Search Results (380)

The main objective of this systematic review was to synthesise current knowledge on tricalcium phosphate (TCP) as a functional modifier of poly(methyl methacrylate) (PMMA)-based bone cements, relating the microstructure of PMMA/TCP composites to their mechanical, biological and functional (handling) performance. Web of Science, Scopus and PubMed were searched for 2010–2025. Studies reporting primary quantitative data on PMMA cements specifically modified with TCP were eligible. Over one hundred records were screened by two independent reviewers, yielding 15 studies appraised qualitatively and combined by narrative synthesis. The evidence links polymerisation of the PMMA matrix, calcium and phosphate ion release from TCP, apatite-layer precipitation, and cell-mediated TCP resorption coupled to bone remodelling. TCP, especially β-TCP or biphasic calcium phosphate systems, can balance mechanical stability with bioactivity: moderate β-TCP contents (of the order of 10 wt% for solid cements under quasi-static compression) preserve clinically acceptable properties while enhancing osteoconductivity, though this limit falls for porous, α-TCP-containing and fatigue-loaded formulations. Porosity, TCP amount, crystalline form and particle size are the governing microstructural variables. The evidence is limited, dominated by in vitro and short-term static tests, with heterogeneous formulations and no controlled clinical data, so benefits should be interpreted qualitatively rather than as firm quantitative relationships. The review was not registered; this research received no external funding. Full article

Complex patient-specific bone defects remain difficult to reconstruct because the regenerative capacity of bone is limited and prefabricated implants cannot readily match defect geometry. In this work, methylcellulose-gelatin-hydroxyapatite (MC/GEL/HA) inks were formulated with varying methylcellulose content and hydroxyapatite incorporation, crosslinked with EDC/NHS, and 3D-printed into porous scaffolds with defined square-pore architectures. Inks were evaluated by oscillatory and steady-shear rheology, and printed scaffolds were characterized for morphology, chemical composition, mechanical performance, physicochemical stability, wettability, apatite-forming bioactivity, and osteogenic responses of human bone marrow mesenchymal stem cells. Methylcellulose content primarily governed ink rheology and printability, and increased compressive strength (up to ~0.38 MPa for 15MC/10GEL/30HA), whereas hydroxyapatite enhanced surface hydrophilicity, promoted apatite nucleation within 7 days in simulated body fluid, and markedly increased alkaline phosphatase activity (>10-fold over HA-free scaffolds), mineralization (~2-fold by Alizarin Red), and the highest osteocalcin expression among the HA-containing formulations (~2.45-fold at day 14). The 15MC/10GEL/30HA formulation showed the most favorable balance of printability, mechanical performance, and osteogenic performance. These complementary functions reconciled structural stability with osteogenic performance, supporting the MC/GEL/HA system as a tunable bioink platform for non-weight-bearing bone regeneration, while warranting further in vivo validation. Full article

Excess fluoride originating from phosphate mining activities poses a significant environmental and public health challenge, particularly in arid and semi-arid regions where water resources are limited. This study presents a comparative evaluation of four conventional defluoridation technologies for the treatment of real phosphate mine waters collected from two major Moroccan phosphate mining sites (Youssoufia and Khouribga). The investigated processes included coagulation–flocculation using aluminum sulfate and ferric chloride, chemical precipitation with calcium hydroxide and calcium chloride, adsorption on aluminum oxide (Al₂O₃) and zirconium oxide (ZrO₂), and fluoride removal using calcined bovine bone apatite under both batch and continuous-flow conditions. Adsorption equilibrium was interpreted using Langmuir and Freundlich isotherm models, while the effects of adsorbent dosage, contact time, and water matrix composition were systematically investigated. Among the coagulation processes, aluminum sulfate achieved fluoride removal of up to approximately 82.5% in phosphate washing water and approximately 76.3% in mine drainage water, whereas ferric chloride removed about 52% of the dissolved fluoride under the reported conditions. Lime and calcium chloride exhibited moderate removal efficiencies of 66% and 61%, respectively. Aluminum oxide showed the highest equilibrium adsorption capacity (q_m = 7.14 mg g⁻¹), while zirconium oxide displayed faster fluoride uptake because of its higher surface affinity for fluoride ions. The presence of competing ions in real mine waters was associated with lower adsorption performance compared with synthetic fluoride solutions. Calcined bone apatite proved to be the most effective material, achieving approximately 83% fluoride removal within 20 min under batch conditions and maintaining good performance during continuous fixed-bed operation, producing treated water with fluoride concentrations below the World Health Organization guideline value. Overall, the results demonstrate that calcined bone apatite provides the highest fluoride-removal performance among the investigated materials under the tested conditions. Its waste-derived origin, rapid adsorption kinetics, and effective fluoride removal make it a promising material for the treatment of fluoride-rich phosphate mine waters. The comparative evaluation further indicates that integrating chemical pretreatment with adsorption may represent a promising strategy for the treatment and potential reuse of mining effluents, although the performance of such a combined treatment train should be validated experimentally. Full article

