Search Results (3,944)

Magnesium potassium phosphate cement (MKPC) is a promising bone repair material but suffers from excessively rapid setting time (typically within minutes) that limits clinical application. This study systematically investigates trimagnesium phosphate (TMP) as a candidate retarding additive for MKPC. TMP was used to partially replace dead-burned magnesium oxide at replacement levels of 0%, 10%, and 15% by mass. The effects of TMP content, water-to-cement ratio (0.17–0.23), and magnesium-to-phosphate molar ratio (4–10) on setting time, fluidity, hydration kinetics, compressive strength, and microstructure were comprehensively evaluated. Results show that TMP effectively extends the setting time from 9–13 min (without TMP) to 10–19 min, providing a working window that may be suitable for biomedical applications requiring extended handling time. Notably, 10% TMP incorporation enhances early compressive strength, with 1-day strength reaching 35.2 MPa compared to 28.5 MPa for control samples. Hydration heat analysis reveals TMP moderates the acid-base reaction kinetics through its slower dissolution rate compared to MgO. Microstructural characterization shows TMP promotes the formation of denser K-struvite crystals with refined microstructure. The optimal TMP dosage of 10% achieves a balanced performance, extending setting time while improving early strength and microstructural densification. These findings establish TMP as an effective retarder for developing MKPC-based materials with potential for biomedical applications, pending further biological validation. Full article

Critical-sized bone defects pose significant challenges in orthopedic surgery. The introduction of 3D printing technology in bone grafting offers a promising solution by creating customized grafts that mimic the natural bone structure. This study aimed to reconstruct long-segment bone defects in the rabbit radius using a 3D-printed material composed of hydroxyapatite (HAP) and poly(lactide-co-glycolide) (PLGA), referred to as ALBO-OS, and to evaluate its potential to support bone healing without the use of stem cells or growth factors. Six rabbits underwent computed tomography scanning to create patient-specific 3D models of the radius. Custom-designed ALBO-OS implants were 3D-printed and used to fill segmental defects corresponding to one-third of the bone length in each rabbit, created by osteotomy. Over a 12-week observation period, graft integration, osteointegration, and overall bone regeneration were assessed through histological and histomorphometric analyses. The implanted scaffolds demonstrated encouraging bone healing, with significant bone regeneration observed within the defect areas. Histological evaluation revealed significant new bone formation and vascularization, with minimal inflammatory response. The findings demonstrated the potential of 3D-printed HAP/PLGA-based materials as a promising strategy for the reconstruction of large bone defects, eliminating the need for exogenous biological agents. Full article

The global prevalence of osteoporosis is rising, particularly among the elderly and post-menopausal population. Although natural flavonoids can inhibit osteoclast overactivation, their low abundance and extraction challenges limit clinical translation. In this study, we synthesized a flavonoid derivative, SZQ-4, and evaluated its therapeutic potential for post-menopausal osteoporosis (PMO). Using an RANKL-induced osteoclastogenesis model in vitro, we demonstrated through TRAP staining, RT-qPCR, and bone resorption assays that SZQ-4 significantly suppresses osteoclast formation and activity. Mechanistically, RNA-seq, Western blot, siRNA knockdown, and plasmid-based overexpression experiments revealed that SZQ-4 reduces RANKL-induced reactive oxygen species (ROS) production, regulates SIRT3 expression, and improves mitochondrial function, thereby attenuating osteoclast differentiation. In an ovariectomy-induced bone loss mouse model, SZQ-4 treatment markedly alleviated femoral bone loss, decreased osteoclast numbers, and lowered ROS levels in the bone marrow microenvironment. Collectively, our findings indicate that SZQ-4 inhibits osteoclast-driven bone resorption by modulating the ROS-SIRT3–mitochondrial function axis, highlighting its potential as a candidate for preventing pathological bone loss. Full article

