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Effect of occlusal adjustment and subsequent repolishing on the surface roughness and volumetric wear of different types of glazed monolithic zirconia after chewing simulation 咀嚼模拟后,咬合调整和随后的再抛光对不同类型釉面整体氧化锆表面粗糙度和体积磨损的影响。
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-07 DOI: 10.1016/j.jmbbm.2024.106809
Kelli Nunes Monteiro , Rafaela Paschoalin Nigro , Raul Campos Costa , Bruno de Oliveira Macedo , Stéphanie Soares Favero , Ranulfo Benedito de Paula Miranda , Estevam Augusto Bonfante , Paulo Francisco Cesar
The objective was to evaluate the effect of material (four monolithic zirconia) and surface condition [glazed (G) versus polished after simulation of occlusal adjustment (GAP)] on roughness and volumetric wear (VW) of dental zirconia after chewing simulation (CS). Zirconia specimens (ZS) were fabricated with an approximate diameter of 12.0 mm and a thickness of 1.0 mm. The four types of monolithic zirconia utilized were Prettau 4 Anterior (PA), Lava Plus (LP), Cercon hT (hT), and Cercon xT (xT). All specimens were coated with a thin and uniform layer of Prettau Plus glaze. Additionally, half of the ZS underwent a simulation of occlusal adjustment followed by clinical polishing. The sliding wear test was performed using a chewing simulator set at 30 N, 2 Hz, and 500,000 cycles, employing steatite specimens (SS) to simulate opposing dentition. ZS and SS underwent topographic analysis through optical profilometry to assess volumetric wear (VW) and surface roughness. The average roughness values (μm) of the zirconia ranged from 0.38h (PA-G before CS) to 2.55a (PA-GAP after CS), while for the antagonist the values ranged from 1.3b (LP-G before CS) to 2.6a (PA-GAP after CS). The VW values (mm3) of the ZS ranged from 0.7b (LP-G) to 2.5a (LP-GAP), while for the antagonist the values ranged from 0.17a (xT-GAP) to 0.33a (LP-G). The CS increased the roughness of all materials tested, regardless of the surface condition. The glazed condition showed lower roughness than the glazed/occlusal adjustment/polishing condition before the CS for three zirconia (PA, LP and xT) and after the CS for all materials. The surface condition did not significantly influence volumetric wear (VW) for three materials (PA, hT, and xT); however, for the Lava Plus (LP) group, the glazed condition resulted in reduced VW. The VW of the SS was unaffected by the material type or surface condition. In summary, zirconia specimens that underwent occlusal adjustment followed by repolishing demonstrated increased surface roughness compared to the glazed ones, while their wear behavior varied depending on the type of zirconia used.
目的是评估材料(四种整体氧化锆)和表面状态(上釉(G)与模拟咬合调整(GAP)后抛光)对模拟咀嚼(CS)后牙科氧化锆粗糙度和体积磨损(VW)的影响。制作的氧化锆试样(ZS)直径约为 12.0 毫米,厚度为 1.0 毫米。使用的四种单片氧化锆分别是 Prettau 4 Anterior (PA)、Lava Plus (LP)、Cercon hT (hT) 和 Cercon xT (xT)。所有试样都涂有薄而均匀的 Prettau Plus 釉层。此外,一半的 ZS 还进行了模拟咬合调整,然后进行临床抛光。滑动磨损测试使用咀嚼模拟器进行,设置为 30 N、2 Hz、500,000 次循环,并使用硬石膏试样(SS)模拟对生牙。通过光学轮廓仪对 ZS 和 SS 进行形貌分析,以评估体积磨损(VW)和表面粗糙度。氧化锆的平均粗糙度值(μm)从0.38h(CS前的PA-G)到2.55a(CS后的PA-GAP)不等,而拮抗剂的粗糙度值从1.3b(CS前的LP-G)到2.6a(CS后的PA-GAP)不等。ZS 的 VW 值(立方毫米)从 0.7b (LP-G)到 2.5a (LP-GAP)不等,而拮抗剂的 VW 值从 0.17a (xT-GAP)到 0.33a (LP-G)不等。无论表面条件如何,CS 都会增加所有测试材料的粗糙度。对于三种氧化锆材料(PA、LP 和 xT),在 CS 之前,上釉条件下的粗糙度低于上釉/角质调整/抛光条件下的粗糙度,而在 CS 之后,所有材料的粗糙度都低于上釉/角质调整/抛光条件下的粗糙度。表面条件对三种材料(PA、hT 和 xT)的体积磨损(VW)没有明显影响;但对 Lava Plus(LP)组来说,上釉条件导致体积磨损减少。SS 的 VW 不受材料类型或表面条件的影响。总之,与上釉的氧化锆试样相比,经过咬合调整后再抛光的氧化锆试样的表面粗糙度增加了,而它们的磨损行为则因所使用的氧化锆类型而异。
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引用次数: 0
Tailoring the mechanical properties of macro-porous PVA hydrogels for biomedical applications 为生物医学应用定制大孔 PVA 水凝胶的机械特性。
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-06 DOI: 10.1016/j.jmbbm.2024.106787
Shirsha Bose , Majid Akbarzadeh Khorshidi , Caitríona Lally
