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Influence of sintering protocol and translucency-enhancing liquid on the mechanical performance of anterior zirconia crowns 烧结工艺及增透液对前牙氧化锆冠力学性能的影响
IF 3.5 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-11-29 DOI: 10.1016/j.jmbbm.2025.107290
Nikolaus Kronwitter, Angelika Rauch, Sebastian Hahnel, Martin Rosentritt

Aim

This study aimed to evaluate the effects of a translucency-enhancing liquid (TEL) and high-speed sintering (HS) on the mechanical behavior, with a focus on the survival rates and fracture forces of anterior zirconia crowns with different yttria contents.

Materials and methods

Anterior crowns (16 groups, n = 8 per group) were fabricated using four different zirconia materials (3Y-TZP, 4Y-TZP, 5Y-TZP, and multilayer (ML)). The 3Y and 4Y groups were treated with a TEL in three variations: no treatment (NL), two-layer penetration (2L), and four-layer penetration (4L). The 5Y-TZP and ML zirconia crowns served as reference groups without TEL treatment. All specimens underwent either conventional (CS) or high-speed (HS) sintering before being subjected to thermocyclic and mechanical loading (TCML), followed by a load-to-fracture test. Statistics: ANOVA, Bonferroni test, Shapiro-Wilk test, Pearson correlation; α = 0.05.

Results

Three specimens in group 5Y-NL-CS and one in group 4Y-NL-HS failed during TCML. Fracture forces varied significantly between different types of zirconia and decreased with increasing yttria content. While mean fracture forces were not affected by HS or TEL treatment, HS of ML and particularly 5Y-TZP crowns was associated with a higher frequency of crown fractures, indicating material- and condition-specific tendencies of potential clinical relevance.

