Publications by authors named "Chang-Hung Huang"

Article Synopsis
  • Bone grafts are crucial for repairing bone defects in orthopedics and dentistry, but traditional rigid grafts struggle with irregular shapes due to their lack of strength and fast degradation.
  • This study introduced a new ceramic composite bone graft made from calcium sulfate and β-tricalcium phosphate, enhanced with graphene oxide nanoparticles, to improve its properties.
  • Results demonstrated a significant increase in strength (135%) and a slower degradation rate (25.5%), along with better cell compatibility and bone repair in animal models, suggesting this composite could be a viable alternative for bone grafting.
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Article Synopsis
  • The study focuses on the anatomy of the ethmoid sinus (ES) using 3D CT images to improve surgical planning, addressing limitations of previous 2D measurements.
  • It involved a sample of 21 males and 15 females, measuring ES dimensions like width, height, and aspect ratio (AR) at various segments along its length.
  • Findings reveal that males have a significantly wider ES than females, with notable differences in the AR, indicating varying shapes of the sinus along its anterior and posterior sections.*
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Aims: Pigment epithelium-derived factor (PEDF) is known to induce several types of tissue regeneration by activating tissue-specific stem cells. Here, we investigated the therapeutic potential of PEDF 29-mer peptide in the damaged articular cartilage (AC) in rat osteoarthritis (OA).

Methods: Mesenchymal stem/stromal cells (MSCs) were isolated from rat bone marrow (BM) and used to evaluate the impact of 29-mer on chondrogenic differentiation of BM-MSCs in culture.

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Polyetheretherketone (PEEK) is an emerging thermoplastic polymer with good mechanical properties and an elastic modulus similar to that of alveolar bone. PEEK dental prostheses for computer-aided design/computer-aided manufacturing (CAD/CAM) systems on the market often have additives of titanium dioxide (TiO) to strengthen their mechanical properties. However, the effects of combining aging, simulating a long-term intraoral environment, and TiO content on the fracture characteristics of PEEK dental prostheses have rarely been investigated.

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Purpose: To determine whether avascular necrosis can affect clinical outcomes or the union incidence after arthroscopic bone grafting for the treatment of scaphoid nonunion.

Methods: This retrospective comparative study included thirty-four patients with scaphoid nonunion that underwent arthroscopic bone graft from the ipsilateral radius and internal fixation. The patients were divided into two cohorts (group A, with avascular necrosis, n = 15; group B, without avascular necrosis, n = 19) based on pre-operative magnetic resonance imaging findings.

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Self-expanding sinus stents are often used in functional endoscopic sinus surgery to treat inflamed sinuses. The PROPEL self-expanding sinus stent offers mechanical support to the sinus cavity to prevent restenosis. The stent is made of a bioabsorbable material (PLGA) that disappears after wound healing.

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Self-tapping implants with self-cutting flutes may influence primary stability, especially for the immediate implant placement and restoration protocol in which implants are affixed to the bone in the apical portion. Screw geometry differs between brands, and the effect of apical design on its clinical outcomes remains unclear. This study is aimed at investigating the influence of cutting flute shape (spiral, straight, and without flute) on primary stability by using a dynamic experimental test.

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Background: Angular stable locking plates have shown good clinical results in treating proximal humeral fractures, but complications are not uncommon. This study reported a rare case of catastrophic failure of a titanium locking plate. A retrieval analysis of the implants was performed using an optic microscope and a scanning electron microscope.

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Article Synopsis
  • A study investigated how aging affects the fracture characteristics of polyetheretherketone (PEEK) dental crowns, which are increasingly used in dentistry.
  • The researchers compared two types of PEEK: one without titanium dioxide (TiO) and the other containing 20% TiO, after subjecting them to an aging treatment.
  • Findings showed that TiO enhances the fracture load of PEEK crowns without aging, but aging negatively impacted TiO-containing crowns while increasing the load of TiO-free crowns.
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Background: Osteolysis is one of the most prevalent clinical complications affecting people who undergo total joint replacement (TJR). Wedelolactone (WDL) is a coumestan compound derived from the Wedelia chinensis plant and has been demonstrated to exhibit anti-inflammatory properties. This study aimed to investigate the oral administration of WDL as a potential treatment for particle-induced osteolysis using a well-established mice calvarial disease model.

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Graphene is a novel material which has recently been gaining great interest in the biomedical fields. Our previous study observed that graphene-derived particles help induce bone formation in a murine calvarial model. Here, we further developed a blended graphene-contained polycaprolactone (PCL/G) filament for application in a 3D-printed bone scaffold.

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Background: Self-tapping screws have been extensively used for dental implants. Their biomechanical behavior is highly associated with their clinical success, particularly for screws used for immediate implant placement and restoration, because occlusal forces can directly affect the loading transfer at the bone-implant interface after implantation. The effect of implant design on the initial stability of self-tapping screws remains unclear.

