Search Results (42)

Orthopedic implants are essential for treating severe fractures and incomplete bone regeneration. However, metal-based implants often suffer from corrosion and biocompatibility issues. This study developed 3D-printed Polylactic Acid Plus (PLA+) bone screws coated with molybdenum and zirconia (ZrO₂) nanocomposites using the dip-coating method. The Taguchi method optimized five coating parameters: molybdenum weight, zirconia weight, ethanol volume, incubation time, and coating duration. The Taguchi method and Response Surface Methodology (RSM) were used for data analysis, while NSGA-II and TOPSIS determined the optimal parameters. Molybdenum weight significantly increased compressive strength (35.45%), while coating time had the greatest effect on density (25.88%). Optimization improved compressive strength/Ec (Modulus of elasticity) to 315.808 MPa and density to 1.141 g/cm³. Compressive strength was significantly improved through optimized coating parameters; however, the achieved value of 315.808 MPa requires validation due to its relatively high magnitude compared to typical PLA materials reported in the literature. The study concludes that combining the Taguchi and NSGA-II methods effectively enhances the mechanical performance and biocompatibility of biodegradable bone screws. The optimal dip-coating parameters were 0.101 g molybdenum, 0.100 g zirconia, 59.523 mL ethanol, 6.025 h of incubation, and 7.907 min of coating time. However, the study is limited to in vitro mechanical testing, and further in vivo evaluations are necessary to confirm long-term biocompatibility and performance. Full article

In order to achieve high-quality repair of complex curved parts, a remanufacturing process method utilizing laser cladding and reverse engineering technology is proposed to be implemented by robots. This study focuses on the oscillating helical surface of a screw pump rotor. A single-pass laser cladding test is conducted using Response Surface Methodology (RSM) to construct a predictive model and identify optimal process parameters. The model’s accuracy is validated through analysis of variance (ANOVA) and index verification, while the optimal lap rate is determined through multi-pass laser cladding testing. Using reverse engineering technology, the generation of laser cladding paths for complex surfaces is explored, and the trajectory planning for the laser cladding robot is carried out. Simulations and experiments of robotic laser cladding on complex surfaces are performed, with the optimal process parameters guiding both the experiment and simulation. The optimum single-pass cladding layer, with a lap rate of 25.6%, is achieved when the laser power is 2217 W, the powder feed rate is 2.86 r/min, and the scanning speed is 400 mm/min. The study successfully plans the path for laser cladding on complex curved parts, verifying its feasibility and effectiveness, verifying that there is good metallurgical bonding between the cladding layer and the substrate, and helping to select the appropriate process parameters that are consistent with the requirements of a particular application, thus providing valuable guidance for the remanufacture of failed metal parts. Full article

Biodegradable magnesium alloys have garnered increasing attention in recent years, with magnesium alloy–based biomedical devices being clinically used. Unlike biologically inert metallic materials, magnesium-based medical devices degrade during service, resulting in a mechanical structure that evolves over time. However, there are currently few computer-aided engineering methods specifically tailored for magnesium-based medical devices. This paper introduces a structural optimization framework for Mg-1Ca interference screws, accounting for degradation using a continuum damage model (CDM). The Optimal Latin Hypercube Sampling (OLHS) technique was employed to sample within the design space. Pull-out strengths were used as the optimization objective, which were calculated through finite element analysis (FEA). Both Response Surface Methodology (RSM) and Kriging models were employed as surrogate models and optimized using the Sequential Quadratic Programming (SQP) algorithm. The results from the Kriging model were validated through FEA, and were found to be acceptable. The relationships between the design parameters, the rationale behind the methodology, and its limitations are discussed. Finally, a final design is proposed along with recommendations for interference screw design. Full article