Conclusion

Within the limitations of this in-vitro study - including the use of PMMA abutments, failures during TCML, and material- and failure-specific differences - all specimens withstood forces exceeding the physiological loads expected in the anterior region. Under these conditions, TEL treatment and HS of 3Y-TZP and 4Y-TZP zirconia appear to allow the rapid fabrication of anterior crowns while maintaining their mechanical performance. As optical parameters were not assessed, any potential aesthetic implications of TEL or HS cannot be inferred.
目的研究半透光增强液(TEL)和高速烧结(HS)对氧化锆前牙冠力学行为的影响,研究不同氧化钇含量氧化锆前牙冠的成活率和断裂力。材料与方法采用4种氧化锆材料(3Y-TZP、4Y-TZP、5Y-TZP、多层氧化锆(ML))制作前冠(16组,每组n = 8)。3Y组和4Y组分别以不治疗(NL)、两层穿透(2L)和四层穿透(4L)三种方式进行TEL治疗。5Y-TZP和ML氧化锆冠作为对照组,不进行TEL治疗。所有试件分别进行常规(CS)或高速(HS)烧结,然后进行热循环和机械加载(TCML),随后进行载荷-断裂试验。统计学:方差分析、Bonferroni检验、Shapiro-Wilk检验、Pearson相关;α = 0.05。结果5Y-NL-CS组3例,4Y-NL-HS组1例tml失败。不同类型氧化锆的断裂力差异显著,且随氧化钇含量的增加而减小。虽然平均骨折力不受HS或TEL治疗的影响,但ML,特别是5Y-TZP冠的HS与冠骨折的频率较高相关,这表明材料和条件特异性倾向具有潜在的临床相关性。在这项体外研究的局限性内,包括PMMA基台的使用、TCML期间的失败以及材料和失败特异性差异,所有标本都承受了超过前区预期生理负荷的力。在这些条件下,3Y-TZP和4Y-TZP氧化锆的TEL处理和HS似乎可以在保持其机械性能的同时快速制造前冠。由于没有评估光学参数,因此无法推断TEL或HS的任何潜在美学影响。
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引用次数: 0
Corrosion-fatigue of additively manufactured Ti6Al4V 增材制造Ti6Al4V的腐蚀疲劳性能。
IF 3.5 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-11-29 DOI: 10.1016/j.jmbbm.2025.107289
William W. Hogg, Mueed Jamal, Nathaniel W. Zuckschwerdt, Cohen M. Hess, Susmita Bose, Amit Bandyopadhyay
Additive manufacturing (AM) has been used to process complex one-of-a-kind patient-specific implants, along with on-demand manufacturing with innovative geometries. AM parts are more susceptible to fatigue failure due to inherent porosities than conventionally processed parts. This study investigates the high-cycle rotating bending fatigue behavior of laser powder bed fusion (LPBF) processed Ti6Al4V parts in as-processed and hot isostatically pressed (HIPed) conditions, and compares them to commercially available wrought Ti6Al4V. Ti6Al4V is widely used in orthopedic and dental implants due to its high strength-to-weight ratio, good biocompatibility, and excellent corrosion resistance. To understand the fatigue performance of Ti6Al4V parts, a custom cell was designed to fully immerse the fatigue samples in Dulbecco's Modified Eagle Medium (DMEM) for the duration of the test. The fatigue strength was normalized to the compressive yield strength, and it was found that as-processed samples had the greatest compressive strength but approximately half the relative endurance limit (107 cycles) when compared to wrought and HIPed samples. This inferior fatigue performance of as-processed samples was attributed to porosity defects inherent to the AMed parts. However, it was found through fractography and energy-dispersive spectroscopy (EDS) analyses that these internal defects dominated the fatigue crack initiation in as-processed samples, making DMEM immersion have a minimal effect. The wrought and HIPed samples were susceptible to corrosion fatigue, showing a reduction in endurance limit of 9 % and 6 % in relative strength, respectively. This study highlights the need for in situ corrosion fatigue evaluation of additively manufactured load-bearing implants.
增材制造(AM)已被用于加工复杂的独一无二的患者特定植入物,以及具有创新几何形状的按需制造。由于固有的孔隙率,增材制造零件比传统加工零件更容易疲劳失效。本研究研究了激光粉末床熔合(LPBF)加工Ti6Al4V零件在加工和热等静压(HIPed)条件下的高周旋转弯曲疲劳行为,并将其与市售的锻造Ti6Al4V进行了比较。Ti6Al4V因其高强度重量比、良好的生物相容性和优异的耐腐蚀性而广泛应用于骨科和牙科种植体中。为了了解Ti6Al4V部件的疲劳性能,设计了一个定制池,在测试期间将疲劳样品完全浸入Dulbecco的Modified Eagle Medium (DMEM)中。将疲劳强度归一化为抗压屈服强度,发现加工后的样品具有最大的抗压强度,但与变形和HIPed样品相比,其相对耐久极限(107次循环)约为一半。这种较差的疲劳性能是由于零件固有的气孔缺陷造成的。然而,通过断口分析和能谱分析发现,这些内部缺陷主导了加工样品的疲劳裂纹萌生,使得DMEM浸泡对疲劳裂纹的影响很小。变形试样和HIPed试样易受腐蚀疲劳影响,其相对强度分别下降9%和6%。这项研究强调了对增材制造的承重植入物进行原位腐蚀疲劳评估的必要性。
