Search Results (10)

This study evaluates a novel high-density polyethylene (HDPE) browlift peg for brow fixation in endoscopic forehead lifting, assessing its safety, effectiveness, and aesthetic outcomes while contextualizing its use through a narrative review of existing techniques. Twenty-nine consecutive female patients underwent bilateral endoscopic brow lifts using a custom-shaped HDPE peg inserted into the frontal bone via a small paramedian incision. Outcomes included postoperative brow symmetry, defined as ≤2 mm asymmetry, and documentation of complications. The mean patient age was 62.1 years, with an average follow-up of 12.3 months. All patients achieved symmetric brow positioning within 2 mm. No cases of implant extrusion, wound dehiscence, or permanent nerve injury occurred. Minor complications included one case each of transient paresthesia, localized incision infection not involving the implant, and a palpable implant removed in-office under local anesthesia. A parallel narrative review highlighted common limitations in brow fixation strategies—namely, implant palpability, risk of relapse, cost, and invasiveness. These findings suggest that the HDPE peg is a safe, customizable, and cost-effective alternative for brow fixation, offering durable aesthetic results with minimal complications and potential value in aesthetic and oculoplastic surgery. Full article

Background: Subcutaneous pocket infection is a common morbidity associated with the integration of cardiac implantable electronic devices (CIEDs). A new antibiotic-eluting CIED bioenvelope has been developed as a prophylactic measure to mitigate infection and skin erosion caused by device migration. This study investigated the envelope’s regulatory properties in scar formation and vascularization. Methods: Fibroblasts were seeded on either plastic (n = 6) or small intestine submucosal extracellular matrix (SIS-ECM) (n = 6) for 24 h. The culture media were analyzed for proangiogenic and proinflammatory proteins with multiplex. Sham (n = 8) or SIS-ECM (n = 8) was randomly implanted into the dorsal subcutaneous pocket of mice. The implants were excised on day 7, cultured for 24 h, and the media analyzed. Rabbit models were implanted with either synthetic polymer HDPE (n = 12) or SIS-ECM (n = 11). The treatments were excised at weeks 2, 10, and 26 and then stained for analysis. Results: SIS-ECM significantly increased the fibroblasts’ paracrine release of proangiogenic and proinflammatory factors like VEGF-A (p < 0.05) and IL-6 (p < 0.05) compared with plastic. The murine tissue interacting with SIS-ECM released significantly more angiogenic proteins like VEGF-A (p < 0.05) than the sham. The histology analysis of rabbit subcutaneous tissue revealed a decreasing level of inflammation and fibrosis over time with SIS-ECM. Conclusions: The CIED bioenvelope elicited proangiogenic paracrine signaling and reduced fibrotic response in fibroblasts and animal models. Clinical translation of the CIED bioenvelope as an adjunct to regular prophylactic practice may be warranted in the future. Full article

Enophthalmos is a severe complication of primary reconstruction following orbital floor fractures, oncological resections, or maxillo-facial syndromes. The goal of secondary orbital reconstruction is to regain a symmetrical globe position to restore function and aesthetics. In this article, we present a method of computer-assisted orbital floor reconstruction using a mirroring technique and a custom-made titanium or high-density polyethylene mesh printed using computer-aided manufacturing techniques. This reconstructive protocol involves four steps: mirroring of the healthy orbit computer tomography files at the contralateral affected site, virtual design of a customized implant, computer-assisted manufacturing (CAM) of the implant using Direct Metal Laser Sintering (DMLS) or Computer Numerical Control (CNC) methods, and surgical insertion of the device. Clinical outcomes were assessed using 3dMD photogrammetry and computed tomography measures in 13 treated patients and compared to a control group treated with stock implants. An improvement of 3.04 mm (range 0.3–6 mm) in globe protrusion was obtained for the patients treated with patient-specific implants (PSI), and no major complications have been registered. The technique described here appears to be a viable method for correcting complex orbital floor defects needing delayed reconstruction. Full article

