deprey J, Blondel M, Saban C, Massenzio M, Gauthier O, Moissonnier P, Viguier E, Cachon T. Mechanical evaluation of a novel angle-stable interlocking nail in a gap fracture model. Vet Surg 2022; 51:1247-1256. [PMID: 35675144 DOI: 10.1111/vsu.13837] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2021] [Revised: 03/05/2022] [Accepted: 05/14/2022] [Indexed: 12/01/2022]
Abstract
OBJECTIVE To describe the mechanical characteristics of a novel angle-stable interlocking nail (NAS-ILN) and compare them to those of a locking compression plate (LCP) by using a gap-fracture model. STUDY DESIGN Experimental study. SAMPLE POPULATION Synthetic bone models. METHODS Synthetic bone models simulating a 50 mm diaphyseal comminuted canine tibial fracture were treated with either a novel angle-stable interlocking nail (NAS-ILN) or a locking compression plate (LCP). Maximal axial deformation and load to failure in compression and 4-point bending, as well as maximal angular deformation, slack, and torque to failure in torsion, were statistically compared (P < .05). RESULTS In compression, the maximal axial deformation was lower for NAS-ILN (0.11 mm ± 0.03) than for LCP (1.10 mm ± 0.22) (P < .0001). The ultimate load to failure was higher for NAS-ILN (803.58 N ± 29.52) than for LCP (328.40 N ± 11.01) (P < .0001). In torsion, the maximal angular deformation did not differ between NAS-ILN (22.79° ± 1.48) and LCP (24.36° ± 1.45) (P = .09). The ultimate torque to failure was higher for NAS-ILN (22.45 Nm ± 0.24) than for LCP (19.10 Nm ± 1.36) (P = .001). No slack was observed with NAS-ILN. In 4-point bending, the maximal axial deformation was lower for NAS-ILN (3.19 mm ± 0.49) than for LCP (4.17 mm ± 0.34) (P = .003). The ultimate bending moment was higher for NAS-ILN (25.73 Nm, IQR [23.54-26.86] Nm) than for LCP (16.29 Nm, IQR [15.66-16.47] Nm) (P = .002). CONCLUSION The NAS-ILN showed greater stiffness in compression and 4-point bending, and a greater resistance to failure in compression, torsion, and 4-point bending, than LCP. CLINICAL IMPACT Based on these results, NAS-ILNs could be considered as alternative implants for the stabilization of comminuted fractures.
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Affiliation(s)
- Julie Deprey
- Department of Small Animal Surgery, VetAgro Sup, Campus Vétérinaire de Lyon, Marcy l'Etoile, France.,Research Unit ICE, UPSP 2016-A104, Université de Lyon, VetAgro Sup, Marcy l'Etoile, France
| | - Margaux Blondel
- Department of Small Animal Surgery, VetAgro Sup, Campus Vétérinaire de Lyon, Marcy l'Etoile, France.,Research Unit ICE, UPSP 2016-A104, Université de Lyon, VetAgro Sup, Marcy l'Etoile, France
| | - Charles Saban
- Department of Small Animal Surgery, VetAgro Sup, Campus Vétérinaire de Lyon, Marcy l'Etoile, France.,Research Unit ICE, UPSP 2016-A104, Université de Lyon, VetAgro Sup, Marcy l'Etoile, France
| | - Michel Massenzio
- Univ Lyon, Université Claude Bernard Lyon 1, Univ Gustave Eiffel, IFSTTAR, Lyon, France
| | - Olivier Gauthier
- Department of Small Animal Surgery and Anesthesia, ONIRIS Nantes-Atlantic College of Veterinary Medicine, Food Science and Engineering, Nantes, France
| | - Pierre Moissonnier
- Department of Small Animal Surgery, VetAgro Sup, Campus Vétérinaire de Lyon, Marcy l'Etoile, France.,Research Unit ICE, UPSP 2016-A104, Université de Lyon, VetAgro Sup, Marcy l'Etoile, France
| | - Eric Viguier
- Department of Small Animal Surgery, VetAgro Sup, Campus Vétérinaire de Lyon, Marcy l'Etoile, France.,Research Unit ICE, UPSP 2016-A104, Université de Lyon, VetAgro Sup, Marcy l'Etoile, France
| | - Thibaut Cachon
- Department of Small Animal Surgery, VetAgro Sup, Campus Vétérinaire de Lyon, Marcy l'Etoile, France.,Research Unit ICE, UPSP 2016-A104, Université de Lyon, VetAgro Sup, Marcy l'Etoile, France
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8
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Liu B, Ma Z, Li J, Xie H, Wei X, Wang B, Tian S, Yang J, Yang L, Cheng L, Li L, Zhao D. Experimental study of a 3D printed permanent implantable porous Ta-coated bone plate for fracture fixation. Bioact Mater 2021; 10:269-280. [PMID: 34901545 PMCID: PMC8636709 DOI: 10.1016/j.bioactmat.2021.09.009] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2021] [Revised: 08/25/2021] [Accepted: 09/04/2021] [Indexed: 12/12/2022] Open
Abstract