Xichuan black-boned chicken is a premium Chinese local breed in Xichuan County, Henan Province, China. However, the flavor characteristics of Xichuan black-boned chicken meat have not been systematically studied. Lipidomics and flavoromics approaches were used to analyze DLMs (differential lipid molecules) and DFCs (differential flavor compounds) in breast muscle (BM, n = 6) and leg muscle (LM, n = 6) of black-boned chicken, to reveal molecular mechanisms affecting meat quality in chicken. Lipidomics analysis reveals that 354 differential lipids are the differential abundance between the two groups, of which 33 are up-regulated and 321 are down-regulated in the BM group. These differential lipids were mostly enriched in glycerolipid metabolism, glycerophospholipid metabolism, and metabolic pathways. Flavoromics results demonstrate that there are 70 differential flavors between the two groups. Of these flavors, 59 are down-regulated and 11 are up-regulated in the BM group. These differential flavor compounds are mainly enriched in insect hormone biosynthesis and terpenoid backbone biosynthesis. Integrated lipidomics and flavoromics analysis shows that TG-type lipids and dodecanenitrile flavors may be the major related pairs. These findings not only enhance the understanding of the mechanism of chicken meat flavor formation but also provide novel perspectives for the improvement of meat quality. Full article

Background: Chronic sclerosing osteomyelitis of Garré (CSO) is a rare, non-suppurative form of primary chronic osteomyelitis characterized by reactive periosteal bone formation and cortical thickening. It most commonly involves the mandibular bones, whereas long-bone localization is uncommon. Material and Methods: We report a 4-year-old girl who developed progressive right thigh pain and limping six months after receiving intramuscular ampicillin injections. Subsequent evaluation revealed femoral changes consistent with chronic sclerosing osteomyelitis. Surgical decompression and targeted antimicrobial therapy were performed. Results: Microbiological analysis of intraoperative specimens obtained prior to antibiotic therapy yielded Staphylococcus epidermidis (S. epidermidis) and Staphylococcus capitis (S. capitis). After three years of follow-up, the patient exhibited no functional impairment or growth disturbance of the affected limb. Conclusions: Although coagulase-negative staphylococci (CoNS) are commonly regarded as skin commensals, their repeated isolation from deep surgical specimens, together with clinical findings and response to treatment, raises the possibility of their involvement in the disease process in this case. Full article

Objective: The aim of this study was to determine the optimal region-of-interest (ROI) pixel size for fractal dimension analysis on panoramic radiographs that best reflects implant stability assessed by resonance frequency analysis (ISQ) and to investigate whether implant stability can be directly estimated from radiographic images. Materials and Methods: This retrospective cross-sectional study included 65 patients for whom panoramic radiographs and resonance frequency analysis measurements were available. All panoramic images were converted to TIFF format and standardized to a resolution of 2627 × 1646 pixels. All radiographic images were obtained using the same panoramic imaging device and standardized acquisition protocol. Exposure parameters were adjusted within the manufacturer’s recommended range to ensure optimal image quality while maintaining methodological consistency across patients. During ROI selection, care was taken to avoid cortical bone margins, overlapping anatomical structures, and radiographic artifacts in order to ensure that the analyzed regions represented trabecular bone adjacent to the implant surface. Fractal dimension analysis was performed in the cervical peri-implant bone region, starting from the first bone–implant contact and extending apically, using three different ROI configurations. The ROI size was defined as 30 pixels apically and 10 pixels horizontally for FMD1, 30 × 20 pixels for FMD2, and 30 × 30 pixels for FMD3. Implant stability was assessed using ISQ values. Data distribution was evaluated using the Shapiro–Wilk test. Associations between ISQ and fractal dimension measurements were analyzed using Pearson and Spearman correlation analyses. Multiple linear regression models adjusted for age and sex were constructed to assess independent associations. Results: The mean age of the participants was 50.0 ± 9.9 years, and the mean ISQ value was 78.6 ± 5.9. The mean fractal dimension values were 1.466 ± 0.055 for FMD1, 1.595 ± 0.031 for FMD2, and 1.655 ± 0.046 for FMD3. No significant association was found between ISQ and FMD1 or FMD3. A weak positive correlation was observed between ISQ and FMD2; however, this association did not remain statistically significant after correction for multiple comparisons. In multiple linear regression analysis, ISQ was identified as an independent predictor of FMD2, but not of FMD1 or FMD3. Age and sex had no significant effect on fractal dimension measurements. Conclusions: Fractal dimension measurements derived from panoramic radiographs showed a weak association with implant stability that was dependent on the selected ROI pixel size. Among the evaluated configurations, the 30 × 20-pixel ROI at the cervical peri-implant region demonstrated the strongest association with ISQ values, suggesting that this ROI configuration showed the most consistent association with ISQ values among the tested ROI sizes. Full article