Polyvinyl alcohol (PVA) is a biocompatible biopolymer with superior dimensional and mechanical stability when compared to naturally available biomaterials such as collagen and gelatin. Furthermore, PVA in hydrogel form behaves non-linearly during mechanical loading, generating a response like soft biological tissues. Generally, PVA hydrogels are fabricated using freeze-thaw cycles (FTCs) and changing the number of FTCs gives control over its mechanical properties. Porosity of the hydrogel is another important factor which determines its mechanical properties and is also evident in biological soft tissues. Incorporating macro-pores in PVA hydrogels substantially reduces the stiffness of the material and can mimic some porous tissues such as lung, liver, bone marrow, kidneys, and penile tissues (corpus cavernosa and spongiosum). Within this study, we developed macro-porous PVA hydrogels using the freeze-thaw process followed by particulate leaching of sacrificial 3D-printed and milled PVA (m-PVA) filler particles. This fabrication method enables control over the porosity in macro-porous PVA hydrogels, which is crucial not only for tuning mechanical properties but also for mimicking the structure of spongy tissues, such as liver tissue and corpus cavernosum in the penis, for example. We investigated the level of porosity in the specimen using optical microscopy to understand the distribution of the pores and the pore size. The tunability of the mechanical properties of PVA hydrogels is a key finding of this study and is achieved using three factors: (i) weight percentage of sacrificial fillers, (ii) number of FTCs and (iii) concentration of PVA. These macro-porous PVA specimens have wide ranging biomedical applications as biological soft tissue analogues, or tissue engineering scaffolds, where the PVA hydrogel can be tuned to match the mechanical properties of these soft biological tissues.
聚乙烯醇(PVA)是一种具有生物相容性的生物聚合物,与胶原蛋白和明胶等天然生物材料相比,它具有优异的尺寸稳定性和机械稳定性。此外,水凝胶形式的 PVA 在机械加载过程中表现为非线性,会产生类似于软生物组织的反应。一般来说,PVA 水凝胶是通过冻融循环(FTC)制成的,改变冻融循环的次数可以控制其机械性能。水凝胶的孔隙率是决定其机械特性的另一个重要因素,在生物软组织中也很明显。在 PVA 水凝胶中加入大孔可大大降低材料的硬度,并能模拟一些多孔组织,如肺、肝、骨髓、肾和阴茎组织(海绵体和海绵体)。在这项研究中,我们利用冻融工艺,然后通过牺牲性三维打印和研磨 PVA(m-PVA)填料颗粒的微粒浸出,开发出了大孔 PVA 水凝胶。这种制造方法可以控制大孔 PVA 水凝胶中的孔隙率,这不仅对调整机械性能至关重要,而且对模仿海绵状组织(如肝脏组织和阴茎海绵体)的结构也很重要。我们使用光学显微镜调查了试样中的孔隙率水平,以了解孔隙的分布和孔隙大小。PVA 水凝胶机械性能的可调性是本研究的一项重要发现,它是通过三个因素实现的:(i) 牺牲填料的重量百分比;(ii) FTC 的数量;(iii) PVA 的浓度。这些大孔 PVA 试样具有广泛的生物医学应用前景,可用作生物软组织类似物或组织工程支架,其中 PVA 水凝胶可进行调整以符合这些生物软组织的机械性能。
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引用次数: 0
Asymmetric sample shapes complicate planar biaxial testing assumptions by intensifying shear strains and stresses 样品形状不对称会加剧剪切应变和应力,从而使平面双轴测试假设变得复杂。
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-05 DOI: 10.1016/j.jmbbm.2024.106795
Daniel P. Pearce, Michael Chiariello, Colleen M. Witzenburg
Planar biaxial testing offers a physiologically relevant approach for mechanically characterizing thin deformable soft tissues, but often relies on erroneous assumptions of uniform strain fields and negligible shear strains and forces. In addition to the complex mechanical behavior exhibited by soft tissues, constraints on sample size, geometry, and aspect ratio often restrict sample shape and symmetry. Using simple PDMS gels, we explored the unknown and unquantified effects of sample shape asymmetry on planar biaxial testing results, including shear strain magnitudes, shear forces measured at the sample’s boundary, and the homogeneity of strains experienced at the center of each sample. We used a combination of finite element modeling and experimental validation to examine PDMS gels of varying levels of asymmetry, allowing us to identify effects of sample shape without confounding factors introduced by the nonlinear, spatially variable, and anisotropic properties of soft tissues. Both biaxial simulations and experiments, which showed strong agreement, revealed that sample shape asymmetry led to significantly larger shear strains, shear forces, and overestimation of principal stresses. Excluding these shear forces resulted in an underestimation of shear moduli during inverse mechanical characterizations. Even in the simplest of deformable biomaterials, sample shape asymmetry should be avoided as it can induce drastic increases in shear strains and shear forces, invalidating traditional planar biaxial testing analyses. Alternatively, sample shape asymmetry may be exploited to generate more robust estimates of constitutive parameters in more complex materials, which could lead to a refined understanding and inference of mechanical behavior.
