Tantalum as a Novel Biomaterial for Bone Implant: A Literature Review

Current developments and future perspectives of nanotechnology in orthopedic implants: an updated review

Orthopedic implants are the most commonly used fracture fixation devices for facilitating the growth and development of incipient bone and treating bone diseases and defects. However, most orthopedic implants suffer from various drawbacks and complications, including bacterial adhesion, poor cell proliferation, and limited resistance to corrosion. One of the major drawbacks of currently available orthopedic implants is their inadequate osseointegration at the tissue-implant interface. This leads to loosening as a result of immunological rejection, wear debris formation, low mechanical fixation, and implant-related infections. Nanotechnology holds the promise to offer a wide range of innovative technologies for use in translational orthopedic research. Nanomaterials have great potential for use in orthopedic applications due to their exceptional tribological qualities, high resistance to wear and tear, ability to maintain drug release, capacity for osseointegration, and capability to regenerate tissue. Furthermore, nanostructured materials possess the ability to mimic the features and hierarchical structure of native bones. They facilitate cell proliferation, decrease the rate of infection, and prevent biofilm formation, among other diverse functions. The emergence of nanostructured polymers, metals, ceramics, and carbon materials has enabled novel approaches in orthopaedic research. This review provides a concise overview of nanotechnology-based biomaterials utilized in orthopedics, encompassing metallic and nonmetallic nanomaterials. A further overview is provided regarding the biomedical applications of nanotechnology-based biomaterials, including their application in orthopedics for drug delivery systems and bone tissue engineering to facilitate scaffold preparation, surface modification of implantable materials to improve their osteointegration properties, and treatment of musculoskeletal infections. Hence, this review article offers a contemporary overview of the current applications of nanotechnology in orthopedic implants and bone tissue engineering, as well as its prospective future applications.

Toward Innovation and Policies: Mapping the Demand of Orthopedic Implants in Public Hospital Margono Purwokerto, Central Java, Indonesia

Most of the needs for orthopedic implants in Indonesia are met by the imported product. So that innovation is needed to produce local products that suit the needs of the Indonesian people. The first step before innovating is the need analysis. It is necessary to map and forecast certain implant products to understand which products that are important to be developed before they become a national innovation. In addition, there has not been an article yet that reported data regarding implant product and their forecasting. The main objective of this research is to capture the actual demand product by mapping and forecasting the orthopedic implants in a public hospital. The mapping process was carried out using the descriptive analysis method to organize and summarize the data to get more information about the orthopedic implants that were widely used. In addition, the mapping process is also carried out using the double moving average method to see the trend of demand for orthopedic implants in the future. The data used in this research was the number of orthopedic implants used by the Margono hospital for five years starting from 2016 to 2020. Based on the collected data, forty-two varieties of orthopedic implants had been mapped regarding implant demand. Furthermore, twenty-two of forty-two implants had been analyzed based on several applications that always appeared within five years. This research type of implant is classified into five categories which are screw, plate, wire, rod, and prosthesis. It is found that cortical screw, straight plate, K wire, rod union, and bipolar cemented were noted as the highest demand implant represent their category. The demand forecasting process is carried out for cortical screw, K wire, and rod union. By using the double moving average method and MAPE for measuring the accuracy, it was found that the method has a significant result because the MAPE value is still quite good. The value of MAPE for cortical screw, K wire, and rod union are 0.3985, 1.0726, and 0.4332, respectively. The trend of increasing demand occurs in the product cortical screw and rod union. This data could perform as the recommendation and references leading to the research road map, especially in the orthopedic research field in Indonesia.