Metal plates have always been the gold standard in the clinic for internal fracture fixation due to their high strength advantages. However, high elastic modulus can cause stress shielding and lead to bone embrittlement. This study used an electron beam melting method to prepare personalized porous Ti6Al4V (pTi) bone plates. Then, chemical vapor deposition (CVD) technology coats tantalum (Ta) metal on the pTi bone plates. The prepared porous Ta-coated bone plate has an elastic modulus similar to cortical bone, and no stress shielding occurred. In vitro experiments showed that compared with pTi plates, Ta coating significantly enhances the attachment and proliferation of cells on the surface of the scaffold. To better evaluate the function of the Ta-coated bone plate, animal experiments were conducted using a coat tibia fracture model. Our results showed that the Ta-coated bone plate could effectively fix the fracture. Both imaging and histological analysis showed that the Ta-coated bone plate had prominent indirect binding of callus formation. Histological results showed that new bone grew at the interface and formed good osseointegration with the host bone. Therefore, this study provides an alternative to bio-functional Ta-coated bone plates with improved osseointegration and osteogenic functions for orthopaedic applications. Porous Ta coated bone plate has a low elastic modulus, which can avoid stress shielding. Porous Ta coated bone plate has excellent biocompatibility and can be permanently implanted in the body. Porous Ta coated bone plate has excellent osseointegration properties and can promote fracture healing.
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Affiliation(s)
- Baoyi Liu
- Orthopaedic of Department, Affiliated ZhongShan Hospital of Dalian University, Dalian, 116001, China
| | - Zhijie Ma
- Orthopaedic of Department, Affiliated ZhongShan Hospital of Dalian University, Dalian, 116001, China
| | - Junlei Li
- Orthopaedic of Department, Affiliated ZhongShan Hospital of Dalian University, Dalian, 116001, China
| | - Hui Xie
- Orthopaedic of Department, Affiliated ZhongShan Hospital of Dalian University, Dalian, 116001, China
| | - Xiaowei Wei
- Orthopaedic of Department, Affiliated ZhongShan Hospital of Dalian University, Dalian, 116001, China
| | - Benjie Wang
- Orthopaedic of Department, Affiliated ZhongShan Hospital of Dalian University, Dalian, 116001, China
| | - Simiao Tian
- Orthopaedic of Department, Affiliated ZhongShan Hospital of Dalian University, Dalian, 116001, China
| | - Jiahui Yang
- Orthopaedic of Department, Affiliated ZhongShan Hospital of Dalian University, Dalian, 116001, China
| | - Lei Yang
- Orthopaedic of Department, Affiliated ZhongShan Hospital of Dalian University, Dalian, 116001, China
| | - Liangliang Cheng
- Orthopaedic of Department, Affiliated ZhongShan Hospital of Dalian University, Dalian, 116001, China
| | - Lu Li
- Orthopaedic of Department, Affiliated ZhongShan Hospital of Dalian University, Dalian, 116001, China
| | - Dewei Zhao
- Orthopaedic of Department, Affiliated ZhongShan Hospital of Dalian University, Dalian, 116001, China
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9
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Vijayavenkataraman S, Gopinath A, Lu WF. A new design of 3D-printed orthopedic bone plates with auxetic structures to mitigate stress shielding and improve intra-operative bending. Biodes Manuf 2020. [DOI: 10.1007/s42242-020-00066-8] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
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10
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Craig A, Witte PG, Moody T, Harris K, Scott HW. Management of feline tibial diaphyseal fractures using orthogonal plates performed via minimally invasive plate osteosynthesis. J Feline Med Surg 2018; 20:6-14. [PMID: 29172864 PMCID: PMC11129210 DOI: 10.1177/1098612x17692470] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2024]
Abstract
Objectives The objective was to assess the medium- and long-term outcomes (radiographic and owner questionnaire) of feline tibial diaphyseal fractures with orthogonal plate fixation via a minimally invasive plate osteosynthesis (MIPO) approach. Methods Medical records and radiographs of cats that had tibial diaphyseal fractures stabilised with orthogonal plates were obtained (2012-2016). Immediate postoperative radiographs were reviewed to assess the construct configuration and follow-up radiographs (where available) were used to assess bone healing and implant-related complications. An owner-completed questionnaire (feline musculoskeletal pain index [FMPI]) was used at a minimum of 6 months following surgery to assess the cats' ability to perform normal activities. Results Eight feline tibial diaphyseal fractures met the inclusion criteria. One major complication was observed, most likely due to an operative technical error. There were no further complications following revision surgery. Six of the eight cases that had radiographic follow-up either had clinical bone union or showed evidence of bone healing. All cases were classified as successful according to FMPI. Conclusions and relevance Orthogonal plating of feline tibial diaphyseal fractures via an MIPO approach resulted in successful outcomes and a lower complication rate compared with previously reported techniques.