平面双轴测试提供了一种与生理相关的方法,用于对薄的可变形软组织进行机械表征,但往往依赖于错误的假设,即均匀应变场和可忽略的剪切应变和剪切力。除了软组织表现出的复杂机械行为外,样品尺寸、几何形状和长宽比等方面的限制往往也会限制样品的形状和对称性。利用简单的 PDMS 凝胶,我们探索了样品形状不对称对平面双轴测试结果的未知和未量化影响,包括剪切应变幅度、样品边界测得的剪切力以及每个样品中心的应变均匀性。我们采用有限元建模和实验验证相结合的方法,对不同不对称程度的 PDMS 凝胶进行了研究,从而确定了样品形状的影响,避免了软组织的非线性、空间可变性和各向异性带来的干扰因素。双轴模拟和实验结果表明,样本形状不对称会导致剪切应变和剪切力显著增大,并高估主应力,这两者显示出很强的一致性。如果不考虑这些剪切力,就会在反机械特性分析过程中低估剪切模量。即使是最简单的可变形生物材料,也应避免样品形状不对称,因为它会导致剪切应变和剪切力急剧增加,使传统的平面双轴测试分析失效。另外,也可以利用样品形状的不对称来对更复杂材料的构成参数进行更可靠的估计,从而加深对机械行为的理解和推断。
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引用次数: 0
Exploring the mechanical and biological properties of a resin-ceramic composite with biomimetic nacre structure containing zinc used for prosthodontics 探索含锌的仿生物珍珠岩结构树脂陶瓷复合材料在修复牙科中的机械和生物特性。
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-05 DOI: 10.1016/j.jmbbm.2024.106799
Zhongheng Yang , Sen Zhang , Mingfeng Wang , Jiao Yan , Tao Yan , Zengqian Liu , Qiang Wang , Zhe Yi , Yuzhong Gao
Enhancement of the mechanical and biological properties of dental restoration materials is of significant importance. Drawing inspiration from the architecture and mechanical properties of natural nacre, we employed a low-cost accumulative rolling process to develop resin-ceramic composites with suitable hardness and high toughness. Plate-like aluminum oxide powder with diameters of 5–10 μm and nano-zinc oxide (ZnO) with antibacterial properties were mixed as the ceramic phase of the composite. Aluminum oxide ceramic plates were stacked using an accumulative rolling process to achieve a consistent orientation, followed by sintering to obtain porous ceramic scaffolds. The ceramic scaffolds were subsequently immersed in methyl methacrylate resin to complete the fabrication of the biomimetic composites. The mechanical and biological properties of the composites were comprehensively tested. The composites had a suitable hardness (1.09–1.63 GPa), excellent flexural strength (156.7–167.8 MPa), and fracture toughness (KIC = 2.66–3.59 MPa m1/2). Biomimetic composites are expected to mitigate the wear of natural teeth without developing fractures or deformations, while also exhibiting excellent cytocompatibility and antibacterial activity. This study investigated the factors influencing crack propagation in fracture tests and provided insights into enhancing the toughness of dental restorative materials. The biomimetic resin-ceramic composites containing Zn developed in this study have the potential to be used as functional dental restoration materials.
提高牙科修复材料的机械和生物特性具有重要意义。我们从天然珍珠质的结构和机械性能中汲取灵感,采用低成本的累积轧制工艺,开发出具有合适硬度和高韧性的树脂陶瓷复合材料。直径为 5-10 μm 的板状氧化铝粉末与具有抗菌性能的纳米氧化锌(ZnO)混合,作为复合材料的陶瓷相。氧化铝陶瓷板采用累积轧制工艺堆叠,以获得一致的取向,然后进行烧结,以获得多孔陶瓷支架。随后将陶瓷支架浸入甲基丙烯酸甲酯树脂中,完成仿生物复合材料的制造。对复合材料的机械和生物特性进行了全面测试。复合材料具有合适的硬度(1.09-1.63 GPa)、优异的抗弯强度(156.7-167.8 MPa)和断裂韧性(KIC = 2.66-3.59 MPa m1/2)。仿生复合材料有望减轻天然牙齿的磨损,而不会产生断裂或变形,同时还能表现出优异的细胞相容性和抗菌活性。本研究调查了影响断裂试验中裂纹扩展的因素,为提高牙科修复材料的韧性提供了见解。本研究开发的含锌生物仿生树脂陶瓷复合材料有望用作功能性牙科修复材料。
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引用次数: 0
Effect of the connection structure of zirconia dental implants on biomechanical properties 氧化锆牙科植入物的连接结构对生物力学特性的影响。
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-04 DOI: 10.1016/j.jmbbm.2024.106800
Fei Sun , Libing Xu , Jianmin Han , Hai Xu , Xinchang Li , Zeng Lin
The connection structure of zirconia dental implants significantly influences their biomechanical behavior and plays a crucial role in the overall service performance of the implant system. This study aims to compare the stress distribution of zirconia implants featuring various internal connection structures under different working conditions. Four distinct types of connection structures were designed for zirconia dental implants: triangular, quadrilateral, hexagonal, and hexalobular plus connections. Additionally, the finite element method was employed to analyze these structures under three working conditions: a static load test model, a bone level model, and a torsion model. Results indicated that in the static load test model, the hexagonal structure experienced the highest stress value at 1284.9 MPa due to its thin neck wall, whereas the hexalobular plus connected implant exhibited the lowest stress value at 1252.9 MPa. In the bone level model, the triangular connection structure demonstrated poor stress distribution for cortical bone and cancellous bone at 69.606 MPa and 7.8191 MPa, respectively. Conversely, the hexalobular plus connection yielded superior stress results for cortical bone and cancellous bone, with values of 66.24 MPa and 5.1327 MPa, respectively. In the torsion model, the hexalobular plus-connected implant exhibits the highest stress value at 237.6 MPa, while maintaining the smallest force transmission angle. Therefore, given that the abutment necessitates a greater range of installation angles and improved torque transmission, the hexalobular plus connection structure may represent the optimal choice.