Thrombocytopenia is a frequent complication of patients presenting emergently across the world for a wide array of etiologies. From patients who develop thrombocytopenia due to invasive neoplastic disease affecting the bone marrow to patients who develop immune complications secondary to the formation of auto-antibody responses that drive patients’ platelet counts lower or even cause infection, these patients stress the clearest need for prompt tests to discern the more likely thrombocytopenic-inducing cause. It is in this setting that looking at other platelet variables easily obtainable from modern hematology analyzers has gained traction. One of the elements found in extended platelet profiles are immature platelets (youngest and newly released platelets), also known as reticulated platelets, which are readily measurable from a complete blood count. One of the advantages of obtaining these counts is that they represent the immediate response of the bone marrow to the thrombocytopenia and, depending on etiology inducing the thrombocytopenia, they also provide information on the marrow’s response to therapeutic approaches. It is in this context that this review will present information of how these relatively novel platelet parameters can be used in clinical practice and how they can be a rapid gauge of the body’s response to disease processes leading to platelet losses. Thrombocytopenias resulting from infection (sepsis, viremia), autoantibody formation (immune thrombocytopenia and immune-mediated thrombotic thrombocytopenic purpura), immune dysregulation (systemic lupus erythematosus), and iatrogenic (drug-induced) will be discussed and used to explain how these young platelet measurements can provide valuable clinical information. Full article

Bone defects have become a leading cause of disability and mortality. The pro-inflammatory state and impaired vascularization are major factors hindering bone defect repair. However, current bone regeneration materials lack the ability to regulate the osteoimmune microenvironment and promote vascularized bone regeneration. In this study, we employed clinically used fat emulsion (FE), which is intravenously administered to provide nutrition and energy for patients, to investigate the effect of immunomodulation on promoting angiogenesis and osteogenesis. Results from RT-qPCR analysis and immunofluorescence staining demonstrated that FE exhibited potent anti-inflammatory effects by reducing the expression of the pro-inflammatory marker inducible nitric oxide synthase (iNOS) and upregulating the expression of the anti-inflammatory marker transforming growth factor-beta (TGF-β). Endothelial tube formation and scratch assays demonstrated that FE promoted angiogenesis and cell migration by releasing vascular endothelial growth factor (VEGF) within the inflammatory microenvironment. Alkaline phosphatase (ALP) and alizarin red S (ARS) staining revealed that FE facilitated ALP activity and calcium nodule formation by releasing bone morphogenetic protein-2 (BMP-2) within the inflammatory microenvironment. These findings may prove promising and cost-effective for the clinical treatment of bone defects. Full article