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Article Synopsis
  • Periprosthetic joint infection (PJI) is a serious complication following total joint replacement that poses health risks and significant economic costs.
  • Antibiotic-Loaded Bone Cement (ALBC) is a promising solution for preventing and treating orthopedic infections, but challenges remain with low antibiotic release rates and unclear mechanisms.
  • This study explores how different components of acrylic bone cement, such as liquid/powder ratios and antibiotic doses, affect the porosity, antibiotic release rates, and mechanical strength of ALBC, aiming to optimize its effectiveness for infection control.
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Aims: Inflammatory macrophages have been proposed as a therapeutic target for joint disorders caused by inflammation. This study aimed to investigate the expression and regulation of coxsackievirus-adenovirus receptor (CAR) in lipopolysaccharide (LPS)-stimulated inflammatory macrophages whereby to evaluate the feasibility of virus-directed enzyme prodrug therapy (VDEPT).

Main Methods: Macrophage cell lines (RAW264.

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Aims: The material and design of knee components can have a considerable effect on the contact characteristics of the tibial post. This study aimed to analyze the stress distribution on the tibial post when using different grades of polyethylene for the tibial inserts. In addition, the contact properties of fixed-bearing and mobile-bearing inserts were evaluated.

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Article Synopsis
  • This study compared two types of self-tapping implants (straight flute and spiral flute) to see how they affect implant stability during immediate implantation in synthetic bone models.
  • Both implant designs showed similar torque values, but significant differences were found in push-in strength when using low-density bone, as well as in lateral bending and stiffness in high-density bone favoring the spiral flute design.
  • Overall, the findings suggest that the design of the implant's apical fixture plays a crucial role in determining the stability of implants during immediate placement.
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Purpose: This study aimed to analyze the morphology of the anterior femoral condyle using a quantitative three-dimensional reconstruction method. The morphological data were compared between genders.

Methods: Computed tomography scans of femurs were taken from 90 healthy subjects and then reconstructed in 3D modeling software.

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Background: Graphene and its derivatives have recently gained popularity in the biomedical field. Previous studies have confirmed that both the mechanical strength and wear resistance of graphene-containing polyethylene have been greatly improved. Therefore, it is being considered as an alternative for artificial joint replacement liners.

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Objective: This study investigated the effects of abutment screw withdrawal after conical abutment settlement on the stability of the implant-abutment connection.

Materials And Methods: Twenty implants of a conical connection system were used. Two two-piece abutment designs were used: cone only (n = 10; NI) and cone plus octagonal index design (n = 10; I); for each design, five samples were used with (S) and without (NS) abutment screw withdrawal before a cyclic test.

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Background: Tendon stem/progenitor cells (TSPC) exhibit a low proliferative response to heal tendon injury, leading to limited regeneration outcomes. Exogenous growth factors that activate TSPC proliferation have emerged as a promising approach for treatment. Here, we evaluated the pigment epithelial-derived factor (PEDF)-derived short peptide (PSP; 29-mer) for treating acute tendon injury and to determine the timing and anatomical features of CD146- and necleostemin-positive TSPC in the tendon healing process.

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Objectives: Conical implant-abutment connections are popular for its anti-bending performance; on the other hand, the torsional and axial forces also play important roles in occlusion. However, so far there were scarce studies on their effects on connection stability. Therefore, this study seeks to investigate the mechanical performance of conical connections under different cyclic loading conditions.

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Background: Vitamin E-stabilized cross-linked polyethylene has been touted to alleviate the negative effects of oxidation. Although it has demonstrated significant improvements in wear resistance, bio-tribology, and oxidative resistance, little is known about the effect of antioxidants and dosage of cross-linking on the mechanical strength. This study aimed to evaluate the mechanical properties of these novel materials, which are commonly used in orthopedic implants.

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Background: The purpose of this study was to introduce arthroscopic partial trapeziectomy and tendon interposition for the treatment of symptomatic thumb carpometacarpal arthritis of Eaton stage II or III.

Methods: From August 2001 to April 2009, 23 patients with thumb carpometacarpal arthritis were treated using this technique. Pain score, range of motion, and pinch strength were clinically evaluated and compared with the preoperative values after a minimum follow-up duration of 24 months.

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Background: In some situations, harvested hamstring tendon grafts are not qualified for anterior cruciate ligament (ACL) reconstruction. This study aimed to present a reinforcing method with additional half peroneus longus tendon (half-PLT) graft augmentation.

Methods: Eight cases underwent ACL reconstruction with unqualified hamstring tendon grafts (diameter <7 mm) and were salvaged by additional half-PLT graft augmentation.

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