In articular joint implants, polymeric inserts are usually exploited for on-contact sliding surfaces to guarantee low friction and wear, a high load-bearing capacity, impact strength and stiffness, and biocompatibility. Surface micro-structuring can drastically reduce friction and wear by promoting hydrostatic friction due to synovial fluid. Ultra-High Molecular Weight Polyethylene (UHMWPE) is a suitable material for these applications due to its strong chemical resistance, excellent resistance to stress, cracking, abrasion, and wear, and self-lubricating property. However, surface micro-texturing of UHMWPE is hardly achievable with the currently available processes. The present study investigates UHMWPE’s micro-textured surface replication capability via injection molding, comparing the results with the more easily processable High-Density Polyethylene (HDPE). Four different micro-texture cavities were designed and fabricated on a steel mold by micro-EDM milling, and used for the experimental campaign. Complete samples were fabricated with both materials. Then, the mold and samples were geometrically characterized, considering the dimensions of the features and the texture layout. The replication analysis showed that HDPE samples present geometrical errors that span from 1% to 9% resulting in an average error of 4.3%. In comparison, the UHMWPE samples display a higher variability, although still acceptable, with percentage errors ranging from 2% to 31% and an average error of 11.4%. Full article

As a promising industrial thermoplastic polymer material, high-density polyethylene (HDPE) possesses distinct properties of ease to process, good biocompatibility, high recyclability, etc. and has been widely used to make packaging, prostheses and implants, and liquid-permeable membranes. Traditional manufacturing processes for HDPE, including injection molding, thermoforming, and rotational molding, require molds or post processing. In addition, part shapes are highly restricted., Thus, fused deposition modeling (FDM) is introduced to process HDPE materials to take advantage of FDM’s free of design, no mold requirement, ease and low cost of processing. To improve the mechanical properties (such as stiffness and strength) and thermal resistance of HDPE, carbon fiber (CF) was incorporated into HDPE, and CF-reinforced HDPE composites were successfully fabricated using FDM process. In addition, the effects of CF content on surface quality, microstructure characterizations, tensile properties, dynamic mechanical properties, and thermal properties have been investigated. Experimental results show that an appropriate CF content addition is beneficial for improving surface quality, and mechanical and thermal properties. Full article

In this work, a holistic approach for the fabrication of dense Ti6Al4V parts via material extrusion methods (MEX), such as fused filament fabrication (FFF) or fused feedstock deposition (FFD), will be presented. With respect to the requirements of the printing process, a comprehensive investigation of the feedstock development will be described. This covers mainly the amount ratio variation of the main binder components LDPE (low-density polyethylene), HDPE (high-density polyethylene), and wax, characterized by shear and oscillation rheology. Solid content of 60 vol% allowed the 3D printing of even more complex small parts in a reproducible manner. In some cases, the pellet-based FFD seems to be superior to the established FFF. After sintering, a density of 96.6% of theory could be achieved, an additional hot isostatic pressing delivered density values better than 99% of theory. The requirements (mechanical properties, carbon, and oxygen content) for the usage of medical implants (following ASTM F2885-17) were partially fulfilled or shortly missed. Full article

This paper presents the formulation, characterization, and in vitro studies of polymer composite material impregnated with naturally derived hydroxyapatite (HA) particulates for biomedical implant applications. Laevistrombus canarium (LC) seashells (SS) were collected, washed and cleaned, sun-dried for 24 h, and ground into powder particulates. The SS particulates of different weight percentages (0, 10, 20, 30, 40, 50 wt%)-loaded high-density polyethylene (HDPE) composites were fabricated by compression molding for comparative in vitro assessment. A temperature-controlled compression molding technique was used with the operating pressure of 2 to 3 bars for particulate retention in the HDPE matrix during molding. The HDPE/LC composite was fabricated and characterized using X-ray diffraction (XRD), field-emission scanning electron microscopy (FESEM), energy-dispersive X-ray (EDX), differential scanning calorimetry (DSC), and TGA. Mechanical properties such as tensile, compression, flexural, hardness, and also surface roughness were tested as per ASTM standards. Mass degradation and thermal stability of the HDPE/LC composite were evaluated at different temperatures ranging from 10 to 700 °C using thermogravimetric analysis (TGA). The maximum tensile strength was found to be 27 ± 0.5 MPa for 30 wt% HDPE/LC composite. The thermal energy absorbed during endothermic processes was recorded as 71.24 J/g and the peak melting temperature (Tm) was found to be 128.4 °C for the same 30 wt% of HDPE/LC composite specimen. Excellent cell viability was observed during the in vitro biocompatibility study for EtO-sterilized 30 wt% of HDPE/LC composite specimen, except for a report of mild cytotoxicity in the case of higher concentration (50 µL) of the MG-63 cell line. The results demonstrate the potential of the fabricated composite as a suitable biomaterial for medical implant applications. Full article