Background/Obectives: Alveolar bone resorption after tooth extraction compromises esthetics and implant placement. Conventional alveolar ridge preservation (ARP) relies on grafting. This randomized controlled study evaluated a graft-free, lamina-based approach aimed at preserving ridge morphology by protecting the buccal cortical plate. Methods: Forty alveoli were randomly assigned to Guided Alveolar Ridge Preservation (G-ARP) with a subperiosteally positioned cortical lamina (test) or unassisted healing (control; CTRL). Cone-beam computed tomography (CBCT) was performed before extraction and after five months. Vertical and horizontal dimensional changes were statistically compared. Results: Healing was uneventful. At five months, the G-ARP group showed a vertical gain of 0.5 mm and a horizontal reduction of 0.2 mm, whereas the CTRL group exhibited a vertical loss of 1.7 mm (p < 0.01) and a horizontal loss of 2.7 mm (p < 0.001). Effect sizes were large for vertical change and very large for horizontal change (Hedges’ g = 0.95 and 2.19, respectively). Regeneration occurred through native bone formation without grafts. Conclusions: Subperiosteal placement of a cortical lamina effectively preserved ridge dimensions after extraction. This graft-free approach may offer technical and biological advantages while supporting new bone regeneration. Full article

Osteoporosis (OP) is a metabolic bone disease characterized by reduced bone mass and impaired bone microarchitecture, significantly impacting patients’ quality of life. Stigmasterol (STG), a natural plant sterol, has been reported to possess multiple biological activities. However, its effects on OP bone formation and underlying molecular mechanisms remain unclear. The effects of STG on OP bone formation and potential mechanisms were investigated through in vivo and in vitro experiments combined with network pharmacology analysis. An OP model was established in ovariectomized (OVX) rats, and the bone-protective effects of STG were evaluated via micro-CT analysis and histological staining. In vitro experiments, MC3T3-E1 pre-osteoblasts were used to assess STG’s influence on osteogenic differentiation through Western blot analysis and ALP/ARS staining. Network pharmacology methods were used to predict potential targets and signaling pathways for STG in OP treatment, followed by mechanism validation. STG significantly improved bone microarchitecture in OVX rats, increased key osteogenic marker expression, and promoted MC3T3-E1 osteogenic differentiation in a dose-dependent manner. Network pharmacology analysis predicted 278 potential targets for STG in treating OP, with pathway enrichment analysis indicating significant involvement of the JAK/STAT pathway. Mechanistic studies revealed that STG promotes osteogenic differentiation by activating the JAK2/STAT3 signaling cascade. As an osteogenic promoter, STG effectively alleviates bone loss and enhances osteoblast differentiation by activating the JAK2/STAT3 signaling pathway. Full article

Background/Objectives: Hospital-acquired and fracture-related infections remain major complications in orthopedic trauma surgery, with significant clinical and socio-economic impact. Antibacterial implant surface coatings represent a promising strategy to reduce early postoperative bacterial adhesion and biofilm formation. Methods: This retrospective matched case–control study evaluated the clinical effectiveness of an antibiotic-free fast-resorbable hyaluronic acid and poly-d, l-lactide hydrogel (DAC^®) applied intraoperatively to orthopedic implants. A total of 222 patients with comorbidities who underwent open reduction and internal fixation between May 2023 and April 2024 in two trauma centers were included: 99 patients received the DAC^® coating and 123 served as controls with standard fixation. The primary endpoint was infection incidence within 6 months; secondary endpoints included wound complications, revision surgery, prolonged antibiotic therapy, and bone healing. Results: Postoperative infection incidence was significantly lower in the DAC^® group compared with controls (0.7% vs. 5.3%; p = 0.0363). Wound complications were also reduced (1.3% vs. 8.0%; p = 0.028), and only one patient in the DAC^® cohort required additional surgical interventions or prolonged antibiotic therapy. Bone healing outcomes were comparable between groups, with no delayed unions reported in the treated cohort. Conclusions: Even if larger prospective studies with longer follow-up are required to further confirm these findings and better define long-term safety and effectiveness, the routine intraoperative use of DAC^® hydrogel without antibiotic loading appears to be a safe and promising strategy to reduce early postoperative infections and wound complications in orthopedic trauma patients with comorbidities. Full article