The use of biogenic hydroxyapatite as a sustainable and bioactive alternative to synthetic ceramics has attracted increasing attention for 3D-printed scaffolds in bone tissue engineering. In this work, calcium alginate-based scaffolds reinforced with commercial (cHA) and biogenic hydroxyapatite (bHA) obtained from croaker fish bones (Micropogonias furnieri) were fabricated by 3D printing using hydroxyapatite contents ranging from 10% to 20%. Both hydroxyapatites exhibited hexagonal structures, and all formulations showed rheological behavior suitable for extrusion-based printing. Structural analyses revealed increased diffraction peak intensity with higher hydroxyapatite content, while FTIR spectra showed no significant structural changes. Hydroxyapatite addition increased the compressive modulus, although higher loadings reduced maximum resistance and produced denser, less porous structures. After 14 days in simulated body fluid, scaffolds containing 10% bHA favored apatite deposition, evidenced by increased phosphorus levels. In vitro assays using MC3T3-E1 pre-osteoblasts demonstrated biocompatibility, with metabolic viability above 70% and no toxicity. The 10% bHA formulation also enhanced cell proliferation, adhesion, and migration without increasing reactive oxygen or nitrogen species. Alizarin Red staining indicated osteogenic potential, while micronucleus assays with CHO-K1 cells confirmed the absence of genotoxicity. These findings highlight the potential of biogenic hydroxyapatite scaffolds for bone tissue engineering. Full article

This research reports on the properties of oxide-ceramic coatings produced by plasma electrolytic oxidation in novel electrolyte solutions for implantology applications. A series of bioactive calcium-phosphate coatings was synthesized on medical-grade Ti-13Zr-13Nb alloy using the plasma electrolytic oxidation (PEO) method. Novel electrolytes enriched with calcium and phosphorus were developed, enabling the formation of coatings with tailored physicochemical and structural characteristics. A correlation was established between the electrolyte composition and the phase composition, thickness, morphology, porosity, and microhardness of the resulting coatings. The optimum coatings exhibited a Ca/P ratio close to that of natural human bone tissue, homogeneity, a well-developed porous surface topography, and controlled resorption behavior. For the first time, a mechanism of calcium-phosphate coating resorption in a biologically active environment has been proposed. It involves partial dissolution, the formation of apatite-like surface structures, and the subsequent controlled release of Ca and P ions. In vitro testing in simulated body fluid indicated the potential bioactivity of the synthesized coatings. The proposed calcium-phosphate coatings may be considered promising candidates for future implant surface modification. The results obtained are significant for the development of advanced orthopedic and dental implants, including those fabricated using additive manufacturing technologies. Full article

The development of multifunctional biomaterials for bone repair requires precursors that combine bioactivity, moderate antimicrobial growth-inhibitory effect, and imaging. This study demonstrates the multifunctional versatility of a single family of rare-earth-doped β-tricalcium phosphates (β-TCPs), Ca₉Eu(PO₄)₇ and Ca₉Dy(PO₄)₇, across three distinct formats: bioactive thin films (for implant coatings), brushite cements (for injectable bone fillers), and radiopaque PMMA bone composites (for load-bearing applications). This work serves as a proof-of-concept that the same doped phosphate precursors can address different clinical needs while retaining bioactivity, antimicrobial properties, and radiopacity. The phosphate precursors were synthesized via solid-state reaction. Pulsed laser deposition (PLD) was used to form amorphous, dense, and crack-free coatings, which exhibited excellent in vitro bioactivity through the rapid dissolution–reprecipitation of a carbonated apatite layer in simulated body fluid. The brushite-based bone cements were produced from doped β-TCPs. These cements demonstrated high cytocompatibility with mesenchymal stromal cells (>89% viability) and significantly enhanced osteogenic differentiation with antimicrobial activity against common pathogens (S. aureus, E. coli, P. aeruginosa). Furthermore, incorporation of these phosphates as fillers into PMMA bone cement resulted in a homogeneous particle distribution with reduced agglomeration compared to undoped β-TCPs, achieving clinically relevant radiopacity values (913 ± 22.4 HU for Dy-doped sample). Post-mortem studies by the CT method were performed on the vertebrae with PMMA–phosphate composites and brushite cements. It was shown that brushite cement in ovine lumbar vertebrae defects exhibited the highest radiopacity (1450–1550 ± 25 HU). The findings establish rare-earth-doped β-TCP as a unified multifunctional precursor that imparts bioactivity, the ability to support in vitro mineralization, antimicrobial properties, and enhanced radiopacity to thin films, phosphate cements, and polymer composite materials. Full article

