Search Results (2)

Background: The impact of titanium nitride (TiN) coating on implant components is controversial. TiN coating is proposed as having superior biomechanical properties compared to conventional cobalt-chromium (CoCr) alloy. This study compared long-term clinical data as well as meteoro-sensitivity in patients who underwent total knee arthroplasty (TKA), with either CoCr alloy or TiN coating. Methods: In this retrospective observational study, the clinically approved cemented “low contact stress” (LCS) TKA with conventional CoCr coating, was compared to un-cemented TiN-coated “advanced coated system” (ACS) TKA. Propensity score matching identified comparable patients based on their characteristics in a one-to-one ratio using the nearest-neighbor method. The final cohort comprised 260 knees in each cohort, with a mean follow-up of 10.1 ± 1.0 years for ACS patients and 14.9 ± 3.0 years for the LCS group. Physical examinations, meteoro-sensitivity, and knee scoring were assessed. Results: The clinical and functional Knee Society Score (KSS) (82.6 vs. 70.8; p < 0.001 and 61.9 vs. 71.1; p = 0.011), the postoperative Visual Analogue Scale (VAS) (2.9 vs. 1.4; p = 0.002), and the postoperative Tegner Score (2.6 vs. 2.2; p = 0.001) showed significant intergroup differences. The postoperative Western Ontario & McMaster Universities Osteoarthritis Index (WOMAC) was similar (79.9 vs. 81.3; p = 0.453) between groups. Meteoro-sensitivity of the artificial joint was significantly more prevalent in the ACS patient cohort (56% vs. 23%; p < 0.001). Conclusion: This study suggests that TiN coating does not provide improved clinical outcomes in this patient cohort after a long-term follow-up. Interestingly, sensitivity to weather changes were more correlated with un-cemented ACS implants. Full article

Non-powered adaptive systems are attractive in the construction of environment actuators, meteorosensitive architectures, biomedical devices, and soft robotics. Combining hydrophilic materials and anisotropic structures to mimic self-morphing plant structures has been demonstrated as an effective approach to creating artificial hygromorphs. The convenience of 3D printing technologies in shaping programmable complex structures facilitates the imitation of complex anisotropic plant structures. In this research, we constructed a bio-hygromorph using fish swim bladder hydrogel as the hydrophilic material and wood flour-filled polylactic acid (WPLA) scaffold, which was printed with fused deposition modeling (FDM) 3D printing technology (3DP). The environmental benign bio-hygromorph displayed morphing abilities triggered by moisture content changes, as the fish swim bladder hydrogel swelled and shrunk during absorption and desorption cycles. The strain disproportion of the two-layered composite structure in the bio-hygromorph drove the bending deformation. Stress analyses performed with finite element analysis (FEA) also revealed the mechanism behind the moisture content driven morphing of the bio-hygromorph. Notably, the bio-hygromorph exhibited faster response times to moisture absorption than desorption, which may donate actuators’ different attributes in distinct moisture conditions. Full article