Drug eluting 3D printed polymeric implants have great potential in orthopaedic applications since they are relatively inexpensive and can be designed to be patient specific thereby providing quality care. Fused Deposition Modeling (FDM) and Stereolithography (SLA) are among the most popular techniques available to print such polymeric implants. These techniques facilitate introducing antibiotics into the material at microscales during the manufacturing stage and subsequently, the printed implants can be engineered to release drugs in a controlled manner.
View Article and Find Full Text PDFCosts associated with musculoskeletal diseases in the United States account for 5.7% of the Gross Domestic Product (GDP) (Weinstein et al. 2018).
View Article and Find Full Text PDFIn the United States, long standing deep infections of joint arthroplasty, such as total knee and total hip replacements, are treated with two-stage exchange. This requires the removal of the prior implant, placement of an antibiotic eluting spacer block made of polymethylmethacrylate (PMMA), followed by re-implantation of a new implant after treatment with intravenous antibiotics for six to eight weeks. Unfortunately, the use of PMMA as a spacer material has limitations in terms of mechanical and drug-eluting properties.
View Article and Find Full Text PDFIn this article, we propose a methodology for the rational design of scaffold constructs in bone-tissue engineering. The construct under investigation is a sandwich structure with an Intramedullary rod (IM), a Biological Sponge (BS) and an External sleeve (ES). The IM rod provides axial resistance, BS facilitates the growth of new bone and ES provides stability to the construct by resisting torsion and bending.
View Article and Find Full Text PDFMechanical stiffness is a fundamental parameter in the rational design of composites for bone tissue engineering in that it affects both the mechanical stability and the osteo-regeneration process at the fracture site. A mathematical model is presented for predicting the effective Young's modulus (E) and shear modulus (G) of a multi-phase biocomposite as a function of the geometry, material properties and volume concentration of each individual phase. It is demonstrated that the shape of the reinforcing particles may dramatically affect the mechanical stiffness: E and G can be maximized by employing particles with large geometrical anisotropy, such as thin platelet-like or long fibrillar-like particles.
View Article and Find Full Text PDFIndividualized medicine is the healthcare strategy that rebukes the idiomatic dogma of 'losing sight of the forest for the trees'. We are entering a new era of healthcare where it is no longer acceptable to develop and market a drug that is effective for only 80% of the patient population. The emergence of "-omic" technologies (e.
View Article and Find Full Text PDFPractically all elastic single crystals are anisotropic, which calls for an appropriate universal measure to quantify the extent of anisotropy. A review of the existing anisotropy measures in the literature leads to a conclusion that they lack universality in the sense that they are non-unique and ignore contributions from the bulk part of the elastic stiffness (or compliance) tensor. Proceeding from extremal principles of elasticity, we introduce a new universal anisotropy index that overcomes the above limitations.
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