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Affiliation(s)
- Andrew Craig
- Southern Counties Veterinary Specialists, Hangersley Ringwood, UK
| | - Philip G Witte
- Southern Counties Veterinary Specialists, Hangersley Ringwood, UK
| | - Tristram Moody
- Southern Counties Veterinary Specialists, Hangersley Ringwood, UK
| | - Karen Harris
- Southern Counties Veterinary Specialists, Hangersley Ringwood, UK
| | - Harry W Scott
- Southern Counties Veterinary Specialists, Hangersley Ringwood, UK
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11
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Ex vivo torsional properties of a 2.5 mm veterinary interlocking nail system in canine femurs. Vet Comp Orthop Traumatol 2017; 30:118-124. [DOI: 10.3415/vcot-16-05-0083] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2016] [Accepted: 11/10/2016] [Indexed: 02/04/2023]
Abstract
SummaryObjective: To evaluate the torsional properties of the Targon® Vet Nail System (TVS) in small canine femurs and to compare these properties to those of the 2.4 mm LC-DCP® plates.Methods: Thirty-six cadaveric femurs were allocated to three groups (n = 12). In all bones, points just distal to the lesser trochanter and just proximal to the fabellae were marked and a midshaft transverse osteotomy was performed. Group 1: bones were fixed with the 2.5 mm TVS with the bolts applied at the pre-identified marks. Group 2: A TVS system with 25% shorter inter-bolt distance was used. Group 3: A 7-hole 2.4 mm LCDCP® plates were applied. All constructs were tested non-destructively for 10 cycles, followed by an acute torsion to failure.Results: Torque at yield was 0.806 ± 0.183 and 0.805 ± 0.093 Nm for groups 1 and 2 and 1.737 ± 0.461 Nm for group 3. Stiffness was 0.05 ± 0.01, 0.05 ± 0.007, and 0.14 ± 0.015 Nm/° for groups 1 to 3 respectively. Maximal angular displacement under cyclic loading was 16.6° ± 2.5°, 15.6° ± 2.1°, and 7.8° ± 1.06° respectively. There was no significant difference for any of the parameters between groups 1 and 2. Both torque at yield and stiffness were significantly greater between group 3 and groups 1 and 2.Clinical significance: The TVS had approximately half the torsional strength and approximately 1/3 of the stiffness of the 2.4 mm bone plate. Slippage of the locking mechanism was probably the cause of the early failure. The system should be considered as a low-strength and low-stiffness system when compared to bone plates.
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12
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Brückner M, Unger M, Spies M. Early Clinical Experience with a Newly Designed Interlocking Nail System-Targon®Vet. Vet Surg 2016; 45:754-63. [DOI: 10.1111/vsu.12511] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2015] [Revised: 01/28/2016] [Accepted: 04/09/2016] [Indexed: 11/30/2022]
Affiliation(s)
| | - Martin Unger
- Small Animal Clinic of Augsburg; Augsburg Germany
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13
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Angelini A, Battiato C. Past and present of the use of cerclage wires in orthopedics. EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY 2014; 25:623-35. [PMID: 25186972 DOI: 10.1007/s00590-014-1520-2] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/19/2014] [Accepted: 08/22/2014] [Indexed: 10/24/2022]
Abstract
Cerclage wiring is a simple technique that has been practiced widely since the advent of surgical treatment of fractures. Many studies have reported the use of various cerclage technologies with a wide range of results and clinical applications. The increasing numbers of periprosthetic fractures have led to a revival of interest for this simple technique. When cerclages function as implants, they may be used alone or together with a protecting device such as external or internal splints (such as plates, nails, stems of prosthesis or a combination of thereof). This article presents a review of the available literature relating cerclage-wiring techniques and updates the recommendations for clinical use.