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引用次数: 0
A computational study of forward head posture biomechanics 头部前倾姿态生物力学的计算研究。
IF 3.5 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-11-29 DOI: 10.1016/j.jmbbm.2025.107288
Katterine N. Rios-Peralta , Afonso J.C. Silva , Ricardo J. Alves-de-Sousa , Kathleen M. Curran , David B. MacManus
Forward head posture (FHP) is a common postural deviation linked to musculoskeletal disorders and altered cervical spine biomechanics. This study used a validated finite element model (C0–T1, THUMS v4.2) to quantify the biomechanical effects of FHP, with validation against cadaveric data for sagittal balance and range of motion in flexion–extension, axial rotation, and lateral bending. Sagittal balance parameters, including craniovertebral angle (CVA), occipital protuberance to C2 (OP–C2), cervical lordosis (C1–C2 and C2–C7), greater occipital nerve (GON), and C2 nerve root (C2–NR), were measured before and after a 2.5 cm anterior head displacement. FHP increased upper cervical lordosis and decreased lower cervical curvature, accompanied by measurable narrowing of neural foraminal spaces (GON and C2–NR) and elevated cortical bone stresses, particularly between C2–C3. These changes reflect compensatory adaptations that may predispose to pain and degeneration, underscoring the need for early intervention strategies to mitigate long-term spinal health impacts.
头部前倾(FHP)是一种常见的体位偏差,与肌肉骨骼疾病和颈椎生物力学改变有关。本研究使用了一个经过验证的有限元模型(C0-T1, THUMS v4.2)来量化FHP的生物力学效应,并根据尸体的矢状面平衡和屈伸、轴向旋转和侧向弯曲的运动范围数据进行验证。在头部前移位2.5 cm前后测量矢状面平衡参数,包括颅椎角(CVA)、枕椎C2突(OP-C2)、颈椎前凸(C1-C2和C2- c7)、枕大神经(GON)和C2神经根(C2- nr)。FHP增加了上颈椎前凸,降低了下颈椎曲度,同时伴有神经间孔间隙(GON和C2-NR)明显变窄和皮质骨应力升高,尤其是C2-C3之间。这些变化反映了代偿性适应可能导致疼痛和退变,强调了早期干预策略的必要性,以减轻对脊柱健康的长期影响。
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引用次数: 0
Microbubble-based indirect measurement of cell loading in hydrogel bioinks during handling of 3D models 在处理3D模型过程中,基于微泡的水凝胶生物墨水中细胞负载的间接测量。
IF 3.5 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-11-28 DOI: 10.1016/j.jmbbm.2025.107286
Swaprakash Yogeshwaran , Leila Donyaparastlivari , Ayda Pormoustafa , Vidhi Patel , Alexander Buffone , Rajarshi Chattaraj , Amir K. Miri
We present an inverse-engineering method for estimating physical forces within cell suspensions in 3D scaffolds during fabrication using fluorescent, lipid-coated microbubbles (MBs) filled with an inert fluorocarbon gas. MBs deform and rupture under significant mechanical pressure. In this work, we applied the compressibility characteristics of the MBs to estimate the forces acting on a cell-laden model during fabrication and handling. MBs were encapsulated in hydrogels and subjected to hydrostatic pressure for a specific period, and we demonstrated how calibration curves are generated to estimate the pressure around each MB. We further studied MB response via conventional ultrasound imaging and theoretical modeling. This work demonstrates a simple, scalable approach for estimating physical loads that biological cells experience during extrusion, injection, and other biofabrication processes.
我们提出了一种反工程方法,用于估计3D支架中细胞悬浮液在制造过程中的物理力,使用充满惰性氟碳气体的荧光脂质包被微泡(mb)。MBs在巨大的机械压力下变形和破裂。在这项工作中,我们应用MBs的可压缩性特性来估计在制造和处理过程中作用在细胞负载模型上的力。我们将MB封装在水凝胶中,承受静水压力一段时间,并演示了如何生成校准曲线来估计每个MB周围的压力。我们通过常规超声成像和理论建模进一步研究了MB的响应。这项工作展示了一种简单、可扩展的方法来估计生物细胞在挤压、注射和其他生物制造过程中所经历的物理负荷。
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引用次数: 0
TBI-induced vessel softening increases brain susceptibility to injury with repeated head trauma 创伤性脑损伤引起的血管软化增加大脑对反复头部创伤的易感性。