氧化锆牙科种植体的连接结构会对其生物力学行为产生重大影响,并对种植体系统的整体使用性能起着至关重要的作用。本研究旨在比较具有不同内部连接结构的氧化锆种植体在不同工作条件下的应力分布。研究人员为氧化锆种植体设计了四种不同类型的连接结构:三角形连接、四边形连接、六边形连接和六方加连接。此外,还采用有限元法分析了这些结构在三种工作条件下的情况:静态负载测试模型、骨水平模型和扭转模型。结果表明,在静载荷测试模型中,六角形结构由于颈壁较薄,应力值最高,为 1284.9 兆帕,而六叶形加连接种植体的应力值最低,为 1252.9 兆帕。在骨水平模型中,三角形连接结构对皮质骨和松质骨的应力分布较差,分别为 69.606 兆帕和 7.8191 兆帕。相反,六叶形加连接结构对皮质骨和松质骨的应力结果较好,分别为 66.24 兆帕和 5.1327 兆帕。在扭转模型中,六叶加连接种植体的应力值最高,达到 237.6 兆帕,同时保持最小的力传递角。因此,鉴于基台需要更大的安装角度范围和更好的扭矩传递,六叶加连接结构可能是最佳选择。
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引用次数: 0
Mechanical behavior and failure mode of body-centered cubic, gyroid, diamond, and Voronoi functionally graded additively manufactured biomedical lattice structures 体心立方、陀螺、金刚石和Voronoi功能梯度增材制造生物医学晶格结构的力学行为和失效模式。
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-04 DOI: 10.1016/j.jmbbm.2024.106796
João Pedro M. Cheloni , Bruno Zluhan , Marcio E. Silveira , Eduardo B. Fonseca , Diego B. Valim , Eder S.N. Lopes
Given the capability to produce parts with complex geometries, powder bed fusion using a laser beam (PBF-LB), one of several additive manufacturing techniques, is becoming increasingly prevalent in both research and industry. Advances in the development of biomedical lattice structures show a trend in the use of functional gradients for greater customization and adjustment of mechanical properties according to the demands. This study analyzed four biomedical potential lattice structures (regular and graded) manufactured using PBF-LB in Ti6Al4V alloy. X-ray computed microtomography results demonstrated high accuracy for thin walls (0.6 mm), with negligible discrepancies. The diamond structure exhibited the highest mechanical resistance (∼130 MPa) and energy absorption (∼200 J) and showed a reduced effect of the gradient on the mechanical properties. The body-centered cubic (BCC) structure had the lowest resistance and absorption (∼6 MPa), but the use of graded structures improved energy absorption (∼30 J). Two primary failure modes were identified: shear fracture at 45° and crushing. Triply periodic minimal surface (TPMS) structures showed initial crushing before shearing. Graded structures experienced failures in the upper region due to lower density, causing stress and strain increases. Numerical simulations revealed stress distribution, with TPMS structures displaying better distribution and BCC/Voronoi structures having stress concentrators, contributing to lower collapse loads. Cross-sectional views indicated a tendency for 45° failure in regular structures and progressive collapse in graded structures.