Properties of composite materials with polymer matrix and inorganic filler are affected by preparation methods and starting components’ properties. For example, filler powder particle size distribution, phase composition and presence/absence of dopants can greatly affect properties of resulting composites. The present research attempts to clarify the influence of synthetic CaCO₃ powder properties on alginate/CaCO₃ composite material preparation process. Composite materials in the form of granules, networks and films were created from suspensions of synthetic powders of calcium carbonates CaCO₃ in aqueous solutions of sodium alginate. Powders of calcium carbonates CaCO₃ were synthesized from 0.5 M aqueous solutions of calcium chloride CaCl₂ and aqueous solutions of potassium K₂CO₃ (at molar ratio Ca/CO₃ = 1), sodium Na₂CO₃ (at molar ratio Ca/CO₃ = 1), and ammonium (NH₄)₂CO₃ (at molar ratios Ca/CO₃ = 1 and Ca/CO₃ = 0.5) carbonates. Phase composition of powder synthesized from CaCl₂ and K₂CO₃ was presented by calcite. Phase composition of powders synthesized from other soluble carbonates included calcite and vaterite. The powder preparation protocol excluded the stage of synthesized powder washing for by-product removal. This preparation protocol provided preservation of reaction by-product in the synthesized powder at a very low level. The presence of NH₄Cl as a reaction by-product even in small quantities can be taken as a reason for visually observed subsequences of cross-linking reaction at the stage of suspensions preparation. Aqueous solution of sodium alginate and suspensions containing powders synthesized from potassium K₂CO₃ and sodium Na₂CO₃ carbonates demonstrated similar dependence of viscosities from shear rate. The presence of (NH₄)₂CO₃ in the powder synthesized at molar ratio Ca/CO₃ = 0.5 was the reason for the lower viscosity of the suspension in comparison with suspensions loaded with powders containing KCl, NaCl and (NH₄)₂Cl as reaction by-products due to decomposition of unstable (NH₄)₂CO₃ and gas phase formation. The presence of (NH₄)₂Cl in the powder synthesized at molar ratio Ca/CO₃ = 1 in contrast was a reason for the highest viscosity suspension in comparison with those under investigation. Additionally, (NH₄)₂Cl presence in synthetic powders shows the ability to facilitate partial dissolution of CaCO₃ providing a higher concentration of Ca²⁺ cations at the stage of suspension preparation, thus aiding the cross-linking process of alginate hydrogel. Granules, meshes and films were created via interaction of suspensions of calcium carbonates CaCO₃ in aqueous solutions of sodium alginate with 0.25 M aqueous solutions of calcium chloride CaCl₂ to provide the formation of matrix of composites via Ca-crosslinking of sodium alginate followed by washing and freeze drying under deep vacuum. The created composite materials in the form of granules, meshes and films based on Ca-cross-linked alginate and powders of synthetic calcium carbonate can be recommended for skin wound and bone defect treatment and drug delivery carriers. Full article

Radicular cysts (RCs) represent the most frequent inflammatory cystic lesions of the jaw, typically arising from non-vital teeth. While standard management via enucleation is well-documented, complex cases involving the anterior maxilla present significant surgical challenges due to their proximity to the nasal cavity floor (NCF) and the maxillary sinus floor (MSF). This report provides a comprehensive revision of a clinical case series involving seven patients (ages 17–50) treated with multimodal surgical and regenerative protocols. The patients were stratified into five distinct anatomical risk groups (A–E) based on the integrity of the bony boundaries and the presence of oronasal communications. The treatment strategies combined meticulous cyst enucleation with advanced regenerative techniques, including platelet-rich fibrin (PRF), allogeneic and xenograft bone substitutes, and local flaps such as the buccal fat pad (BFP). The results across all seven cases demonstrated favorable clinical and radiographic outcomes, with no instances of oronasal fistula formation or recurrence during follow-up periods ranging from 12 months to three years. This report emphasizes the necessity of structured anatomical stratification and multimodal planning to ensure scientific precision and surgical predictability in the management of complex maxillary lesions. The differences between approaches towards the nasal cavity and maxillary sinus have to be highlighted. Further studies with larger cohorts are warranted to evaluate the long-term outcomes of different treatment modalities. Full article