IF 3.5 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-11-28 DOI: 10.1016/j.jmbbm.2025.107287
Farshid Shojaeianforoud , Alexander M. Venezie , Jose E. Rubio , Jaques Reifman , Brittany Coats , Kenneth L. Monson
Repeated traumatic brain injury (TBI) is a significant concern among military personnel, athletes, and abuse victims. However, little is known about the mechanisms that drive the brain's apparent increase in injury susceptibility with repeated loading. One critical factor may be the softening of cerebral blood vessels, which are significantly stiffer than brain tissue and influence its mechanical response during trauma. In this study, we employed a finite element model of a Göttingen minipig head to investigate how progressive vascular softening influences strain changes in brain tissue during both repeated blast and rapid rotation. The model incorporated pig-specific anatomical detail and material properties, including detailed cerebral vasculature. Simulations included six repeated exposures of either blast overpressure or coronal or sagittal rotations at varying severity levels. Additional “no-vasculature” (NV) cases were included for each loading condition to benchmark the mechanical contribution of blood vessels. Vessel softening was applied after each exposure based on previous experiments on Göttingen minipig cerebral arteries. While blast exposures did not generate sufficient strain to induce vessel softening, rotational events led to progressively increasing brain strain with repetition, especially in regions adjacent to softened vessels. These increases progressed toward the NV condition with repetition, consistent with diminishing structural support by softened vessels. Results also showed increasing risk of vessel rupture and axonal injury with repetition. These findings elucidate the biomechanical role of vessel softening in repeated TBI and suggest that even sub-failure vessel damage may exacerbate brain strain in repeated exposures and elevate injury risk.
重复性创伤性脑损伤(TBI)是军人、运动员和虐待受害者非常关注的问题。然而,人们对反复负荷导致大脑损伤易感性明显增加的机制知之甚少。其中一个关键因素可能是脑血管的软化,脑血管比脑组织硬得多,在创伤时影响其机械反应。在这项研究中,我们使用了一个Göttingen迷你猪头的有限元模型来研究在重复爆炸和快速旋转过程中,血管逐渐软化对脑组织应变变化的影响。该模型结合了猪特有的解剖细节和材料特性,包括详细的脑血管系统。模拟包括六次不同程度的爆炸超压或冠状或矢状旋转的重复暴露。附加的“无血管”(NV)病例被包括在每个加载条件下,以基准血管的机械贡献。在先前Göttingen迷你猪脑动脉实验的基础上,每次暴露后进行血管软化。虽然爆炸暴露不会产生足够的应变来诱导血管软化,但旋转事件会随着重复而逐渐增加脑应变,特别是在软化血管附近的区域。这些增加反复向NV状态发展,与软化血管的结构支撑减少一致。结果还显示血管破裂和轴索损伤的风险增加。这些发现阐明了血管软化在反复TBI中的生物力学作用,并表明即使是亚衰竭血管损伤也可能在反复暴露中加剧脑劳损并增加损伤风险。
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引用次数: 0
Viscoelastic phenotyping of meningiomas reveals biomechanical classes and intratumoral heterogeneity 脑膜瘤的粘弹性表型揭示了生物力学分类和瘤内异质性。
IF 3.5 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-11-27 DOI: 10.1016/j.jmbbm.2025.107282
Jan Saip Aunan-Diop , José Bonilla , Bo Halle , Christian Bonde Pedersen , Ancuta Ioana Friismose , Bo Mussmann , Frantz Rom Poulsen
Tumor consistency influences meningioma handling during surgery, but systematic biomechanical classifications are lacking. In this prospective study, 129 tumor slices from 20 meningiomas underwent amplitude-sweep oscillatory rheometry (1–100% strain, 1 Hz) to characterize storage modulus (G′), loss modulus (G″), damping (tan δ), yield strain, and strain stiffening. Curves were normalized, embedded by principal component analysis, and subjected to unsupervised clustering. Three reproducible viscoelastic phenotypes were identified (Cluster A: 29%, B: 61%, C: 9%) that differed significantly across baseline stiffness, stiffening slope, yield strain, and damping (all q < 1 × 10-7). Cluster