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Affiliation(s)
- Andrea Angelini
- Department of Orthopedics, Rizzoli Orthopedic Institute, University of Bologna, Via Pupilli, 1, 40136, Bologna, Italy,
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14
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Könning T, Maarschalkerweerd RJ, Endenburg N, Theyse LFH. A comparison between fixation methods of femoral diaphyseal fractures in cats - a retrospective study. J Small Anim Pract 2013; 54:248-52. [DOI: 10.1111/jsap.12061] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- T. Könning
- Department of Orthopedics, Medisch Centrum voor Dieren (referral clinic); Isolatorweg 45 1014 AS Amsterdam The Netherlands
| | - R. J. Maarschalkerweerd
- Department of Orthopedics, Medisch Centrum voor Dieren (referral clinic); Isolatorweg 45 1014 AS Amsterdam The Netherlands
| | - N. Endenburg
- Department of Clinical Sciences of Companion Animals, Faculty of Veterinary Medicine; Utrecht University; Utrecht The Netherlands
| | - L. F. H. Theyse
- Department of Clinical Sciences of Companion Animals, Faculty of Veterinary Medicine; Utrecht University; Utrecht The Netherlands
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15
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The efficacy of the use of IR laser phototherapy associated to biphasic ceramic graft and guided bone regeneration on surgical fractures treated with wire osteosynthesis: a comparative laser fluorescence and Raman spectral study on rabbits. Lasers Med Sci 2012; 28:815-22. [DOI: 10.1007/s10103-012-1166-4] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2011] [Accepted: 07/12/2012] [Indexed: 10/28/2022]
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16
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Tralman G, Andrianov V, Arend A, Männik P, Kibur RT, Nõupuu K, Uksov D, Aunapuu M. A Novel Combined Method of Osteosynthesis in Treatment of Tibial Fractures: A Comparative Study on Sheep with Application of Rod-Through-Plate Fixator and Bone Plating. Anat Histol Embryol 2012; 42:80-9. [DOI: 10.1111/j.1439-0264.2012.01167.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2011] [Accepted: 05/01/2012] [Indexed: 12/01/2022]
Affiliation(s)
- G. Tralman
- Small Animal Clinic ‘Billy’; Tallinn; Estonia
| | - V. Andrianov
- Institute of Veterinary Medicine and Animal Sciences; Estonian University of Life Science; Fr. Kreutzwaldi 62; Tartu; Estonia
| | - A. Arend
- Department of Anatomy; University of Tartu; Ravila 19; Biomedicum; Tartu; Estonia
| | - P. Männik
- Department of Anatomy; University of Tartu; Ravila 19; Biomedicum; Tartu; Estonia
| | - R. T. Kibur
- Department of Anatomy; University of Tartu; Ravila 19; Biomedicum; Tartu; Estonia
| | - K. Nõupuu
- Department of Anatomy; University of Tartu; Ravila 19; Biomedicum; Tartu; Estonia
| | - D. Uksov
- Department of Anatomy; University of Tartu; Ravila 19; Biomedicum; Tartu; Estonia
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Waizy H, Weizbauer A, Maibaum M, Witte F, Windhagen H, Lucas A, Denkena B, Meyer-Lindenberg A, Thorey F. Biomechanical characterisation of a degradable magnesium-based (MgCa0.8) screw. JOURNAL OF MATERIALS SCIENCE. MATERIALS IN MEDICINE 2012; 23:649-655. [PMID: 22210311 DOI: 10.1007/s10856-011-4544-8] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/21/2011] [Accepted: 12/19/2011] [Indexed: 05/31/2023]
Abstract
Magnesium alloys have been in the focus of research in recent years as degradable biomaterial. The purpose of this study was the biomechanical characterisation of MgCa0.8-screws. The maximum pull out force of screws was determined in a synthetic bone without corrosion and after fixed intervals of corrosion: 24, 48, 72 and 96 h. This in vitro study has been carried out with Hank's solution with a flow rate corresponding to the blood flow in natural bone. A maximum pull out force (F(max)) of 201.5 ± 9.3 N was measured without corrosion. The biomechanical parameter decreased by 30% after 96 h in corrosive medium compared to the non-corrosion group. A maximum load capacity of 28 ± 7.6 N/h was determined. Our biomechanical data suggests that this biodegradable screw provides a promising bone-screw-fixation and has great potential for medical application.
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Affiliation(s)
- Hazibullah Waizy
- Department of Orthopaedic Surgery, Hanover Medical School, Hanover, Germany.
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18
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Alves E, Rezende C, Oliveira H, Borges N, Mantovani P, Rosado I. Emprego experimental da placa de compósito poli-hidroxibutirado/hidroxiapatita na fixação femoral em gatos. ARQ BRAS MED VET ZOO 2010. [DOI: 10.1590/s0102-09352010000500015] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Avaliou-se o compósito de poli-hidroxibutirado (PHB) 70% e hidroxiapatita (HA) 30% na forma de placas para fixação óssea em gatos. Foram usadas placas do compósito com 60mm de comprimento por 10mm de largura e espessura variando de 3mm no centro a 5mm nas extremidades, com seis orifícios. A placa do compósito foi empregada na fixação de osteotomia de fêmur em quatro gatos, totalizando seis intervenções. Verificou-se a ruptura de cinco placas (83,3%) até o quarto dia e de uma placa (16,7%) aos 21 dias, quando se observou um calo ósseo exuberante. O resultado da implantação da placa no gato mostrou que o compósito não possui resistência suficiente para ser empregado como placas de fixação de fêmur em gatos.
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