鉴于能够生产具有复杂几何形状的零件,使用激光束的粉末床熔融(PBF-LB)是几种增材制造技术之一,在研究和工业中变得越来越普遍。生物医学晶格结构的发展显示出使用功能梯度的趋势,以便根据需求进行更大的定制和调整力学性能。本研究分析了用PBF-LB在Ti6Al4V合金中制备的四种生物医学电位晶格结构(规则晶格和梯度晶格)。x射线计算机微断层扫描结果显示薄壁(0.6 mm)具有很高的准确性,差异可以忽略不计。金刚石结构表现出最高的机械阻力(~ 130 MPa)和能量吸收(~ 200 J),并显示出梯度对力学性能的影响较小。体心立方(BCC)结构具有最低的阻力和吸收(~ 6 MPa),但分级结构的使用提高了能量吸收(~ 30 J)。确定了两种主要破坏模式:45°剪切断裂和破碎。三周期最小表面(TPMS)结构在剪切前表现为初始破碎。梯度结构在上部区域由于密度较低而发生破坏,导致应力和应变增大。数值模拟结果表明,TPMS结构的应力分布较好,BCC/Voronoi结构具有应力集中作用,破坏荷载较小。横截面图显示规则结构有45°破坏的趋势,而梯度结构有逐渐坍塌的趋势。
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引用次数: 0
The influence of plasticizer on the mechanical, structural, thermal and strain recovery properties following stress-relaxation process of silk fibroin/sodium alginate biocomposites for biomedical applications 增塑剂对用于生物医学的丝纤维素/海藻酸钠生物复合材料应力松弛过程中的机械、结构、热和应变恢复特性的影响
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-03 DOI: 10.1016/j.jmbbm.2024.106797
Baki Aksakal , Zehra Kaplan , Kadir Turhan
The influence of plasticizer glycerol (GLY) on the mechanical, structural, and thermal properties of silk fibroin (SF)/sodium alginate (SA) biocomposite films was investigated in detail. As the SF/SA ratio increased up to 65%, the SF content significantly improved the Tensile strength (σT), Young's modulus (Ey) but reduced the elongation at break (εb). To modify and enhance the elasticity and flexibility of the biocomposite films, the GLY as a plasticizer was used at different ratio from 20 to 50% for each SF/SA biocomposite films. Although the extensibility of the films was improved greatly with increasing GLY ratio, σT and Ey reduced significantly. The effect was observed more apparently for the GLY ratio starting from 35%. It was also shown that crystallinity index in the Amide I region increased as the SF/SA ratio increased to 65%. Increasing SF content improved the thermal stability of the SF/SA biocomposites. The XRD results showed that crystallinity was increased as SF/SA ratio increased. Stress-relaxation of SF/SA (30%) biocomposite films plasticized with GLY revealed that each kind of plasticized films showed a viscoelastic behavior and a fast relaxation in the first stage (1–2 min) of the processes and then continued slowly. The GLY increased the extensibility and elasticity limit of the SF/SA (30%) composite films. During the strain recovery processes, the plasticized composite films recovered completely in a quite shorter time than that of unplasticized films. It was observed higher the GLY content, the recovery times became shorter.
详细研究了增塑剂甘油(GLY)对蚕丝纤维素(SF)/海藻酸钠(SA)生物复合膜的机械、结构和热性能的影响。当 SF/SA 比率增加到 65% 时,SF 含量显著提高了拉伸强度(σT)和杨氏模量(Ey),但降低了断裂伸长率(εb)。为了改变和提高生物复合膜的弹性和柔韧性,在每种 SF/SA 生物复合膜中以 20% 到 50% 的不同比例使用 GLY 作为增塑剂。虽然薄膜的延展性随着 GLY 比率的增加而大大提高,但 σT 和 Ey 却显著降低。GLY 比率从 35% 开始时,这种影响更为明显。研究还表明,随着 SF/SA 比率增加到 65%,酰胺 I 区域的结晶度指数也随之增加。SF 含量的增加提高了 SF/SA 生物复合材料的热稳定性。XRD 结果表明,结晶度随着 SF/SA 比率的增加而增加。用 GLY 对 SF/SA (30%) 生物复合材料塑化薄膜进行应力-松弛试验发现,每种塑化薄膜都表现出粘弹性行为,在塑化过程的第一阶段(1-2 分钟)松弛速度较快,随后持续缓慢。GLY 增加了 SF/SA (30%) 复合薄膜的延伸性和弹性极限。在应变恢复过程中,塑化复合薄膜比未塑化薄膜在更短的时间内完全恢复。据观察,GLY 含量越高,恢复时间越短。
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引用次数: 0
Plating after tumor curettage in human femora does not efficiently improve torsional stability ex vivo 人的股骨在肿瘤切除后进行钢板固定并不能有效改善体内的扭转稳定性。
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-03 DOI: 10.1016/j.jmbbm.2024.106798
Annika vom Scheidt , Felix Pirrung , Petr Henyš , Birgit Oppelt , Andreas Leithner , Niels Hammer , Marko Bergovec
<div><h3>Background</h3><div>Surgical treatments of benign primary bone tumors of the femur face the challenge of limiting tissue damage and contamination while providing sufficient stabilization to avoid fracture. While no clear treatment guidelines exist, surgical treatment commonly consists of femoral fenestration and curettage with optional filling and plating of the defect. Mono- or bicortical plating of distal femoral defects aim to reduce fracture risk and have been shown to increase axial stability. However, it remains unclear whether plating increases torsional stability of the affected femur.</div></div><div><h3>Questions/purposes</h3><div>This biomechanical study aimed to determine how much additional stability can be achieved by mono- or bicortical plating of femoral defects after fenestration. The following hypotheses were investigated: 1. Preventive plating of distal femur bone defects enhances torsional stability when compared to femoral fenestration alone. 