C, defined by high stiffness and elevated dissipation, was strongly associated with intraoperative hard grading (OR 82.8, 95% CI 11.0–623.2, p < 0.0001). Tumor-level stiffness index correlated with overall consistency (ρ = 0.48, p = 0.033), and the hard-phenotype fraction tracked both maximum (ρ = 0.54, p = 0.013) and minimum consistency (ρ = 0.53, p = 0.017). Entropy-based heterogeneity did not predict surgical consistency range. Clustering robustness was confirmed by bootstrap (ARI 0.81) and leave-one-tumor-out analysis (ARI 0.79). These findings suggest a quantitative biomechanical classification of meningiomas directly linked to operative handling.
肿瘤一致性影响手术中脑膜瘤的处理,但缺乏系统的生物力学分类。在这项前瞻性研究中,来自20个脑膜瘤的129个肿瘤切片进行了振幅扫描振荡流变仪(1-100%应变,1 Hz)来表征存储模量(G'),损耗模量(G″),阻尼(tan δ),屈服应变和应变硬化。曲线归一化,主成分分析嵌入,并进行无监督聚类。确定了三种可重复的粘弹性表型(A组:29%,B组:61%,C组:9%),它们在基线刚度、加劲斜率、屈服应变和阻尼(均为q -7)之间存在显著差异。C组,定义为高刚度和高耗散,与术中硬度分级密切相关(OR 82.8, 95% CI 11.0-623.2, p . 522)
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引用次数: 0
Quantification of anisotropic biophysical properties of lower leg muscles at passive dorsiflexion and plantarflexion using magnetic resonance elastography and diffusion tensor imaging 应用磁共振弹性成像和扩散张量成像定量分析被动背屈和跖屈下肢肌肉的各向异性生物物理特性。
IF 3.5 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-11-27 DOI: 10.1016/j.jmbbm.2025.107285
Mahsa Salimi Majd , Heiko Tzschätzsch , Tom Meyer , Noah Jaitner , Yang Yang , Neele Hattermann , Alison N. Agres , Georg N. Duda , Steffen Görner , Jürgen Braun , Ingolf Sack , Jing Guo
Determining the biomechanical properties of skeletal muscle in-vivo is challenging due to structural anisotropy. In this study, we developed combined diffusion tensor imaging (DTI) and magnetic resonance elastography (MRE) to quantify direction-dependent biophysical properties of the lower leg muscles and their changes during passive plantarflexion (PF) and dorsiflexion (DF).
Thirteen male volunteers were studied using DTI-MRE. Anisotropic shear-wave-speeds parallel (c) and perpendicular (c) to the fiber orientation were reconstructed by aligning MRE vector wave fields to the principal fiber axis with rotation angles obtained from DTI tractography. Isotropic ciso was also calculated without rotation for comparison. Fractional anisotropy (FA), radial (RD) and axial diffusivity (AD) were obtained from DTI.
c was higher than c in tibialis anterior (TibA), whereas the opposite was observed in posterior soleus (SolP). From PF to DF, c and c changed significantly in all muscles: TibA (−15 ± 11 %, −15 ± 13 %), SolP (8 ± 12 %, 9 ± 11 %), and gastrocnemius medialis (GasM) (11 ± 15 %, 21 ± 14 %), respectively (all p < 0.05). ciso was only sensitive in TibA (−13 ± 7 %) and GasM (4 ± 11 %), both p < 0.05. For DTI, from PF to DF, FA and RD changed significantly in TibA (−20 ± 12 %, 10 ± 7 %), SolP (26 ± 12 %, −6±6 %), and GasM (19 ± 12 %, −5±7 %), respectively (all p < 0.001). AD only changed in SolP (3 ± 5 %, p < 0.01).
In conclusion, anisotropic MRE was more sensitive to ankle positions in lower leg muscles than isotropic MRE and revealed biomechanical differences between muscle types. In the future, DTI-MRE with anisotropic parameter reconstruction could be used for the detection of subtle structural changes in muscle diseases.
由于结构的各向异性,在体内确定骨骼肌的生物力学特性是具有挑战性的。在这项研究中,我们开发了联合扩散张量成像(DTI)和磁共振弹性成像(MRE)来量化下肢肌肉的方向依赖性生物物理特性及其在被动跖屈(PF)和背屈(DF)期间的变化。13名男性志愿者使用DTI-MRE进行了研究。平行于(c∥)和垂直于(c⊥)纤维方向的各向异性剪切波速通过将MRE矢量波场与DTI示波成像获得的旋转角度对齐到主纤维轴来重建。在不旋转的情况下计算各向同性ciso进行比较。DTI得到了分数各向异性(FA)、径向(RD)和轴向扩散系数(AD)。c∥在胫骨前肌(TibA)中高于c⊥,而在比目鱼后肌(SolP)中则相反。从PF到DF, c⊥和c∥在所有肌肉中都发生了显著变化:TibA(-15±11%,-15±13%),SolP(8±12%,9±11%)和腓肠肌内侧肌(GasM)(11±15%,21±14%)分别(所有p iso仅在TibA(-13±7%)和GasM(4±11%)中敏感,均为p