Using metallic/polymeric orthopedic screws causes cavities in bone trauma after the attachment of broken bones, which prolongs the healing. Yet, it remains unknown how to overcome such a challenge. The main aim of this research was to use both polymers and gels to fabricate and study a new PCL/chitosan/hydroxyapatite scaffold-like orthopedic screw for cancellous bone trauma. This screw, because of its low stiffness and its scaffold-based matrix (due to the gel part), can facilitate bone healing. Different concentrations of PCL (60–95% w/v) and chitosan (0–5% w/v) were blended according to the Response Surface Methodology using the Central Composite Design. The screws were fabricated using the freeze-drying technique. The screws were assessed mechanically, physically, and biologically (cell viability, cell attachment, DAPI, ALP staining, and Alizarin Red staining), and in vivo (a rat subcutaneous implantation model). Based on the results, screws depending on the PCL and gel content depicted different but notable mechanical behavior (10–60 MPa of compressive strength and 100–600 N force). The gel part could affect the physical properties of screws including water uptake (120%), degradation (18% after 21 days), porosities (23%), and mechanical strength (elastic modulus = 59.47 Mpa). The results also demonstrated no cytotoxicity towards MC3T3 cells (>80% cell viability) with good cell attachment, cell concentration, and mineralization (>90%) that was justified by the gel content. The results also showed good in vivo biocompatibility. To sum up, fabricated scaffold-like screws with gel content can be a good candidate for cancellous-bone-based orthopedic purposes. However, more in vitro and in vivo studies are required to optimize the PCL:gel ratio. Full article

This article reviews the research and development focus of metallic glasses in the field of biomedical applications. Metallic glasses exhibit a short-range ordered and long-range disordered glassy structure at the microscopic level, devoid of structural defects such as dislocations and grain boundaries. Therefore, they possess advantages such as high strength, toughness, and corrosion resistance, combining characteristics of both metals and glasses. This novel alloy system has found applications in the field of biomedical materials due to its excellent comprehensive performance. This review discusses the applications of Ti-based bulk metallic glasses in load-bearing implants such as bone plates and screws for long-term implantation. On the other hand, Mg-based metallic glasses, owing to their degradability, are primarily used in degradable bone nails, plates, and vascular stents. However, metallic glasses as biomaterials still face certain challenges. The Young’s modulus value of Ti-based metallic glasses is higher than that of human bones, leading to stress-shielding effects. Meanwhile, Mg-based metallic glasses degrade too quickly, resulting in the premature loss of mechanical properties and the formation of numerous bubbles, which hinder tissue healing. To address these issues, we propose the following development directions: (1) Introducing porous structures into titanium-based metallic glasses is an important research direction for reducing Young’s modulus; (2) To enhance the bioactivity of implant material surfaces, the surface modification of titanium-based metallic glasses is essential. (3) Developing antibacterial coatings and incorporating antibacterial metal elements into the alloys is essential to maintain the long-term effective antibacterial properties of metallic biomaterials. (4) Corrosion resistance must be further improved through the preparation of composite materials, while ensuring biocompatibility and safety, to achieve controllable degradation rates and degradation modes. Full article

(1) Background: Anatomically pre-contoured plates usually require only minimal or even no intraoperative contouring. For complex cases, such plates also assist the surgeon as an anatomical template during fracture reduction. In this study, we present our experience of using a 3D printing technology for the treatment of bicondylar humeral fractures in feline cadavers. (2) Methods: Surgeries were performed on 15 pairs of front limbs amputated at the scapula. The limbs were obtained from 15 adult cats without obvious pathology of the skeleton. After flexion of the elbow and subperiosteal elevation of the anconeus muscle, the humeral Y-T fractures were created using a bone chisel and mallet. A custom-made anatomically pre-contoured interlocking plate was used to reduce and stabilise the medial aspect of the humeral condyle to the humeral diaphysis. After reduction of the humeral condyle, a positional locking screw was then inserted from the medial to the lateral side and a straight 2.4/2.7 interlocking bone plate was used to stabilise the lateral part of the condyle to the humeral diaphysis. (3) Results: The length of the humerus ranged from 98.2 to 107.0 mm and did not differ significantly between the left and right bone. The diameter of the isthmus of the humeral condyle ranged from 5.2 to 5.5 mm and did not differ significantly between the left and right bone. In all 30 limbs, bicondylar fracture was accompanied by epicondylar comminution. In 7/30 limbs (4 left, 3 right) the fracture of the humeral shaft was also present. In the left limbs, the postoperative articular surface defect of the humeral condyle was small (<1 mm) in 11/15 cases, moderate (1–2 mm) in 2/15 cases and large (>2 mm) in 2/15 cases in which the condylar screw was incorrectly inserted. In the right limbs, the postoperative articular surface defect of the humeral condyle was small (<1 mm) in 14/15 cases and moderate (1–2 mm) in 1 case. (4) Conclusions: 3D printing and the technology of metal powder sintering offers a wide range of possibilities for the development of new surgical implants. The anatomically pre-contoured bone plate appears to be a valuable tool in the reduction and stabilisation of Y-T humeral fractures in adult domestic cats weighing 3.0 to 4.5 kg. Full article