2. A condition close to the intact (nonpathological) bone can be achieved by bone plating. 3. Defect shape influences torsional stability.</div></div><div><h3>Patients and methods</h3><div>Thiel embalmed human femora (n = 24) were left intact or subjected to the following surgical treatments (A) defect creation via fenestration, (B) defect with short monocortical plating, (C) defect with long bicortical plating. All femora were torsion tested in midstance position using pre-cycling and testing until failure. Quantitative computed tomography pre and post testing allowed bone mineral density calculation and crack path analysis. Finite element analysis provided insight into defect shape variations.</div></div><div><h3>Results</h3><div>Torsion experiments showed no relevant enhancement of torsional stability due to mono- or bicortical plating. There were no significant differences in maximum torque between unplated and plated femora with defect (defect: 35.38 ± 7.53 Nm, monocortical plating: 37.77 ± 9.82 Nm, bicortical plating: 50.27 ± 9.72 Nm, p > 0.05). Maximum torque for all treatment groups was significantly lower compared to intact femora (155–200 Nm, p < 0.001). Cracks originated predominantly from the proximal posterior corner of the defect and intersected with screw holes in plated femora. The influence of variations of the defect corner shapes had no significant influence on maximum torque and angle.</div></div><div><h3>Conclusion</h3><div>This biomechanical study shows that mono- or bicortical plating is not an effective preventive treatment against torsional failure of femora with distal defects as the resulting maximum torque was drastically reduced compared to intact femora. Thus, the initial hypotheses have to be rejected. As habitual loading of the femur includes a combination of axial and torsional loading, the observed lack of prevention against torsional failure might help to explain the occurrence of fractures despite plating. Future research towards amelior
背景:股骨良性原发性骨肿瘤的手术治疗面临着限制组织损伤和污染,同时提供足够的稳定性以避免骨折的挑战。虽然目前还没有明确的治疗指南,但手术治疗通常包括股骨开孔术和刮除术,并可选择对缺损部位进行填充和钢板固定。股骨远端缺损的单皮质或双皮质钢板旨在降低骨折风险,并已证明可增加轴向稳定性。然而,钢板是否能增加受影响股骨的扭转稳定性仍不清楚:这项生物力学研究旨在确定在股骨瓣膜置换术后,通过对股骨缺损进行单皮质或双皮质钢板置换能增加多少稳定性。研究提出了以下假设:1.与单纯股骨头瓣膜置换术相比,股骨远端骨缺损的预防性钢板置换术可增强扭转稳定性。2.2. 通过骨电镀可达到接近完整(非病理)骨的状态。3.缺损形状影响扭转稳定性:Thiel防腐处理后的人类股骨(n = 24)保持完好无损,或进行以下手术处理:(A)通过瘘管形成缺损;(B)缺损处采用短单层骨板;(C)缺损处采用长双层骨板。所有股骨均在站立中位进行扭转测试,采用预循环和测试直至失效。测试前后的定量计算机断层扫描可计算骨矿密度和分析裂纹路径。有限元分析有助于深入了解缺陷的形状变化:扭转实验结果表明,单皮质或双皮质电镀并没有增强扭转稳定性。未电镀股骨和带缺陷电镀股骨的最大扭矩没有明显差异(缺陷:35.38 ± 7.53 牛米,单皮质电镀:37.77 ± 9.82 牛米):37.77 ± 9.82 牛米,双皮质电镀:50.27 ± 9.72 牛米,P > 0.05)。与完好股骨相比,所有治疗组的最大扭矩都明显较低(155-200 牛米,P 结论:这一生物力学研究表明,单皮质钢板和双皮质钢板对股骨的损伤程度不同:这项生物力学研究表明,单骨盆或双骨盆钢板并不能有效预防股骨远端缺损的扭转失败,因为与完整股骨相比,单骨盆或双骨盆钢板所产生的最大扭矩大幅降低。因此,最初的假设必须被否定。由于股骨的习惯性负荷包括轴向负荷和扭转负荷的组合,因此观察到的对扭转失效的预防不足可能有助于解释为什么尽管进行了钢板固定,仍会发生骨折。为改善临床疗效,未来的研究应探讨在股骨原发性骨肿瘤治疗后,用骨水泥或骨移植填充缺损对改善扭转稳定性的作用。
{"title":"Plating after tumor curettage in human femora does not efficiently improve torsional stability ex vivo","authors":"Annika vom Scheidt ,&nbsp;Felix Pirrung ,&nbsp;Petr Henyš ,&nbsp;Birgit Oppelt ,&nbsp;Andreas Leithner ,&nbsp;Niels Hammer ,&nbsp;Marko Bergovec","doi":"10.1016/j.jmbbm.2024.106798","DOIUrl":"10.1016/j.jmbbm.2024.106798","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Surgical treatments of benign primary bone tumors of the femur face the challenge of limiting tissue damage and contamination while providing sufficient stabilization to avoid fracture. While no clear treatment guidelines exist, surgical treatment commonly consists of femoral fenestration and curettage with optional filling and plating of the defect. Mono- or bicortical plating of distal femoral defects aim to reduce fracture risk and have been shown to increase axial stability. However, it remains unclear whether plating increases torsional stability of the affected femur.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Questions/purposes&lt;/h3&gt;&lt;div&gt;This biomechanical study aimed to determine how much additional stability can be achieved by mono- or bicortical plating of femoral defects after fenestration. The following hypotheses were investigated: 1. Preventive plating of distal femur bone defects enhances torsional stability when compared to femoral fenestration alone. 2. A condition close to the intact (nonpathological) bone can be achieved by bone plating. 