{"title":"Quantification of anisotropic biophysical properties of lower leg muscles at passive dorsiflexion and plantarflexion using magnetic resonance elastography and diffusion tensor imaging","authors":"Mahsa Salimi Majd ,&nbsp;Heiko Tzschätzsch ,&nbsp;Tom Meyer ,&nbsp;Noah Jaitner ,&nbsp;Yang Yang ,&nbsp;Neele Hattermann ,&nbsp;Alison N. Agres ,&nbsp;Georg N. Duda ,&nbsp;Steffen Görner ,&nbsp;Jürgen Braun ,&nbsp;Ingolf Sack ,&nbsp;Jing Guo","doi":"10.1016/j.jmbbm.2025.107285","DOIUrl":"10.1016/j.jmbbm.2025.107285","url":null,"abstract":"<div><div>Determining the biomechanical properties of skeletal muscle in-vivo is challenging due to structural anisotropy. In this study, we developed combined diffusion tensor imaging (DTI) and magnetic resonance elastography (MRE) to quantify direction-dependent biophysical properties of the lower leg muscles and their changes during passive plantarflexion (PF) and dorsiflexion (DF).</div><div>Thirteen male volunteers were studied using DTI-MRE. Anisotropic shear-wave-speeds parallel (<span><math><mrow><msub><mi>c</mi><mo>∥</mo></msub></mrow></math></span>) and perpendicular (<span><math><mrow><msub><mi>c</mi><mo>⊥</mo></msub></mrow></math></span>) to the fiber orientation were reconstructed by aligning MRE vector wave fields to the principal fiber axis with rotation angles obtained from DTI tractography. Isotropic <span><math><mrow><msub><mi>c</mi><mtext>iso</mtext></msub></mrow></math></span> was also calculated without rotation for comparison. Fractional anisotropy (FA), radial (RD) and axial diffusivity (AD) were obtained from DTI.</div><div><span><math><mrow><msub><mi>c</mi><mo>∥</mo></msub></mrow></math></span> was higher than <span><math><mrow><msub><mi>c</mi><mo>⊥</mo></msub></mrow></math></span> in tibialis anterior (TibA), whereas the opposite was observed in posterior soleus (SolP). From PF to DF, <span><math><mrow><msub><mi>c</mi><mo>⊥</mo></msub></mrow></math></span> and <span><math><mrow><msub><mi>c</mi><mo>∥</mo></msub></mrow></math></span> changed significantly in all muscles: TibA (−15 ± 11 %, −15 ± 13 %), SolP (8 ± 12 %, 9 ± 11 %), and gastrocnemius medialis (GasM) (11 ± 15 %, 21 ± 14 %), respectively (all p &lt; 0.05). <span><math><mrow><msub><mi>c</mi><mtext>iso</mtext></msub></mrow></math></span> was only sensitive in TibA (−13 ± 7 %) and GasM (4 ± 11 %), both p &lt; 0.05. For DTI, from PF to DF, FA and RD changed significantly in TibA (−20 ± 12 %, 10 ± 7 %), SolP (26 ± 12 %, −6±6 %), and GasM (19 ± 12 %, −5±7 %), respectively (all p &lt; 0.001). AD only changed in SolP (3 ± 5 %, p &lt; 0.01).</div><div>In conclusion, anisotropic MRE was more sensitive to ankle positions in lower leg muscles than isotropic MRE and revealed biomechanical differences between muscle types. In the future, DTI-MRE with anisotropic parameter reconstruction could be used for the detection of subtle structural changes in muscle diseases.</div></div>","PeriodicalId":380,"journal":{"name":"Journal of the Mechanical Behavior of Biomedical Materials","volume":"175 ","pages":"Article 107285"},"PeriodicalIF":3.5,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145663127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A parametric analysis of interbody fusion cages placement: A finite elements approach comparing lumbar lordosis of bullet and steerable banana cages 椎间融合器放置的参数分析:用有限元方法比较子弹式和可操纵香蕉式腰椎前凸
IF 3.5 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-11-24 DOI: 10.1016/j.jmbbm.2025.107281
Ibrahim El Bojairami , Carlo Santaguida , Salim Al Rawahi , Ahmed Aoude , Mark Driscoll