This study investigates the composition, morphology and cultural significance of red pigment traces identified on bone pointed tools discovered in the Chalcolithic tell settlement of Pietrele–Măgura Gorgana, attributed to the Kodjadermen–Gumelnița–Karanovo VI cultural complex (4600–4250 BC). The observed use-wear patterns are consistent with repeated contact with soft, non-abrasive materials, including hide working, pigment application on leather or other organic surfaces, fiber manipulation, and perforation of soft substrates. Use-wear analysis revealed polished and flattened distal ends, compatible with repeated use on soft, non-abrasive materials, such as hide, leather, fiber, or other organic substrates. The possibility of pigment application directly on skin, in a practice analogous to tattooing, as previously published, cannot be excluded but remains speculative in the absence of experimental reference data or residue evidence specifically linked to such use. An associated ceramic container was tentatively interpreted as a possible vessel for ochre preparation, suggesting local processing of the pigment. The artifacts were investigated using multi-analytical archaeometric methods: SEM-EDS, AFM, TEM, FTIR, Raman, TGA, CLSM and pseudo-color image segmentation and 3D rendering of porosity distribution. The results consistently identified an iron oxide-based pigment, dominated by hematite and/or goethite, specific to ochre. Pigment particles (50–300 nm) form a well-defined superficial layer on the bone substrate, without Fe–Ca reactions at the interface. The simultaneous presence of Ca, P, Si, Mg and K indicates a silicate matrix with an apatite component, compatible with local and poorly purified raw materials. CIELAB colorimetric analyses revealed significant chromatic variability, suggesting the use of hematite-rich pigments and possible thermal transformations of goethite. The results contribute to the understanding of the pigment technologies of the Chalcolithic communities of the Lower Danube. Full article

In this study, a streptomycin sulfate-loaded bioactive glass/chitosan (STRS–BG/CH) composite scaffold was fabricated via an improved unidirectional freeze-drying method, with drug loadings of 20–40%. The scaffolds were investigated by X-ray diffraction, Fourier transform infrared spectroscopy, scanning electron microscopy, and energy dispersive X-ray analysis before and after in vitro testing. Antibacterial efficacy was evaluated against Gram-positive (Enterococcus faecalis, Staphylococcus aureus) and Gram-negative (Klebsiella pneumoniae, Escherichia coli) microorganisms via the agar diffusion method. The STRS–BG/CH scaffolds exhibited highly interconnected porous structures, prolonged antibacterial activity, and enhanced apatite-forming ability in vitro. Compared with bead-based carriers, scaffold-based systems provide enhanced structural integrity and interconnected porosity, which are advantageous for sustained drug release, apatite formation, and tissue integration. Accordingly, these multifunctional scaffolds may simultaneously provide localized antibacterial activity and potential relevance to bone tissue engineering applications. The prepared STRS–BG/CH scaffolds functioned as controlled release carriers for streptomycin sulfate while simultaneously maintaining antibacterial efficacy and bioactive performance. These results illustrate the importance of STRS–BG/CH scaffolds as a promising antibacterial bioactive scaffold system, warranting further biological investigation. Full article

Background/Objectives: The preliminary experience with new dual-mobility system for small Japanese patients was introduced in this paper. Methods: Twenty-nine hips which underwent primary THA were retrospectively reviewed. All cups were inserted via Hardinge lateral approach. The ability to perform formal Japanese sitting in a kneeling position (Seiza in Japanese) and bowing while sitting (Zarei in Japanese) was evaluated. The mean follow-up was 6 months. Results: The mean age at surgery was 70 years, mean height was 156 cm, mean weight was 58 kg, and mean body mass index was 23.6. The acetabular cups utilized were a hemispherical hydroxy-apatite coated cup (25 hips) and a hemispherical trabecular titanium cup (4 hips), with diameters of 46 mm in 5, 48 mm in 15, 50 mm in 3, 52 mm in 1, 54 mm in 3, 56 mm in 1, and 62 mm in 1; mean diameter was 49.4 mm. No postoperative dislocations including intraprosthetic dislocation or metal allergy were observed. The mean Harris hip score improved significantly from 39 points preoperatively to 89 points postoperatively (p < 0.05). Radiographic evaluation demonstrated bone ingrowth stability in all cases according to Engh’s criteria and no aseptic loosening of the implants. Mean hip flexion increased from 75° preoperatively to 90° postoperatively (p < 0.05). The ability to perform Seiza increased from 8 patients preoperatively to 23 patients postoperatively (p < 0.05). The ability to perform Zarei (deep bowing) increased from 7 patients preoperatively to 20 patients postoperatively (p < 0.05). Conclusions: This novel dual-mobility system designed for smaller Japanese patients offers three distinct advantages: (1) availability of 42, 44, 46 and 48–66 mm outer diameter cups, (2) 1 mm deeper center of rotation, providing increased jumping distance compared to other designs, and (3) improved assembly instrumentation (cement-gun-type bearing press). Early clinical results suggest that this newly developed dual-mobility THA system is well-suited to the lifestyle and anatomical characteristics of Japanese patients. Full article