Background: While hydroxyapatite (HA) is considered stable and non-resorbable, other calcium phosphate phases such as Tricalcium Phosphate (TCP), Brushite, and Monetite are characterized by higher solubility and biodegradation rates. This review aims to map the clinical evidence of these resorbable phases. Objective: The aim of this scoping review was to map and synthesize the available clinical evidence on resorbable calcium phosphate phases, focusing on TCP-, brushite-, and monetite-based biomaterials in alveolar bone regeneration. The review evaluates clinical indications, surgical protocols, reported outcomes, and existing knowledge gaps. Methods: This scoping review was conducted in accordance with the PRISMA-ScR guidelines. A comprehensive literature search was performed in PubMed, MEDLINE, Scopus, and SCI Clarivate databases without language or time restrictions (from June 2025 to August 2025) using terms related to brushite, monetite, dicalcium phosphate anhydrous, ridge augmentation, bone regeneration, and dental implants. Clinical studies involving brushite- or monetite-based biomaterials used for alveolar bone regeneration were eligible, including randomized controlled trials, prospective cohort studies, and case series. Data were charted descriptively with respect to study design, patient characteristics, clinical scenario, biomaterials used, surgical approach, healing time, outcome measures, and reported complications. No meta-analysis or formal assessment of comparative clinical effectiveness was undertaken, in line with scoping review methodology. Results: Seven clinical studies were included. The identified evidence encompassed heterogeneous clinical scenarios, including post-extraction alveolar ridge preservation, localized ridge augmentation, and periodontal or intraosseous defects with relevance to future implant placement. Study designs, defect characteristics, biomaterial formulations, and outcome measures varied substantially. Across studies, brushite- and monetite-based materials were associated with new bone formation and progressive graft resorption, as assessed by clinical, radiographic, and histological outcomes. Direct comparisons between studies were not feasible due to methodological and clinical heterogeneity. Conclusions: The available literature on brushite- and monetite-based biomaterials in alveolar bone regeneration is limited and heterogeneous. Current evidence supports their biocompatibility and resorbable nature across different clinical contexts, but does not allow conclusions regarding comparative clinical effectiveness. This scoping review highlights important gaps in the literature, particularly the need for well-designed randomized clinical trials with standardized indications and outcome measures. Full article

In the field of orthopedic surgery, particularly distraction osteogenesis (DO), the mechanical environment plays a decisive role in the quality of bone regeneration and the safety of the soft tissue envelope. The continuous monitoring and accurate prediction of distraction resisting forces (DRF) are critical for preventing soft tissue complications such as nerve ischemia, joint contractures, and mechanical failure of the lengthening device. However, current clinical practice relies heavily on subjective assessment or passive monitoring tools that lack predictive capabilities. To address this gap, this study proposes a comprehensive solution combining a custom mechanical acquisition system with a high-fidelity finite element (FE) prediction method. The system design features a novel “double-ring” sensor interface specifically engineered to decouple axial distraction forces from parasitic bending moments generated by asymmetric muscle tension. Furthermore, a patient-specific FE model utilizing the Ogden hyperelastic constitutive law was derived, explicitly based on the patient’s muscle volume from preoperative CT imaging, to predict the non-linear force evolution. The feasibility and accuracy of the system were validated in a pilot in vivo study using a single ovine model ($N=1$). To isolate the soft tissue resistance from callus formation, distraction was performed immediately postoperatively up to a total length of 4 cm. Experimental results demonstrated the system’s high linearity ($R^2>0.999$) and its ability to capture the characteristic viscoelastic relaxation of living tissues. The FE model successfully predicted the peak distraction forces, showing improved agreement with experimental data at larger distraction magnitudes. By integrating mechanical sensing with predictive modeling, this framework lays the foundation for future closed-loop, patient-specific control in distraction osteogenesis. Full article