Introduction

Improper cage placement during spinal interbody fusion surgeries could lead to numerous post-operative complications. Biomechanical factors of such improper placement may result in loss of lumbar lordosis, foraminal stenosis, subsidence, and altered stress distribution to the tissues adjacent to the cage.

Objective

The aim of the present study is to compare three different lumbar interbody cage designs, placed posterior, middle, and anterior, and their biomechanical effect on the aforementioned studied parameter.

Methodology

Cages and MRI-based lumbar spine models were developed using finite elements. A parametric comparative analysis was then designed to explore cage types, height, and location on lumbar lordosis, foraminal area, cage subsidence, along with normal and shear stresses resulting from each cage configuration under a 500 N compression load.

Results

First, the model was validated in light of published data. Simulated results showed that lumbar lordosis and foraminal area are inversely related. The 6-degrees bullet cage showed the highest gain in lordosis (16.5°), while it exhibited a large loss in foraminal area (34.2 mm2). Anterior placement of banana cages, however, showed the best trade-off, effectively recording a 14.5° lordosis gain, a 0.6 mm2 loss in foraminal area, a subsidence as low as 0.27 mm, and a moderate cage stress of 13.6–23.1 MPa.

Conclusions

Reported data favors banana cages for the highest lordosis gains without compromising the other explored biomechanical factors. However, it is still advised to thoroughly consider patient-specific factors at hand, possible complications of foraminal stenosis, cage migration, and endplates wear prior to choosing an appropriate cage morphology and placement.
在脊柱椎体间融合手术中,不适当的cage放置会导致许多术后并发症。这种放置不当的生物力学因素可能导致腰椎前凸、椎间孔狭窄、下陷和改变笼子附近组织的应力分布。目的本研究的目的是比较三种不同的腰椎椎体间固定架设计,放置在后路、中路和前路,以及它们对上述研究参数的生物力学影响。方法采用有限元方法建立腰椎笼和mri模型。然后设计了参数比较分析,探讨笼型、高度、腰椎前凸位置、椎间孔面积、笼下沉,以及每种笼型在500n压缩载荷下产生的正应力和剪切应力。结果首先,根据已发表的数据对模型进行验证。模拟结果表明,腰椎前凸与椎间孔面积呈负相关。6度弹笼在前凸的增益最大(16.5°),而在椎间孔面积的损失较大(34.2 mm2)。然而,香蕉笼前置表现出最好的平衡,有效地记录了14.5°的前凸增加,0.6 mm2的椎间孔面积损失,低至0.27 mm的下沉,以及13.6-23.1 MPa的适度笼应力。结论:在不影响其他生物力学因素的情况下,报告的数据支持香蕉笼获得最高的前凸增益。然而,在选择合适的cage形态和放置位置之前,仍建议彻底考虑患者的具体因素,可能的椎间孔狭窄并发症,cage移动和终板磨损。
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引用次数: 0
Biodegradable and osteoconductive sodium alginate-gelatin/amorphous magnesium phosphate 3D-printed scaffolds for craniofacial bone regeneration 可生物降解和骨导电性海藻酸钠-明胶/无定形磷酸镁3d打印颅面骨再生支架
IF 3.5 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-11-24 DOI: 10.1016/j.jmbbm.2025.107284
Joyce R. de Souza , Igor P. Mendes Soares , Caroline Anselmi , Prabaha Sikder , Josimeri Hebling , Alexandre L.S. Borges , Eliandra S. Trichês , Marco C. Bottino
This study aimed (1) to develop and characterize 3D-printed hydrogel-based scaffolds composed of sodium alginate and gelatin containing amorphous magnesium phosphate (AMP), and (2) to evaluate the scaffolds’ biological response with alveolar bone–derived mesenchymal stem cells (aBMSCs). Hydrogel inks were prepared with sodium alginate, gelatin, calcium chloride, and varying AMP contents (0 %, 5 %, and 10 %). The scaffolds were fabricated using an extrusion-based 3D bioprinter. First, the formulated hydrogel-based inks were characterized for rheological behavior and printability. After printing, the scaffolds were assessed for morphology, chemical composition, mechanical properties, and swelling/degradation profiles. For in vitro cell-scaffold interaction, scaffolds were seeded with aBMSCs and analyzed for cell viability, matrix mineralization, and osteogenic gene expression via RT-qPCR. Statistical analysis was performed with ANOVA/Sidak or Tukey tests, with confidence intervals (α = 5 %). Rheological analysis showed that all inks exhibited shear-thinning behavior, more pronounced in AMP-containing formulations. Filament drop tests and printability assessments demonstrated filament uniformity and structural fidelity in AMP-containing inks. Morphological analysis revealed well-defined scaffold architecture with regular edges, and SEM confirmed smooth surface morphology with uniform AMP distribution. FTIR spectra displayed