The design of implant surfaces that support bone integration while limiting bacterial colonization remains a central challenge in biomaterials science and engineering. In this work, zinc-doped biomimetic calcium phosphate (CaP-Zn) coatings were fabricated on Ti6Al4V through surface activation followed by deposition in supersaturated simulated body fluid (SBF). Acid and alkali–calcium treatments produced a porous, calcium-rich interface that enabled the uniform formation of apatite-like CaP layers. Zinc incorporation was achieved without suppressing the formation of CaP phases and led to systematic changes in coating microstructure and surface chemistry. Spectroscopic and structural analyses indicated Zn incorporation within the CaP matrix, consistent with partial Ca²⁺ substitution and its association with poorly crystalline domains. These features promoted controlled ionic release and localized dissolution–reprecipitation behavior. Antibacterial testing against Streptococcus mutans revealed a clear Zn-dependent reduction in bacterial viability, while cytocompatibility remained within acceptable limits at moderate Zn levels. Finally, the coatings combine intrinsic bioactivity with ion-mediated antibacterial functionality, offering a multifunctional surface strategy for advanced titanium-based implants. Full article

Chitosan–hydroxyapatite (CS–HA) composite coatings offer a multifunctional surface modification to improve titanium implant performance, combining hydroxyapatite’s osteoconductivity with chitosan’s biocompatibility and antimicrobial properties. This review examines recent in vitro and in vivo studies, noting consistent enhancements in osteoblast adhesion, alkaline phosphatase activity, apatite formation, and bone–implant contact. Incorporation of silver, strontium, or graphene oxide can further boost antibacterial and osteogenic effects. However, variability in coating preparation, substrate treatment, and testing protocols limits reproducibility and clinical extrapolation. Standardised methodologies and extended in vivo validation are essential to advance CS–HA coatings toward reliable dental and orthopaedic applications. Full article

This study investigates the mechanical and biological properties of diamond lattice structure produced through lithography-based ceramic manufacturing, an additive manufacturing technique. HA480 specimens, cubes of 5 × 5 × 5 mm, were manufactured with appropriate pore sizes and porosity. Printed HA480 specimens were tested and analysed for compression strength, cell proliferation, and cell attachment. The printed cubes displayed interconnected pore geometry. A set of ten HA480 diamond lattice structure specimens were compressed until failure to obtain a compressive strength of 10.7 MPa. HA480 solid scaffolds were seeded with the human osteoblast cell line hFOB 1.19 cells. The fluorescence level results were higher on day 3 and decreased on days 5 and 7. Cell attachment was observed from day 1 to day 7. In this study, biodegradation was also evaluated with diamond lattice structure immersed in the simulated body fluid for days 1 and 7 and 28 days. The Scanning Electron Microscopy showed precipitation after 7 days immersion and evidence of apatite after 28 days on the HA480 surface. The findings provide evidence that HA480 reacts with biological fluids and can be used as a material for bone regeneration scaffold. Full article

With increasing life expectancy and an aging global population, the demand for orthopedic and dental implants is increasing. Recently developed, citric-acid-based anodization processes facilitate the production of more bioactive oxide layers by incorporating important bone minerals such as Ca, P, and Mg and forming bone-like crystalline compounds such as carbonated apatite on titanium implant materials. The primary goal of the present study was to evaluate the applicability of these anodization processes to solid and 3D-printed titanium alloy substrates. The anodized oxides produced on each solid or 3D-printed lattice substrate revealed multi-scaled surface roughness profiles as evidenced by scanning electron microscopy, optical microscopy, and surface roughness analyses. Additionally, each oxide group was shown to incorporate substantial amounts of Ca, P, and Mg bone-mineral dopants and form AB-type carbonated apatite, as shown using a combination of energy-dispersive spectroscopy, X-ray photoelectron spectroscopy, X-ray diffraction, and attenuated total reflectance–Fourier transform infrared spectroscopy analyses. Finally, each oxide group showed sustained Ca, P, and Mg ion release during an inductively coupled plasma spectroscopy dissolution assessment, and demonstrated early apatite-forming ability during simulated body fluid bioactivity testing. The findings of this study show much promise for the applicability of these novel oxide coatings to a wide variety of future titanium implant applications. Full article

