International Journal of Molecular Sciences · 2020 · 55 citations · 40 references
MedicineOrthopaedic SurgeryOrthopedic SurgeryBiomaterialsBone GraftingOrthopaedic BiomaterialsBioactive GlassesBone BiomechanicsBone Graft SubstitutesBone Tissue EngineeringComposite BiomaterialsImplant MaterialsAdditive Manufacturing MicrostructureBone Graft VolumeBone Volume FractionElastic ModulusHealing Chamber DesignMatrix Composition EffectsMetal PowdersReactive Glass
In this study, we optimized the geometry and composition of additive-manufactured pedicle screws. Metal powders of titanium-aluminum-vanadium (Ti-6Al-4V) were mixed with reactive glass-ceramic biomaterials of bioactive glass (BG) powders. To optimize the geometry of pedicle screws, we applied a novel numerical approach to proposing the optimal shape of the healing chamber to promote biological healing. We examined the geometry and composition effects of pedicle screw implants on the interfacial autologous bone attachment and bone graft incorporation through in vivo studies. The addition of an optimal amount of BG to Ti-6Al-4V leads to a lower elastic modulus of the ceramic-metal composite material, effectively reducing the stress-shielding effects. Pedicle screw implants with optimal shape design and made of the composite material of Ti-6Al-4V doped with BG fabricated through additive manufacturing exhibit greater osseointegration and a more rapid bone volume fraction during the fracture healing process 120 days after implantation, per in vivo studies.
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