This study examined whether the degree of abutment surface modification that may occur with regular periodontal instrumentation has a clinical impact in terms of increased plaque accumulation and increased peri-implant tissue inflammation on zirconia implant abutments. Thirteen patients who had zirconia implant crowns were recruited in this randomized clinical trial. Each patient acted as their control and had either the buccal or lingual surface of their screw-retained implant restoration scaled with a metallic scaler and the other surface with a non-metallic scaler at 3, 6, 9, and 12 months. Cytokine testing of the peri-implant crevicular fluid was completed at 0, 3, and 12 months for IL-2, IL-4, IL-6, IL-8, IL-10, TNF-α, or IFNγ. Implant crowns were removed at 12 months and evaluated under an atomic force microscope for the average roughness (Ra). The implant crowns were polished and re-inserted. The results were analyzed using the Kruskal–Wallis test, and post hoc tests were conducted with a significance level of α = 0.05. Significant differences in surface roughness (Ra) were observed between the metallic and non-metallic scalers. The median Ra values were 274.0 nm for metallic scalers and 147.1 nm for non-metallic scalers. However, there were no significant differences between the type of scaler used and the amount of clinical inflammation or cytokine production. Metallic scalers produced deeper, more aggressive surface alterations to the abutment/crown zirconia surface, but there was no statistically significant difference between the degree of surface alterations, amount of BOP, and the amplitude of cytokine inflammation produced. Full article

Background: Infection of orthopaedic implants after internal fixation of bone fractures remains a major complication with occasionally devastating consequences. Recent studies have reported that the use of absorbable materials, instead of metallic ones, may lead to a lower incidence of postoperative infection. In this experimental pre-clinical animal study, we compared the infection rate between absorbable implants consisting of copolymers composed from trimethylene carbonate, L-polylactic acid, and D, L-polylactic acid monomers, and titanium implants after the inoculation of a pathogenic microorganism. Material and Methods: We used an experimental implant-related infection model in rabbits. Sixty animals were randomly and equally divided into two groups. In all animals, the right femur was exposed via a lateral approach and a 2.5 mm two-hole titanium plate with screws (Group A), or a two-hole absorbable plate and screws (Group B), were applied in the femoral shaft. Afterwards, the implant surface was inoculated with Pseudomonas Aeruginosa at a concentration of 2 × 10⁸ CFU/mL. The primary outcome was the comparison of the incidence of developed infection between the two groups. The wound condition was monitored on a daily basis and radiographies were obtained at 12 weeks postoperatively. Infection-related laboratory markers (white blood cell count, erythrocyte sedimentation rate, and C-reactive protein values) were assessed at 3, 6, and 16 weeks postoperatively. Histologic analysis and cultures of tissue samples were also performed to evaluate the presence of infection. Results: Clinical and laboratory signs of infection were evident in 11 rabbits in Group A (36.7%), and 4 in Group B (13.3%). The difference between the groups was statistically significant (p = 0.04). Five animals in Group B (16.7%) had clinical and histologic signs of a foreign-body reaction with significantly elevated CRP and ESR values but no simultaneous presence of infection was identified (p = 0.04). Bone remodelling with thickening of the periosteum and surrounding sclerosis was demonstrated radiologically in animals developing infection or foreign-body reactions. Conclusions: Absorbable plates and screws show lower susceptibility to infection compared to titanium ones. However, their application is associated with foreign-body reaction and the potential need for a second surgical intervention. Full article