Mesoporous bioactive glass nanoparticles (MBGNs) are promising for bone tissue engineering; however, surgical site infection and oxidative stress often compromise regeneration. To address this, MBGNs co-doped with cerium (Ce), zinc (Zn), and strontium (Sr) were synthesized using a microemulsion-assisted sol-gel route (xCe-yZn-Sr-MBGNs; x = 0, 1, 2; y = 0, 0.5, 1). The resulting spherical nanoparticles (150–200 nm) exhibited a mesoporous structure with a specific surface area of (~340–425 m²/g), sustained ion release, and apatite formation in simulated body fluid. In vitro evaluations with MC3T3-E1 pre-osteoblasts demonstrated dose-dependent cytocompatibility, specifically in the co-doped formulations; however, higher Ce concentrations (2Ce-yZn-Sr-MBGNs) reduced viability following prolonged exposure. Crucially, the 1Ce-1Zn-Sr-MBGNs significantly enhanced osteogenic differentiation, as evidenced by a two-fold increase in osteogenic marker gene expression and a ~45% increase in calcium mineral deposition compared to undoped MBGNs within 14 days. Moreover, these particles accelerated cell migration, achieving ~70% scratch-wound closure within 24 h. Furthermore, 1Ce-1Zn-Sr-MBGNs displayed strong radical scavenging capacity and potent antibacterial activity against S. aureus and P. aeruginosa. These findings indicated that 1Ce-1Zn-Sr-MBGNs exhibited multiple therapeutic effects, including antibacterial, radical-scavenging, and osteogenic effects. By optimizing dopant ratios, these multifunctional nanomaterials emerge as promising candidates for next-generation bone grafts or implant coatings. Within the scope of this study, they demonstrated the capacity to simultaneously address three critical challenges in bone healing: controlling infection, mitigating oxidative stress, and promoting mineralized tissue formation. While these in vitro results provide a robust foundation, further in vivo validation is warranted to confirm their efficacy within complex physiological environments. Full article

Phosphatic bioclastic laminae distributed along bedding planes have been recently discovered within the Jurassic Lianggaoshan Formation shale in the eastern Sichuan Basin. However, their characteristics and potential as shale oil and gas reservoirs remain unclear. To reveal their microscopic pore structure characteristics and development model, this study focuses on samples of phosphatic bioclastic laminae obtained from drilling cores in the Fuxing area of eastern Sichuan. A multi-scale analytical approach was employed, integrating micro-X-ray fluorescence spectroscopy (μ-XRF), field emission scanning electron microscopy (FE-SEM), nitrogen adsorption, nuclear magnetic resonance (NMR), and geochemical analyses. The results indicate that the phosphatic bioclastic laminae are primarily composed of apatite and calcite and formed in a low-energy, anoxic, semi-deep to deep lacustrine environment. They exhibit an average total porosity of 4.84% and an average TOC of 1.99 mg/g. It is 14.7% and 17.8% higher than the clay laminae, and 255.9% and 109.57% higher than the calcareous bioclastic laminae. The pore system is dominated by mesopores and macropores, encompassing multiple pore types including dissolution pores, interparticle pores, interlayer pores, organic matter-hosted pores, and micro-fractures. Notably, a well-connected nanometer-scale pore network developed within fish bone fragments contributes substantially to the storage space. These intervals integrate high organic matter richness with superior reservoir properties, demonstrating typical “source-reservoir integration” characteristics. Their pore structure is synergistically regulated by sedimentary–diagenetic processes, with a core mechanism of primary biogenic pore foundation–late diagenetic dissolution enhancement–micro-fracture connectivity. This study systematically elucidates, for the first time, the reservoir formation mechanism of the phosphatic bioclast-rich laminae in the Lianggaoshan Formation. It confirms their potential as “geological-engineering” dual sweet spots for shale oil and gas exploration, providing a new basis for sweet spot prediction and exploration deployment targeting similar phosphatic bioclastic laminae in the Sichuan Basin and analogous regions. Full article