3. Defect shape influences torsional stability.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Patients and methods&lt;/h3&gt;&lt;div&gt;Thiel embalmed human femora (n = 24) were left intact or subjected to the following surgical treatments (A) defect creation via fenestration, (B) defect with short monocortical plating, (C) defect with long bicortical plating. All femora were torsion tested in midstance position using pre-cycling and testing until failure. Quantitative computed tomography pre and post testing allowed bone mineral density calculation and crack path analysis. Finite element analysis provided insight into defect shape variations.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Torsion experiments showed no relevant enhancement of torsional stability due to mono- or bicortical plating. There were no significant differences in maximum torque between unplated and plated femora with defect (defect: 35.38 ± 7.53 Nm, monocortical plating: 37.77 ± 9.82 Nm, bicortical plating: 50.27 ± 9.72 Nm, p &gt; 0.05). Maximum torque for all treatment groups was significantly lower compared to intact femora (155–200 Nm, p &lt; 0.001). Cracks originated predominantly from the proximal posterior corner of the defect and intersected with screw holes in plated femora. The influence of variations of the defect corner shapes had no significant influence on maximum torque and angle.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;This biomechanical study shows that mono- or bicortical plating is not an effective preventive treatment against torsional failure of femora with distal defects as the resulting maximum torque was drastically reduced compared to intact femora. Thus, the initial hypotheses have to be rejected. As habitual loading of the femur includes a combination of axial and torsional loading, the observed lack of prevention against torsional failure might help to explain the occurrence of fractures despite plating. Future research towards amelior","PeriodicalId":380,"journal":{"name":"Journal of the Mechanical Behavior of Biomedical Materials","volume":"161 ","pages":"Article 106798"},"PeriodicalIF":3.3,"publicationDate":"2024-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Shore hardness of bulk polyurethane affects the properties of nanofibrous materials differently 块状聚氨酯的肖氏硬度对纳米纤维材料的性能有不同的影响。
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-01 DOI: 10.1016/j.jmbbm.2024.106793
Iwona Łopianiak , Beata Butruk-Raszeja , Michał Wojasiński
The present study shows the effect of the hardness of bulk polyurethane on the properties of nanofibrous materials produced in the solution blow spinning process. This study focuses on nanofibrous materials made from medical-grade polyurethanes with different hardness values on the Shore scale, from 75A to 75D. We aimed to determine the effect of the intrinsic properties of polyurethane used to produce nanofibers on the tensile properties of the resulting nanofibrous materials and in vitro platelet adhesiveness. This study used a solution blow spinning process to produce nanofibrous materials from polyurethane solutions. It evaluates their properties using scanning electron microscopy, followed by porosity determination, tensile testing, and platelet adhesion assays. Generally, the bulk polymer's Shore hardness affects nanofibrous products' porosity and tensile properties. In the tested Shore hardness range, the most visible differences in material properties were observed for the fibers produced from the hardest (75D) and softest (75A) polyurethanes. The nanofibrous material produced using 75D polyurethane exhibited the highest porosity, up to approximately 0.87, owing to the low packing density of the stiff nanofibers. It also remained the stiffest, with the highest Young's modulus. On the other hand, the softest 75A polyurethane produced a less porous nanofibrous mat with the highest tensile strength among the tested polyurethanes. All tested nanofibrous materials retained their platelet adhesion resistance upon processing into nanofibers, with a mean platelet coverage below 1 % of the nanofibrous mat surface. The study results provide insights into the relationship between the hardness of bulk polyurethane and the properties of nanofibrous materials, which can be useful in various biomedical applications, particularly in producing tissue-engineered vascular grafts.