Discrete Dislocation Dynamics (DDD) simulations are a powerful simulation methodology that can predict a crystalline material’s constitutive behavior based on its loading conditions and micro-constituent population/distribution. In this paper, a 3D DDD model with spiral dislocation sources is developed to study size-dependent plasticity in a pure metal material (taken here as Aluminum). It also shows, for the first time, multipole simulations of spirals and how they interact with one another. In addition, this paper also discusses how the free surface of a crystalline material affects the plasticity generation of the spiral dislocation. The surface effect is implemented using the Distributed Dislocation Method. One of the main results from this work, shown here for the first time, is that spiral dislocations can result in traditional Frank–Read sources (edge or screw character) in a crystal. Another important result from this paper is that with more dislocation sources, the plastic flow inside the material is more continuous, which results in a lowering of the flow stress. Lastly, the multipole interaction of the spiral dislocations resulted in a steady-state fan-shaped action for these dislocation sources. Full article

Dislocation structures can be directly related to the fatigue properties of metals, such as fatigue strength, including the fatigue limit and saturation stress. We present an indirect dislocation-structure-based method to evaluate the local stresses for an in-depth analysis of sleeper screw failures, as there is little knowledge about the load and local stresses related to these failures. The sleeper screw, fastening baseplates of rails to sleepers, is a small but critical component in the railway. High loads from passing trains are transferred to the screws, leading to cyclic straining. In the present study, three stress-level tension fatigue experiments are designed in the constant stress mode at a stress ratio R = 0 and a testing frequency of 10 Hz. The microstructures in the failed specimens are characterized and compared with those close to the fracture surface of screws that failed in the field. The dislocation structure similarities and differences are analyzed, and the potential of the proposed methodology is discussed. Full article

Currently, computed tomography and conventional X-ray radiography usually generate a micro-artifact around metal implants. This metal artifact frequently causes false positive or negative diagnoses of bone maturation or pathological peri-implantitis around implants. In an attempt to repair the artifacts, a highly specific nanoprobe, an osteogenic biomarker, and nano-Au-Pamidronate were designed to monitor the osteogenesis. In total, 12 Sprague Dawley rats were included in the study and could be chategorized in 3 groups: 4 rats in the X-ray and CT group, 4 rats in the NIRF group, and 4 rats in the sham group. A titanium alloy screw was implanted in the anterior hard palate. The X-ray, CT, and NIRF images were taken 28 days after implantation. The X-ray showed that the tissue surrounded the implant tightly; however, a gap of metal artifacts was noted around the interface between dental implants and palatal bone. Compared to the CT image, a fluorescence image was noted around the implant site in the NIRF group. Furthermore, the histological implant-bone tissue also exhibited a significant NIRF signal. In conclusion, this novel NIRF molecular imaging system precisely identifies the image loss caused by metal artifacts and can be applied to monitoring bone maturation around orthopedic implants. In addition, by observing the new bone formation, a new principle and timetable for an implant osseointegrated with bone can be established and a new type of implant fixture or surface treatment can be evaluated using this system. Full article

Since the 1980s, constitutive modeling has steadily migrated from phenomenological descriptions toward approaches that are based on micromechanics considerations. Despite significant efforts, crystal plasticity remains an open field of research. Among the unresolved issues are the anomalous behavior of metals at low temperatures and the stress upturn at extreme dynamics. This work is focused on the low-temperature responses of body-centered-cubic (bcc) metals, among them, molybdenum (Mo). At these conditions, the plastic flow strength is governed by the motion of screw dislocations. The resultant non-planarity of core structures and slip causes the following: the shear stress includes non-glide components, the Schmid law is violated, there is a tension-compression asymmetry, and the yield surface and plastic potential are clearly decoupled. We find that the behavioral complexities can be explained by atomistically resolved friction coefficients in macroscopic yield and flow. The plastic flow mechanisms establish the departure point into the follow-up analysis of yield surfaces. For example, we know that while the von Mises stress is explained based on energy considerations, we will also show that the stress has a clear geometric interpretation. Moreover, the von Mises stress is just one case within a much broader class of equivalent stresses. Possible correlations among non-Schmid effects (as represented macroscopically by friction coefficients), volume change (i.e., residual elastic dilatation) from dislocation lines, and elastic anisotropy are investigated. Extensions to the shock regime are also established. Full article