characteristic phosphate and polymer bands, while EDS confirmed the presence of magnesium and phosphorus in AMP-containing scaffolds. The swelling behavior increased over 24 h, and all 3D-printed scaffolds fully degraded within 35 days. All formulations supported increased cell viability over time (p ≤ 0.0092). AMP-containing scaffolds enhanced mineralized matrix deposition under osteogenic stimulation (p < 0.0001), particularly in the 10 % AMP group, and promoted upregulation of osteogenic genes (COL1A1, ALPL, and RUNX2). Clinical significance: This study demonstrated that incorporating AMP into alginate-based hydrogels combines printability, biodegradability, and osteoconductive properties. Previous AMP-containing biomaterials lacked optimization for material extrusion-based 3D printing or the synergistic combination with a gelatin-alginate network. This strategy represents an advance in the field, offering a potential biomaterial ink for the fabrication of personalized scaffolds for craniofacial bone regeneration, enabling synergistic modulation of rheology and early osteogenic stimulation.
本研究旨在(1)开发和表征含有无定形磷酸镁(AMP)的海藻酸钠和明胶组成的3d打印水凝胶支架,(2)评估支架与牙槽骨源性间充质干细胞(aBMSCs)的生物学反应。用海藻酸钠、明胶、氯化钙和不同AMP含量(0%、5%和10%)制备水凝胶油墨。支架是使用基于挤压的3D生物打印机制造的。首先,对所配制的水凝胶基油墨进行了流变性和可印刷性表征。打印后,对支架的形态、化学成分、机械性能和膨胀/降解特性进行了评估。对于体外细胞-支架相互作用,我们在支架中植入aBMSCs,并通过RT-qPCR分析细胞活力、基质矿化和成骨基因表达。统计学分析采用ANOVA/Sidak或Tukey检验,置信区间为(α = 5%)。流变分析表明,所有油墨都表现出剪切减薄行为,在含有amp的配方中更为明显。灯丝跌落测试和可印刷性评估证明了含有amp的油墨中的灯丝均匀性和结构保真度。形态学分析显示支架结构清晰,边缘规则,SEM证实表面形貌光滑,AMP分布均匀。FTIR光谱显示出磷酸盐和聚合物的特征带,EDS证实了含amp支架中镁和磷的存在。在24 h内,肿胀行为增加,所有3d打印支架在35天内完全降解。随着时间的推移,所有配方均支持细胞活力增加(p≤0.0092)。含AMP的支架在成骨刺激下增强矿化基质沉积(p < 0.0001),特别是在10% AMP组,并促进成骨基因(COL1A1, ALPL和RUNX2)的上调。临床意义:本研究表明,将AMP加入海藻酸盐基水凝胶具有可打印性、生物降解性和骨导电性。以前含有amp的生物材料缺乏基于材料挤压的3D打印优化或与明胶-海藻酸盐网络的协同组合。这一策略代表了该领域的一项进步,为颅面骨再生个性化支架的制造提供了一种潜在的生物材料链接,实现了流变学和早期成骨刺激的协同调节。
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引用次数: 0
A comprehensive biomechanical material characterization of the human breast fibro-structural support system 人类乳房纤维结构支撑系统的综合生物力学材料表征。
IF 3.5 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-11-24 DOI: 10.1016/j.jmbbm.2025.107283
Aroj Bhattarai , Gregory P. Reece , Kristy K. Brock , Krishnaswamy Ravi-Chandar
Breast surgery for aesthetic purposes, such as breast augmentation or breast reduction, and breast reconstruction after cancer treatment require an accurate structural (anatomical) and mechanical (functional) understanding of the breast components, including the fascial-ligamentous support system of the breast, to achieve optimal results. This paper aims to provide a comprehensive description of the mechanical behavior of the ligamentous and fascial connective tissues of the human female breast. Fasciae and ligaments obtained from 17 patients between 35 and 85 years of age who were undergoing mastectomy and three female cadavers were tested. Uniaxial tensile tests were conducted, and three constitutive models -- the phenomenological Fung exponential model, the invariant-based anisotropic Gasser-Ogden-Holzapfel model, and the meso-scale structural constitutive model -- were employed to fit the experimental stretch-stress curves. Our results show that the stiffness becomes consistent once collagen fibers are fully stretched, regardless of tissue type or patient factors. This paper presents a comprehensive mechanical characterization of all the connective tissues contributing to the fascial support structures of the breast, collectively termed here as the breast fibro-structural support (BFSS) system. A generalized stress-stretch curve with initial stretch as the only variable effectively captures patient-specific variability.
以美学为目的的乳房手术,如隆胸或缩胸,以及癌症治疗后的乳房重建,需要对乳房组成部分(包括乳房的筋膜-韧带支撑系统)有准确的结构(解剖)和机械(功能)了解,以达到最佳效果。本文旨在全面描述人类女性乳房韧带和筋膜结缔组织的力学行为。对17例35岁至85岁的乳房切除术患者和3具女性尸体的筋膜和韧带进行了测试。进行单轴拉伸试验,采用现象学Fung指数模型、基于不变量的各向异性Gasser-Ogden-Holzapfel模型和细观尺度结构本构模型拟合实验拉伸-应力曲线。我们的研究结果表明,无论组织类型或患者因素如何,一旦胶原纤维被充分拉伸,僵硬度就会保持一致。本文介绍了所有有助于乳房筋膜支持结构的结缔组织的综合力学特征,这里统称为乳房纤维结构支持(BFSS)系统。以初始拉伸为唯一变量的广义应力-拉伸曲线有效地捕获了患者的特异性变异性。
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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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