本研究显示了块状聚氨酯的硬度对溶液吹塑纺丝工艺生产的纳米纤维材料性能的影响。本研究的重点是用邵氏硬度值从 75A 到 75D 不同的医用级聚氨酯制成的纳米纤维材料。我们的目的是确定用于生产纳米纤维的聚氨酯的固有特性对所得纳米纤维材料的拉伸特性和体外血小板粘附性的影响。本研究采用溶液吹塑纺丝工艺,利用聚氨酯溶液生产纳米纤维材料。该研究使用扫描电子显微镜评估了纳米纤维材料的特性,随后进行了孔隙率测定、拉伸测试和血小板粘附试验。一般来说,块状聚合物的肖氏硬度会影响纳米纤维产品的孔隙率和拉伸性能。在测试的肖氏硬度范围内,用最硬(75D)和最软(75A)的聚氨酯生产的纤维在材料特性上的差异最为明显。使用 75D 聚氨酯生产的纳米纤维材料孔隙率最高,约为 0.87,这是因为硬质纳米纤维的堆积密度较低。它也是最硬的,具有最高的杨氏模量。另一方面,最软的 75A 聚氨酯产生的纳米纤维垫孔隙率较低,在测试的聚氨酯中拉伸强度最高。所有测试的纳米纤维材料在加工成纳米纤维后都保持了其抗血小板粘附性,平均血小板覆盖率低于纳米纤维毡表面的 1%。研究结果有助于深入了解块状聚氨酯的硬度与纳米纤维材料性能之间的关系,这些材料可用于各种生物医学应用,尤其是生产组织工程血管移植物。
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引用次数: 0
Micromechanical characteristics of titanium alloy (Ti-6Al-4V) made by laser powder bed fusion using an in-situ SEM micropillar compression technique 利用原位 SEM 微柱压缩技术观察激光粉末床熔融钛合金(Ti-6Al-4V)的微机械特性
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-01 DOI: 10.1016/j.jmbbm.2024.106794
Md Bengir Ahmed Shuvho , Afifah Z. Juri , Animesh K. Basak , Andrei Kotousov , Ling Yin
While titanium alloy (Ti-6Al-4V) made by laser powder bed fusion (L–PBF) exhibits complex deformation behaviors, its important micromechanical properties in relation to loading directions are not fully understood. This research aims to investigate the micromechanical behaviors of printed L–PBF Ti-6Al-4V alloys under vertical (i.e., the loading direction perpendicular to printed layers) and horizontal (i.e., the loading direction parallel to printed layers) compressions using in-situ scanning electron microscopy (SEM) micropillar techniques. Ti-6Al-4V alloys were L-PBF-printed using a 45° rotate scanning strategy with vertical and horizontal build directions. The microstructures of the two alloys were analyzed using the SEM with energy-dispersive X-ray spectroscopy (EDS). The titanium alloy micropillars were produced using focused ion beam (FIB) milling in the SEM. In-situ SEM micropillar compressions were conducted using a flat diamond indenter. Vertical alloy had smaller cross-patterned finer α′ martensite than horizontal one. While both vertical and horizontal micropillars showed elastic-plastic behaviors, the former had significantly higher yield, fracture, and compression strength values, as well as resilience and toughness, than the latter, leading to the formation of favorable shear bands. Both micropillars exhibited ductile fractures but had distinct failure mechanisms. The ductile fracture in the vertical micropillars was due to strain hardening, large plastic deformation, and shear band formation, while the ductile fracture in the horizontal ones was attributed to compression-induced bending and plastic buckling. The micromechanical characteristics of L–PBF Ti-6Al-4V materials provides an important insight into the small-scale deformation and failure mechanisms of the alloys influenced by loading directions.
虽然通过激光粉末床熔融(L-PBF)制造的钛合金(Ti-6Al-4V)表现出复杂的变形行为,但其与加载方向相关的重要微观机械特性尚未得到充分了解。本研究旨在利用原位扫描电子显微镜(SEM)微柱技术研究印刷 L-PBF Ti-6Al-4V 合金在垂直(即加载方向垂直于印刷层)和水平(即加载方向平行于印刷层)压缩条件下的微观力学行为。Ti-6Al-4V 合金是采用 45° 旋转扫描策略,在垂直和水平方向上进行 L-PBF 印刷的。利用扫描电子显微镜和能量色散 X 射线光谱(EDS)分析了两种合金的微观结构。钛合金微柱是在扫描电镜中使用聚焦离子束(FIB)铣制而成的。使用平面金刚石压头对 SEM 微柱进行了原位压缩。垂直合金的α′马氏体横纹比水平合金小。虽然垂直微柱和水平微柱都表现出弹塑性行为,但前者的屈服强度、断裂强度和压缩强度值以及回弹性和韧性都明显高于后者,从而形成了有利的剪切带。两种微柱都表现出韧性断裂,但其破坏机制各不相同。垂直微柱的韧性断裂是由于应变硬化、大塑性变形和剪切带的形成,而水平微柱的韧性断裂是由于压缩引起的弯曲和塑性屈曲。L-PBF Ti-6Al-4V 材料的微机械特性为了解合金受加载方向影响的小尺度变形和破坏机理提供了重要依据。
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引用次数: 0
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Journal of the Mechanical Behavior of Biomedical Materials
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