Plastic is a highly used material in various sectors. Due to its plentiful availability in the environment, microorganism surface contamination is a risk. The aim of this work is to achieve bactericidal capacity in plastics that reduces the microorganism’s colonization risk and, consequently, reduces the chances of having an infection with E. coli and Listeria monocytogenes bacteria. Using polylactic acid (PLA) as the polymeric matrix, mixtures in concentrations of metal additive of ions of silver (Ag) R148 and S254 in 1% and 2% have been studied and manufactured. The materials are developed on an industrial scale through a process that proceeds as follows: (I) a mixture of polymer and additive in a double-screw compounder to obtain the compound in different concentrations, (II) the manufacture of filaments with a single-screw extruder, (III) 3D printing parts. Therefore, materials are evaluated in the form of powder, pellets and printed pieces to ensure their antibacterial effectiveness throughout the manufacturing process. The results of the research show antibacterial effectiveness for E. coli and Listeria monocytogenes of metal additives and polymeric compounds for all manufacturing phases on an industrial scale, with the effectiveness for additive R148 predominating at a concentration of 2%, demonstrating its microbial efficacy on surfaces with potential application in medicine. Full article

By researching the influence of micro-groove texture on the surface tribological properties of the stator and rotor pair of oil production hydraulic motors, this paper aims to reduce the frictional resistance moment of the spiral pair of hydraulic motors, and further solve the problem of the difficult restart of the pump of a certain type of hydraulic-driven screw pump. According to the spiral pair of screw motors, a metal-rubber flat plate reciprocating friction model is established, and rectangular micro-grooves with different texture angles and depths are machined on the surface of the metal specimen. A combination of finite element simulation and tribological tests is used to carry out a study on the influence of different texture parameters on the friction performance of the hydraulic motor spiral pair. The results showed that at a certain texture angle, the friction coefficient of each specimen basically increases with the texture depth. When the texture depth is constant, the friction coefficient increases first and then decreases with the increase of the texture angle. The texture angle is the main factor affecting the friction coefficient. Under the same test conditions, the friction coefficient of the textured specimen can be reduced by 20.2% compared with the untextured specimen. In the metal-rubber contact pair of the stator and rotor of the hydraulic motor, the friction reduction mechanism of the texture mainly transport the lubricating medium through the micro-grooves to improve the lubricating conditions. Samples with a reasonable design of texture parameters can effectively reduce the friction coefficient of the friction pair without reducing the service life of the hydraulic motor, which is conducive to the smooth restart of the oil production system of the hydraulically driven screw pump. Full article

Background: The aim of the present study was to investigate the accuracy of a new digital impression system, comparing it to the plaster impression technique in the realization of full-arch implant-supported metal frameworks. Methods: We took 11 scans (8 of the upper maxilla and 3 of the lower jaw) on a sample of nine patients previously rehabilitated with fixed full-arch screw-retained prostheses following the Columbus Bridge Protocol (CBP) with four to six implants (total: 51) since at least 4 months. Two impressions were taken for each dental arch: one analogic plaster impression using pick-up copings and an open tray technique and a second one using an intra-oral scanner. Two milled metal substructures were realised. The precision and passivity of the substructures were clinically analysed through the Sheffield test and endo-oral radiographs. Laboratory scans of the plaster casts obtained from an intra-oral scanner (IOS) and of the plaster casts obtained from traditional impression were compared with the intraoral scans following Hausdorff’s method and an industrial digital method of optical detection to measure discrepancies. A Mann–Whitney test was performed in order to investigate average distances between surfaces after the superposition. Results: The Sheffield test demonstrated an excellent passivity of the frameworks obtained through both the digital and the analogic method. In 81.81% of cases (n = 9) both substructures were found to have a perfect fit with excellent passivity, while in 18.18% (n = 2) of cases the substructures were found to have a very slight discrepancy. From the radiographic examination, no gaps between the frameworks and the implant heads or multiunit abutments were observed, with 100% accuracy. By superimposing digital files of scans according to Hausdorff’s method, a statistically significant discrepancy (p = 0.006) was found between the digital scans and the digital models obtained from plaster impressions. Three-dimensional optical detection found a mean discrepancy of 0.11 mm between the analogic cast and the cast derived from the digital impression. Conclusions: The present study clinically demonstrates that milled implant-supported full-arch frameworks obtained through a digital scan and the herein described technique have an accuracy comparable to those obtained with traditional plaster impression. Full article