The high price of petroleum, overconsumption of plastic products, recent climate change regulations, the lack of landfill spaces in addition to the ever-growing population are considered the driving forces for introducing sustainable biodegradable solutions for greener environment. Due to the harmful impact of petroleum waste plastics on human health, environment and ecosystems, societies have been moving towards the adoption of biodegradable natural based polymers whose conversion and consumption are environmentally friendly. Therefore, biodegradable biobased polymers such as poly(lactic acid) (PLA) and polyhydroxyalkanoates (PHAs) have gained a significant amount of attention in recent years. Nonetheless, some of the vital limitations to the broader use of these biopolymers are that they are less flexible and have less impact resistance when compared to petroleum-based plastics (e.g., polypropylene (PP), high-density polyethylene (HDPE) and polystyrene (PS)). Recent advances have shown that with appropriate modification methods—plasticizers and fillers, polymer blends and nanocomposites, such limitations of both polymers can be overcome. This work is meant to widen the applicability of both polymers by reviewing the available materials on these methods and their impacts with a focus on the mechanical properties. This literature investigation leads to the conclusion that both PLA and PHAs show strong candidacy in expanding their utilizations to potentially substitute petroleum-based plastics in various applications, including but not limited to, food, active packaging, surgical implants, dental, drug delivery, biomedical as well as antistatic and flame retardants applications. Full article

The versatility of high-density polyethylene (HDPE) makes it one of the most used polymers for vast applications ranging from food packaging to human implants. However, there still is confusion regarding the proper selection of processing techniques to produce HDPE specimens for high-end applications. Herein, we compare the processing of HDPE by two relevant techniques: compression and injection molding. The fabricated samples were studied using uniaxial tensile testing to determine their mechanical performance. Furthermore, the microstructure of samples was analyzed using different characterization techniques. Compression-molded specimens recorded a higher degree of crystallinity (DC) using two different characterization techniques such as differential scanning calorimetry (DSC) and X-ray diffraction (XRD). With this information, critical processing factors were determined, and a general structure–property relationship was established. It was demonstrated that having a higher DC resulted in higher yield strength and Young’s modulus. Furthermore, premature failure was observed in the injection-molded specimens, resulting in lower mechanical performance. This premature failure was caused due to flow marks observed using scanning electron microscopy (SEM). Therefore, it is concluded that compression molding produces superior samples compared to injection molding. Full article

It is believed that the structure and properties of parts fabricated by additive (i.e., non-stationary) manufacturing are slightly worse compared to hot pressing. To further proceed with improving the quality of Fused Deposition Modeling 3D-printed parts, the ‘UHMWPE + 17 wt.% HDPE-g-SMA + 12 wt.% PP’ composite feedstock fabrication parameters, by the twin-screw extruder compounding and 3D printing (the Fused Deposition Modeling (FDM) process), were optimized using the Taguchi method. The optimization was carried out over the results of mechanical tests. The obtained results were interpreted in terms of (1) the uniformity of mixing of the polymer components upon compounding and (2) the homogeneity of the structure formed by the 3D printing. The values of the main factors (the processing parameters) were determined using the Taguchi method. Their application made it possible to improve the physical, mechanical, and tribological properties of the samples manufactured by the FDM method at the level of neat UHMWPE as well as the UHMWPE-based composites fabricated by compression sintering. A comparative analysis of the structure, as well as the mechanical and tribological properties of the composite obtained by the FDM method, and the hot pressing from ‘optimized’ feedstock was performed. The ‘UHMWPE + 17 wt.% HDPE-g-SMA + 12 wt.% PP’ composites fabricated by the optimal compounding and 3D printing parameters can be implemented for the additive manufacturing of complex shape products (including medical implants, transport, mining, and processing industries; in particular, in the Far North). Full article